lyla_n

We had a case of coagulopathy due to liver disease and the patient was bleeding.. There ws shortage of A+ve PRBC so we had to swithch to O+ve PRBCs. Male patient 5 units of O+ve compatible PRBCs transfused sucessfully. After 2 days more demand for blood. DAT on the patient 2+ in gel.. Do we go for O+ve or can we shift back to A+ve?

Thnx Malcom.. we had the same problem with another female with Blood group B pos..Cross match incompatible with 3 units out of 6 and then she ws perfectly compatible with other group B units that were reqiured over the nxt 6 days. The lady was undergoing a cholecystectomy and had a bleeding complication intraop.. Is it essential to pin point the antibody in these cases?? or can we just ignore it?

thanks pple...esp Brenda.. Did run a panel however nothing came up on that... The units that we crossmatched were A1B pos.. May be Ab against some low incidence antigen..Dont have a rare Ag panel.. Got another request for one more unit, we cross matched 3 units expecting the worst but all 3 came compatible!!

But the forward grouping was done with Anti A1 lectin... THe group ws reported as A1B..

AB+ve

Female patient with negative DAT, Negative IAT, Negative antibody screen. Cross match by gel incompatible with two units of Packed cells out of a total of 5 units tested. DAT and IAT of the incompatible units negative. Patient scheduled for OLT. Further course?? REason for incompatibility??

thnx..

thanks.. but hw many transfusions should i audit per month for this??

We are trying to start an audit system however i have no idea hw to go about it. wat sections should be audited?? wat abt phlebotomy section and procedures. hw to get checklist for that? wat should be the frequency of the audit?

i am very confused as to what is actually covered under donor hemovigilance? Is it documenting the adverse effects post donation??? are there other aspects covered under it????? help...