Intentional transfusion of expired blood products.

This article provides information on the intentional transfusion of expired blood products. It discusses a study that found a small percentage of blood products transfused in US combat theaters were expired, with red blood cells being the most common expired product. The article explores the use of expired products in rare medical situations and the lack of clear guidance on their use. It also discusses the standards and regulations set by organizations like the AABB and FDA regarding the use of expired products. The article emphasizes that while current standards are conservative, exceptions can be made when clinically indicated. Additionally, the article provides information on the storage and expiration of red blood cells in different solutions and containers, including the development of various solutions and the benefits of storing blood products in plastic bags. It also discusses the potential utility of transfusing expired blood products in certain situations, based on studies that have assessed the quality and hemostatic function of long-stored blood products. However, the article acknowledges that further evaluation of clinical outcomes and safety is needed. [Extracted from the article]