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Lipaemic donations: truth and consequences.

Giuseppe Lippi1, Massimo Franchini

  • 1Unità Operativa di Diagnostica Ematochimica, Dipartimento di Patologia e Medicina di Laboratorio, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy.

Transfusion and Apheresis Science : Official Journal of the World Apheresis Association : Official Journal of the European Society for Haemapheresis
|November 27, 2012
PubMed
Summary
This summary is machine-generated.

Using turbid plasma from lipaemic donations for blood components poses significant challenges in transfusion medicine. Harmonizing global policies is crucial for addressing these issues and ensuring blood product safety.

Keywords:
HypertriglyceridemiaInterferenceLipaemiaPatient safetyTransfusion medicine

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Area of Science:

  • Transfusion Medicine
  • Blood Component Production
  • Clinical Pathology

Background:

  • Lipaemic donations, characterized by turbid plasma, present challenges due to epidemiological, technical, analytical, clinical, and economic factors.
  • Guidelines generally advise against using lipaemic donations for blood components, stemming from causes like metabolic disorders, diseases, and drug use.
  • The frequency of lipaemic donations varies significantly, from 0.31% to potentially 13% in sporadic cases.

Purpose of the Study:

  • To highlight the significant issues associated with using lipaemic donations in transfusion medicine.
  • To underscore the unresolved questions regarding the clinical use of blood components derived from lipaemic materials.
  • To advocate for a global consensus and harmonization of policies concerning lipaemic donations.

Main Methods:

  • Review of existing guidelines and literature on lipaemic donations.
  • Analysis of the challenges posed by turbid plasma in blood component production.
  • Discussion of the implications for laboratory testing and product safety.

Main Results:

  • Lipaemic donations interfere with laboratory testing, though methods exist to mitigate this.
  • The safety and clinical utility of blood components derived from hypertriglyceridaemic materials remain a critical, unresolved issue.
  • Current policies on handling lipaemic donations lack global uniformity.

Conclusions:

  • Addressing the challenges of lipaemic donations requires a unified approach in transfusion medicine.
  • Further research and collaboration are needed to establish standardized protocols for lipaemic blood utilization.
  • Harmonizing international policies is essential for ensuring the safety and efficacy of blood components derived from potentially lipaemic donations.