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With a decline in incidence of hemolytic disease of the fetus and newborn as well as treatment with intravenous immune globulin and phototherapy, manual exchange in neonates and intrauterine transfusion have become uncommon. This session describes practices for not only ordering and preparing blood products for these rare procedures, but also how they are performed. The results of Vox Sanguinis International Forum on the Selection and Preparation of Blood Components for Intrauterine Transfusion published in 2020 will be reviewed. Participants will be updated on current indications, blood sample testing, blood product selection/preparation, calculations for dosing, and transfusion monitoring/documentation for intrauterine transfusion. For manual exchange transfusion, discussion will include procedure technique using push/pull versus continuous infusion methods, dosing/ordering, and blood component preparation.
To view Spanish or English subtitles, click the "CC" box in the video player. Para ver subtítulos en español o inglés, haga clic en el cuadro "CC" en el reproductor de video.
Learning Objectives:
Name the most common indications for intrauterine transfusion
List attributes considered when selecting blood products for intrauterine and infant manual exchange transfusion
Describe the process of manual exchange transfusion in an infant
Moderator(s):
Nabiha
H. Saifee,
MD, PhD,
Transfusion Service Medical Director,
Seattle Children's
All relevant financial relationships have been mitigated. By completing the evaluation, you are attesting to watching the presentation in its entirety. A certificate will be immediately provided after submission.
Credits Available
AM21-27: Updates in Intrauterine and Manual Red Cell Exchange Transfusion Practice Evaluation