Hi everybody,

Some years back, the very usage of red cells preserved in SAGM/ OPTISOL solution in paediatrics or neonatals , was a delicate issue everywhere. I am keen to know what our senior and more experienced people in this site are practising now ?

Are there any paediatricians still very particular against the usage of SAGM/OPTISOL in paediatrics ? (mannitol or any other ingredients in the OPTISOL solution ? )

Are the peadiatricians still insisting on red cellspreserved in exclusively in CPD / CPDA / solutions without additives ?

Or is it that... red cells in OPTISOL / SAGM is being widely used for all neonatals / paediatrics as our technical manual prescribe ?

Inputs from all would be appreciated !

with warm wishes...

engeekay2003

CPD & CPDA1 are still indicated for exchange transfusions I believe.

We use CPD or CPD A1 for exchange transfusion. For neonates who requires small aliquots we use AS-3 RBC.

We use CPD or CPD A1 for exchange transfusion. For neonates who requires small aliquots we use AS-3 RBC.

Previously the paediatricians used to say "NO" to RBCs with SAGM / SAGAM / OPTISOL as it contained mannitol.

But the latest edition ( ? ) of AABB says, it can be used for neonates and paediatrics.. I had my own inhibitions on that...Hence wanted to clarify with the more senoior and experienced people among us

about the actual practice ...

thanks and best wishes.....

engeekay2003