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  • David Saikin
    David Saikin

    All transfusions are in vivo crossmatches.    We use it only when transfusing WAIHA pts with incompatible rbcs, Makes my Medical Director feel bette.

comment_61511

I wonder whether the transfusion of a patient with autoantibodies is some kind of in vivo crossmatch.

comment_61517

All transfusions are in vivo crossmatches. 

 

We use it only when transfusing WAIHA pts with incompatible rbcs,

Makes my Medical Director feel bette.

comment_61518

We use the in vivo crossmatch procedure when transfusing least-incompatible packed cells to patients with WAIHA.  This is documented using our Emergency Release form that also includes sections for Uncrossmatched PCs, units given before testing is finished (by our blood supplier), and changing a patient from Rh negative products to Rh positive products.   Our facility uses Bar Code enabled Transfusion Administration, so when nursing stops the transfusion prior to drawing the EDTA specimen for blood bank to examine, they can note the reason for stopping and the reason for continuing the transfusion.  This works well for us.

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