GSH & GXM

Hanim -
Q : what is gsh & gxm?
A : 🎁GSH

🍭Group screen and hold
🍭A test which patient's blood sample will be typed for ABO & Rh grouping and screened for unexpected antibody (by indirect antiglobulin test)
🍭The serum/ plasma is retained for 48 hrs in blood bank in the event that cross matched is required within this period.
🍭Gsh is used with maximum surgical blood ordering schedule (MSBOS)
🍭Bcoz to avoid the units of blood being reserved unnecessarily, create artificial shortage as well as prolonging shelf life of units
🍭MSBOS : list of effective surgical procedure together with no of blood units needed.
🍭Not practiced in :
-pt with abnormal red cell antibodies detected
-emergency cases
-paed pt
-transfusion dependent pt

🎁GXM :

🍭Group cross match
🍭Usually for transfusion such as thalassemia, anemia, pt undergo surgery, pregnant lady in labour
🍭Must be careful to handle this as not will cause transfusion reaction
🍭Is performed to test donor red cell against recipient serum as to detect any potential incompatibility which antibody in recipient cause hemolysis to donors cell
🍭The antibody would be against other than ABO system.
🍭Cross matched donor's unit will be retained for particular pt for 48 hrs b4 the unit is returned to pool of donors blood to be cross matched for other pts