Why Crossmatching Could Save a Life: Understanding Pre-Transfusion Testing?

Understanding the difference between compatibility testing and crossmatching , and when/why both are needed, is essential in transfusion medicine. Let's break it all down clearly: 1. Compatibility Testing Compatibility Testing is a broad term that refers to all the procedures used to ensure that the donor’s blood and the recipient’s blood are compatible for transfusion. This testing is crucial to prevent adverse transfusion reactions, which can be life-threatening. Components of Compatibility Testing - Blood Grouping (ABO and Rh typing): Determining the blood group of both donor and recipient to ensure compatibility. - Antibody Screening: Detecting unexpected alloantibodies in the recipient’s serum that might react with donor RBCs. - Crossmatching (a part of Compatibility Testing, explained below). - Other tests: Sometimes additional tests like direct antiglobulin test (DAT) are performed to check sensitization. 2. Crossmatch Testing Crossmatch is a specific laborato...