April 2014

Transfusion center delivers novel solutions – Dr Vimarsh Raina, Director- Pathology, Laboratory & Transfusion Medicine

Views: 1.4K

Dr Vimarsh Raina, Director- Pathology, Laboratory & Transfusion Medicine, ensures the quality blood bank at Medanta – The Medicity. In conversation with Shahid Akhter, ENN, he discusses the role of technology and the need for safety in channelizing the blood components

Please tell us about the evolution of transfusion services in the Indian perspective?

Blood banks are no longer dispensing windows for blood products created out of blood donated by healthy altruistic blood donors. A modern blood bank or transfusion service is an organized and yet complicated institution which not only converts voluntarily donated blood into blood components but is also having a very proactive role in therapeutics for critical illnesses like Myasthenia Gravis, Guillain Barre syndrome, Leukemia etc. A modern blood bank has a pivotal role in assisting the treatment of patients in multispecialty and super- specialty hospitals. No hospital handling critical and terminally ill patients can function without the support and services of an efficient transfusion service.

It goes without saying that a modernized blood bank would have 100 percent blood component therapy, provide leuco-reduced blood products, have the safest possible chemiluminscense and NAT (Nucleic Acid Test)based technologies to ensure blood safety and also be able to provide blood support in situations where the patients are sensitized and hence may not be able to tolerate even the same blood group transfusions.

Blood banking in India is different from the US. What learning can we put to use from the West?

In US, there is 100% voluntary blood donation at blood centers located in each city. After complete testing and component separation the blood is shipped to different hospitals based on requirement and from there, it is issued to patients.

In India, there is a lot of impetus given to promote voluntary blood donations by various organizations, but still most of the blood supply comes from hospital-based transfusion medicine center, in terms of replacement donations, which is usually done by friends and relatives of patients.

While some of the blood services in India may not be ideal, institutions like Medanta are proud to offer services and technologies which are at par with the best in the world.

India has an annual demand of about 10 million units and a significant part of it comes from replacement (one time blood donors). The trend and public participation in enhancing voluntary, regular, repeated blood donations is very heartening, especially from the educated younger people, whom we see many times taking off from their busy lives to fulfill their social obligations like blood donation.

Blood grouping test is confined to routine ABO and RhD typing. What about others that are left out? Doesn’t this lead to complications?

A good transfusion service is not confined to blood grouping and transfusion of same group compatible transfusions. A well established transfusion service would test each and every potential patient who may need transfusion support for antibodies by a group and screen approach.

This ensures that not only would we be able to provide blood efficiently and quickly at the time of an emergency but would also be able to pick up the difficult cases in advance and work them up for antibodies. Such patients would otherwise land up in extremely difficult and life threatening situations if the blood service is not able to provide compatible blood during an emergency.

Technological marvels and miracles are routine in healthcare? Have we made significant breakthroughs in Blood banking?

In the last decade transfusion services has made more progress than any other branch of medicine. Due to the technological innovations in transfusion services we are able to perform solid organ transplants, such as kidney or liver transplants, between individuals from different blood groups.

This is of great relevance to a nation like India where every year we have more than two lakh kidney failure patients needing a renal transplant but do not have access to a cadaveric donor or a family member who has the same blood group. In these situations a well equipped and experienced Transfusion Medicine Specialist can produce wonders by removing donor specific antibodies in the patient by doing plasma exchange prior to transplant.

Some life threatening illnesses like Thrombotic Thrombocytopenic Purpura ( TTP ) which had a mortality of above 90 percent within with a week to ten days of diagnosis have a fantastic outcome today.

Almost all patients diagnosed as TTP and who are treated by the transfusion medicine specialist with procedures such as Total Plasma Exchange (TPE) have a dramatic improvement and it is very gratifying to see the excellent outcome when you see a near dead patient walk out of your department hale and hearty within a week of the diagnosis.

“Providing the safest possible blood components is our main concern and duty. We add an extra layer of safety and security in blood testing. NAT (Nucleic Acid Testing), for instance, is used to ensure safety of blood components.”

What strides have we made in stem cell harvesting, preservation and infusion?

When we look at initial days, bone marrow was the only source for stem cell transplant. Today with Apheresis machines which are programmed for Peripheral Blood Stem Cell (PBSC) harvest, it has become relatively easy and less cumbersome doing a stem cell harvest followed by transplant.

Compared to bone marrow harvest, PBSC harvest is easy to do, much more safe for the donor, we can harvest precise dose required for the transplant and also post harvest complications are bare minimum and comparable to a simple platelet harvest.

These days the same PBSCs can be cryo-preserved for later use and with improved processing and storage techniques the patient outcomes have also improved.

Stem cell infusion is given under very strict and personalized medical supervision. The patients who receive these infusion are under immune suppression and hence admitted in specialized rooms with HEPA filters and trained personal, round the clock. Utmost care is taken to keep the surroundings clean and sterile which has direct effect on the patient outcome.

What is the USP of the transfusion centre at Medanta? What sets it apart from others?

The Transfusion Medicine Department at Medanta is unique in various aspects. We have a large team of highly qualified, dedicated and competent doctors who are available round the clock( 24 x7 x 365), are able to provide comprehensive services including

• Blood component therapy and leuco- depleted products with log 4 reduction, which drastically reduces transfusion reactions in patients and prevents any graft versus host diseases (GVHD) and also to some extent prevents transmission of infections such as CMV.

• Providing the safest possible blood to patients by doing 100% NAT testing which markedly reduces Transfusion Transmitted Infections (TTI).

• Antibody screening for patients and providing corresponding antigen negative blood reducing incidence of hemolytic transfusion reactions.

