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Review
. 2023 Dec;50(4):821-837.
doi: 10.1016/j.clp.2023.07.008. Epub 2023 Sep 20.

Neonatal Blood Banking Practices

Affiliations
Review

Neonatal Blood Banking Practices

Elizabeth P Crowe et al. Clin Perinatol. 2023 Dec.

Abstract

There is little formal guidance to direct neonatal blood banking practices and, as a result, practices vary widely across institutions. In this vulnerable patient population with a high transfusion burden, considerations for blood product selection include freshness, extended-storage media, pathogen inactivation, and other modifications. The authors discuss the potential unintended adverse impacts in the neonatal recipient. Concerns such as immunodeficiency, donor exposures, cytomegalovirus transmission, volume overload, transfusion-associated hyperkalemia, and passive hemolysis from ABO incompatibility have driven modifications of blood components to improve safety.

Keywords: Neonate; Platelets; Premature; Red blood cells; Transfusion.

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