Dear All,
Our transfusion friends are looking for some help.
We had a lady delivering by Caesarian section, who was having her own blood salvaged, filtered and retransfused. She had what was to all intents & purposes a transfusion reaction. When the transfusion was stopped BP, heart rate etc returned to normal. When transfusion of her own blood restarted the same reaction occurred.
The transfusion practitioner has checked the instrument and can find nothing wrong with it.
So the question is what caused this reaction and is there anything we can test in her original blood samples or that which was salvaged from the equipment?
That could help identify the cause?
Could it have been the citrate solution used as anticoagulant?
Thoughts and ideas would be appreciated.
many thanks
Helen Smith
Concultant Clinical Biochemist
Queen Alexandra Hospital, Portsmouth
02392 286000 ext 1280
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