Abstract
Transfusion of uncrossmatched blood is only done in an emergency situation because of the risk of transfusion reaction. We reviewed the records of 65 patients who received uncrossmatched blood between 1969 and 1976. Emphasis was placed on the presence of major transfusion reactions. Forty six of these patients received group specific blood. Of the 19 patients that received non type specific blood 15 were transfused with.0- blood, two with 0+ and 2 others with B-. In one patient receiving non type specific blood the cross-match was found to be incompatible after the blood had been given. Eighteen patients had been previously transfused and 30 received subsequent transfusions. No documented transfusion reaction occurred in any of the 65 patients. Pre-existing shock and bleeding diathesis made this evaluation difficult in some cases. Eight patients died within 24 hours of receiving their uncrossmatched blood, none with evidence of transfusion reaction. In life threatening situations when time will not permit compatability testing, uncrossmatched 0- or type specific blood should be used because the risk of a major transfusion reaction is minimal.
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Siegel, M., Ortega, J., Dillinger, J. et al. 657 OUTCOME OF EMERGENCY UNCROSSMATCHED BLOOD TRANSFUSION IN CHILDREN. Pediatr Res 12 (Suppl 4), 473 (1978). https://doi.org/10.1203/00006450-197804001-00662
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DOI: https://doi.org/10.1203/00006450-197804001-00662