FFP off the pump?

i have given ffp both ways but care need to be taken that the pump is approved for the use with blood and blood products. however, the use of the tubing that comes from blood bank is the standard at all the facilities where i have worked.

[color=#333333]iv pumps

mechanical pumps may be useful for controlling the very slow infusion rates required by neonatal and pediatric patients, but care is needed to avoid hemolysis. only pumps specifically approved for blood transfusion should be used. some pumps can be used with standard infusion sets; others require special software.

http://www.clinlabnavigator.com/transfusion/blood-infusion.html

But you still need to be on the lookout for TRALI.....

Transfusion-Related Acute Lung Injury (TRALI)

Transfusion-related acute lung injury (TRALI) is a serious complication of blood transfusions that is thought to be most commonly caused by a reaction to White Blood Cell antibodies present primarily in the plasma component of blood products. When transfused, these antibodies can sometimes activate a type of White Blood Cell called a granulocyte, which causes plasma to leak into the lungs, creating fluid accumulation-a condition referred to as acute pulmonary edema. According to the Food and Drug Administration, TRALI is a leading cause of transfusion-related deaths in both male and female patients, contributing to an average of 24 fatalities annually from 2003-2005.

Plasma containing blood components obtained from certain donors are thought to carry a higher risk of causing TRALI. Donors who are more likely to have these antibodies include women who have been pregnant and developed these antibodies as a result of exposure to fetal blood and donors who have previously received a transfusion or transplant.

There is currently no screening test for the prevention of TRALI, and there is no single intervention that can eliminate the risk of TRALI.

Transfusion-Related Acute Lung Injury (TRALI)