Blood Transfusion Service
Quick Links/Contact Information:
MGH
Transfusion Service Page of MGH Laboratory Handbook
MGH
Blood Donor Center
MGH
Guidelines for the Clinical Use of Blood Components
Overview
The Blood Transfusion Service is an FDA-licensed,
full-service blood bank that consists of the Blood
Donor Center, the Viral Testing Laboratory, the Transfusion
Service, and the Tissue Typing Laboratory.
The Transfusion Service performs routine and specialized
compatibility testing as well as the production of
specialized components. In addition, the lab supports
the transfusion needs of a number of specialty services,
including cardiac and vascular surgery, bone marrow
and other solid organ transplantation, the Level 3
burn and trauma services, and the neonatal intensive
care unit. It also operates an AABB-accredited reference
laboratory for the resolution of difficult serological
problems.
The MGH
Blood Donor Center collects whole blood and
platelet pheresis products at the MGH main campus
and on the MGH Bloodmobile. Services are also
available for autologous blood donation. A number
of therapeutic procedures are available, including
therapeutic phlebotomy, therapeutic plasma and
cytapheresis,
peripheral progenitor cell collection, and outpatient
transfusion of blood components and plasma derivatives.
The Viral Testing Laboratory performs processing
of blood donor units as well as viral testing for
anti-HIV 1/2, anti-HTLV-I/II, anti-HCV, HbsAg and
HbsAb (qualitative and quantitative).
The Tissue Typing Laboratory
is ASHI certified and performs all the testing required
for bone marrow and solid organ transplantation services
at MGH. Tests include both serologic and DNA-based
tissue typing, determination of HLA antibody frequency
(PRA) and specificity, lymphocytotoxicity crossmatching,
mixed lymphocyte culture assays and monitoring for
chimerism and/or bone marrow engraftment. Physician
consultation is available for therapeutic phlebotomy
and apheresis, transfusion and infusion management,
component therapy, use of specialized blood components
in target populations, presurgical planning for reduce
allogenic blood usage, diagnosis and management of
patients refractory to platelet transfusion, serologic
problems, autoimmune hemolytic anemias, complications
of transfusion, preoperative assessments and compatibility
testing of transplant candidates, rejection episodes
and indications and management of vascular access
devices.
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