Thalassemia Patients and Friends

Discussion Forums => Thalassemia Major => Topic started by: zahra on October 20, 2013, 08:53:24 PM

Title: when blood required is between Paediatric and Adult bags
Post by: zahra on October 20, 2013, 08:53:24 PM

Hi Andy,
 My son had his transfusion today. He needs 380ml by 20 ml /kg rule.
Paediatric units are around 300ml and adult 500.
Choices are to use two Paediatric units and expose him to antigens from 2 donors or to bring him in earlier which would be2-3 weeks instead if 3-4 weeks.
This problem will continue till he is about 25 kg I guess and qualifies for the adult unit.
What is the standard and which would you recommend?
Zahra

Title: Re: when blood required is between Paediatric and Adult bags
Post by: Andy Battaglia on October 21, 2013, 03:01:15 PM

Hi Zahra,

My ideal standard would be once weekly, which of course is not practical, but you see my direction. I would prefer minimizing the amount of donors, so taking blood one week earlier would be my advice. If there is any consideration at all about pursuing a BMT at any future point, this would become even more important, as exposure to fewer antibodies means less chance of reaction to the new bone marrow.