Proper Blood Transfusion Practice

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To the editor: We are concerned that recommendations in the Brief Report “Anti-A Hemolytic Transfusion with Packed O Cells” (1) in the October 1978 issue do not represent a practical approach to the clinical problem that is described. Having observed the “very rare event” of a nonanaphylactic hemolytic episode in a type A1 recipient of a unit of type O Red Blood Cells (“packed” cells), Dr. Inwood and Mr. Zuliani recommend that clinicians “rigidly accept the principle that only ABO homologous blood should be transfused to patients.” Alternatively, the authors recommend that if circumstances demand, “either the group O cells

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