Red cells

This component is obtained by removing most of the plasma after centrifuging whole blood collected into anticoagulant.

Red cells are filtered to remove most leucocytes and may be resuspended in other additives to prolong storage.

A red cell unit is divided into four packs of equal volume to create Red cells Paediatric Leucocyte Depleted. This is to reduce donor exposure for small paediatric transfusions and to minimise product wastage.

Red cells Washed Leucocyte Depleted components are washed with 0.9% sterile isotonic saline to remove the majority of plasma proteins, antibodies and electrolytes. The washed red cells are then resuspended in additive solution.

Specifications of Red Cells

 

Red cells Leucocyte Depleted 

Red cells Paediatric Leucocyte Depleted 

Red cells Washed Leucocyte Depleted 

Volume

 > 200 mL

25–100 mL

> 130 mL

Haemoglobin  > 40 g/unit   > 37 g/unit
Haematocrit  0.50–0.70 0.50–0.70 0.50–0.70
Haemolysis (at expiry) < 0.8% < 0.8% < 0.8%
Leucocyte count < 1 x 106 per unit < 1 x 106 per unit < 1 x 106 per unit
Last wash supernatant total protein     < 0.5 g/unit

Availability

Adult leucodepleted red cells are available in Group O, A, B and AB, and Rh(D)-positive and Rh(D)-negative groups.

Paediatric and washed leucodepleted red cells must be requested in advance.

Modifications

Red cells can be phenotyped, CMV-seronegative and irradiated.