does anyone out there keep "A" thawed plasma to use with your first MTP shipment instead of wasting "AB" ????

since we give incompatible plts wouldn't it be ok to give say 2 incompatible plasmas on that first shipment?

thanks!

And it wouldn't be incompatible with 80+% of the patients since they would be O or A anyway once you typed them. Once you knew a patient to be AB or B, I would have a bit harder time giving A FFP, although I agree that we do it regularly with 1-2 units of plts with no ill effects.

I agree with the thoughts. Sounds like a good research project for someone to try to find out the actual fallout of such a practice. Might be worth it for the blood suppliers to undertake such a study as it could potentially take the "pressure" off of supplying AB plasma. Just thoughts.

We allow the use of A plasma in an emergent situation. If it is later found that the patient is incompatible, we have the resident write a note in the patients chart.

does anyone out there keep "A" thawed plasma to use with your first MTP shipment instead of wasting "AB" ????

since we give incompatible plts wouldn't it be ok to give say 2 incompatible plasmas on that first shipment?

thanks!

We keep 2 thawed group O plasma and 2 thawed group A plasma available. If we have a group B or AB MTP, they have to wait while we thaw the appropriate type. When we first suggested to our blood supplier trying to keep AB plasmas on hand, ooooooo! was there an uproar ;-)

Yiams, what type do you give patients that need emergency release FFP--patient type has not been done yet?

They have to wait for AB plasma to thaw. It's almost faster, once we have a sample, to perform Front and Back types. We've even had times where we've started AB thawing, got the Front and Back done, tagged and handed out group-specific plasma before the AB was done thawing. If so, we convert the ABs to thawed plasma.

We ask them to administer synthetics and to send a blood sample until the AB FFP thaws. The double checked “red alert” O RBCs are immediately sent out, and that calms everyone.

We are a centralized transfusion service so there is a delay of getting a sample to type from the remote hospital. They can go through a fair amount of universal donor products in the meantime now that they are getting more emergencies there. If we we could use a couple of A FFP units it would conserve the AB FFP. Likewise if we were to go to 5 day plasma and some went to waste it would be better if it were A.