Protocols - Hemorio

SPECIAL PROCEDURES
1 – INDICATIONS OF WASHED HEMOCOMPONENTS
Washed or deplasmatized hemocomponents – they are erythrocitary or platelet components, from which
most part of plasma was removed. They are indicated for:
Subjects with a proved absence of immunoglobulin IgA
Subjects with severe allergic reactions.
2 – INDICATIONS OF IRRADIATED HEMOCOMPONENTS
In order to reduce the risk of Host-versus-Graft-Disease (DECH), the hemocomponents must be irradiated.
The irradiation dosage is 25 grays and must be performed in own cells irradiators for this purpose.
Irradiated components are indicated:
- At the intra-uterine transfusion
- Subjects undergone an autologous or allogenic Bone marrow Transplantation, for the period of six (06)
months to 1 year, respectively, from the day of the conclusion of pre-transplant conditioning regime.
- During the bone marrow or stem cells collection of the peripheral blood in subjects who will be submitted
to autologous TMO, from the moment in which the mobilization is started until the conclusion of the last
collection.
- Transfusion of blood or components donated by 1 st -degree relatives of the receptor.
- Transfusion of blood or components collected from donors who present a HLA-compatibility to the
receptor.
- Transfusion in premature with a weight below 1,200 g
- The heating of blood bags must be performed only at heaters suitable for this purpose.
3 - INDICATIONS FOR THE HEAT BLOOD TRANSFUSION
- Transfusion in premature new born
- Fast transfusion (Flow above 50 ml/min)
- Transfusion in poly-traumatized subjects
- Transfusion at Cold Self-Immune Hemolytic Anemia
In such cases, you must heat the subject, covering him with a blanket, and putting thick gloves and socks.
Transfuse if there are any signs of fast hemolysis in the course of the transfusion, the subsequent
transfusions must be done using the blood heater. Whenever there is an indication to use the blood or
heat components, execute this procedure in suitable heaters for this purpose.
4 - INDICATIONS FOR THE USAGE OF CMV-NEGATIVE BLOOD
It is indicated in the following subjects’ categories (regardless their serologic status):
- Undergone a Bone marrow Transplantation
- Premature below 1,200 g
177