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Transfusion98

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  1. Thanks
    Transfusion98 reacted to Joanne P. Scannell in Gel DAT   
    We validated using Anti-C3 in a Neutral Gel card.
  2. Thanks
    Transfusion98 reacted to Ally in Gel DAT   
    We use combo gel card IgG/C3 In case the result negative is great. if the result positive then we do tube method IGg and(C3b,-C3d).
  3. Like
    Transfusion98 reacted to Malcolm Needs in A2B pacient transfusion policy   
    Absolutely the advice given to you was correct.
    For a start off, as you say yourself, 80% of A2B individuals do NOT make an anti-A1, but of those 20% who DO make an anti-A1, how many will make that anti-A1 as a result of immunisation as a result of transfusion or pregnancy?  The answer to that, if you read any book concerning blood group serology (and that is NOT a criticism of you - we all started somewhere, including the very best, such as Herr Dr Willy Flegel, and others - and I have HUGE respect for Willy), you will see that a clinically significant anti-A1 is amazingly rare.
    For an anti-A1 to be clinically significant, it has to react strictly at 37oC, and that is a VERY rare "animal", and no example of anti-A1 has EVER been implicated in a case of HDFN, so, PLEASE, do not worry about giving A1B (or even A1) blood to an A2B individual, even if they have an anti-A1 in their circulation, UNLESS they have an anti-A1 that is actually active at strictly 37oC.
  4. Like
    Transfusion98 reacted to Dawn in QC' ing expired cell panels   
    Back to the original comment about the use of expired panel cells.
    Here is the AABB Standard (IRL Standards 5.1.4.2):
    "The criteria for the use of non-FDA-licensed reagents (including expired reagents) shall be defined."
    The standard does not mention a specific QC requirement, only that there must be defined criteria for use.
    Our lab discards panel cells 2 months after expiration. We do not perform QC on these cells.
  5. Thanks
    Transfusion98 reacted to Malcolm Needs in A2B pacient transfusion policy   
    As long as the anti-A1 remains "cold reacting" only, and the thermal amplitude does not widen, the clinical significance remains as "not clinically significant", and, personally, I would happily transfuse blood by electronic issue.
    Even if the thermal amplitude does widen, unless the anti-A1 actually reacts at strictly 37oC, it will remain as "not clinically significant", but I would, nevertheless, perform a serological cross-match - "just as belt and braces".
  6. Like
    Unlike alloantibodies that disappear, and can no longer be detected, auto-antibodies can be disregarded once they disappear and can no longer be detected (from the point of view of cross-matching, if not from a clinical perspective). Therefore, I see no reason why an immediate spin cross-match should not be sufficient (and safe) for these patients.
  7. Like
    Transfusion98 reacted to BankerGirl in Anti M with solid phase on TANGO   
    We evaluate every anti-M, each time, for 37 degree reactivity.  Not taking any unnecessary risks.  Although I still have a few techs who will screen units regardless of clinical significance on the basis of "I see it, so I can't ignore it."
  8. Like
    Transfusion98 reacted to David Saikin in Warm Auto antibody workups   
    If my antibody screen is negative I don't go looking for trouble.  I use a 3 cell screen so homozygous cells are present - I don't run 2.

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