• Therapeutic plasma exchange for various conditions including for ABO incompatible liver and renal transplant patients.

• Dedicated stem cell harvest and infusion team with inclusion of specialists from oncology, transfusion medicine and hematology.

What role does ICT play in the management of blood bank?

ICT plays an important role in blood bank as it helps in improving efficiency levels and reducing chances of errors. Each donor is registered in HIS (Hospital Information System) at the time of donation and all the reports including blood group and infectious markers are updated. Once a donor is found to be reactive for any of the markers (HIV, Hepatitis B, Hepatitis C, Malaria and/or Syphilis), the HIS system will automatically block the same blood unit from getting issued.

All the patient requests for blood are made through HIS and blood units are also issued through HIS. This helps in avoiding misuse of blood and a track can be kept for each and every patient.

What are the specialized programs in transfusion medicine at Medanta?

Medanta is running Post graduate programmed in transfusion medicine popularly known as DNB (Diplomate National Board). Medanta is one of the few centers in the country to offer this course. Besides the department hosts regular seminars and courses for doctors across Asia for enhancing their skill sets.

How do you visualize the future of blood banks?

I can see a paradigm shift in the blood banking. In all probability, in the near future blood (red blood cells) would no longer be coming from voluntary blood donors but would be a pharmaceutical product coming from dispensing pharmacies rather than the blood banks.

Major advancements in nano technology and molecular medicine are expected to revolutionize organ transplant – both solid organ as well as bone marrow transplant and improve patient outcome. Blood banks would no longer be seen as just dispensing windows for blood products but would be playing a pivotal role in ensuring delivery of novel solutions such as dendritic cell therapies.

The facilities and professionals in Transfusion Medicine would be playing greater role in health care than they are presently delivering, moving from support specialty to proactive participants in patient care.

Specialised Programs

>> Therapeutic Plasmapheresis

>> Therapeutic Leukacytapheresis

>> Therapeutic Throbocytapheresis

>> Therapeutic Red Cell Exchange

>> Stem Cell Harvest




  1. odziez ochronna bhp

    January 16, 2018 at 11:32 pm

    Keep up the good piece of work, I read few blog posts on this web site and I think that your weblog is really interesting and contains bands of superb information.

  2. zgrzewarka do rur castorama

    January 17, 2018 at 2:24 am

    I regard something truly interesting about your blog so I saved to my bookmarks .

  3. bhp hurtownia

    January 17, 2018 at 3:15 am

    You are my intake , I own few blogs and occasionally run out from to post .

  4. Buty Jeansowe Allegro

    January 17, 2018 at 9:37 am

    Good write-up, I am regular visitor of one’s web site, maintain up the excellent operate, and It’s going to be a regular visitor for a long time.

  5. Health

    January 17, 2018 at 5:31 pm

    Its like you read my mind! You seem to know a lot about this, like you wrote the book in it or something. I think that you can do with some pics to drive the message home a bit, but other than that, this is wonderful blog. A great read. I will certainly be back.

  6. photo booth

    January 17, 2018 at 9:16 pm

    MetroClick specializes in building completely interactive products like Photo Booth for rental or sale, Touch Screen Kiosks, Large Touch Screen Displays , Monitors, Digital Signages and experiences. With our own hardware production facility and in-house software development teams, we are able to achieve the highest level of customization and versatility for Photo Booths, Touch Screen Kiosks, Touch Screen Monitors and Digital Signage. Visit MetroClick at http://www.metroclick.com/ or , 121 Varick St, New York, NY 10013, +1 646-843-0888

  7. Topánky Mustang Panske

    January 17, 2018 at 10:21 pm

    Good – I should definitely pronounce, impressed with your web site. I had no trouble navigating through all tabs and related info ended up being truly easy to do to access. I recently found what I hoped for before you know it at all. Reasonably unusual. Is likely to appreciate it for those who add forums or anything, site theme . a tones way for your client to communicate. Nice task.

  8. Clothing Fashions

    January 18, 2018 at 9:18 am

    Whats up very cool web site!! Guy .. Beautiful .. Amazing .. I will bookmark your blog and take the feeds also¡KI am happy to find numerous useful information right here within the post, we’d like develop more strategies on this regard, thank you for sharing. . . . . .

  9. GirlFashion

    January 18, 2018 at 9:18 am

    fantastic submit, very informative. I ponder why the other experts of this sector do not realize this. You should proceed your writing. I am sure, you have a huge readers’ base already!

  10. Home Improvement

    January 18, 2018 at 9:57 am

    It is truly a nice and useful piece of information. I am satisfied that you shared this helpful info with us. Please stay us up to date like this. Thank you for sharing.

  11. Apartment Therapy

    January 19, 2018 at 12:02 am

    Thanks , I have just been looking for info approximately this topic for a while and yours is the greatest I have discovered till now. But, what about the bottom line? Are you positive about the supply?

  12. Petardy Hukowe

    January 19, 2018 at 6:55 am

    I was reading some of your posts on this website and I believe this site is really instructive! Keep putting up.

  13. solomon2crm.com

    January 19, 2018 at 9:56 am

    My wife and i got quite happy that Raymond managed to complete his analysis with the ideas he gained from your site. It is now and again perplexing to simply continually be handing out procedures which often some others could have been trying to sell. And we also do know we need the blog owner to thank for this. These explanations you made, the straightforward web site menu, the friendships you give support to engender – it is all great, and it is facilitating our son in addition to us know that this topic is brilliant, which is really indispensable. Thanks for all!

  14. Skin Care Products

    January 19, 2018 at 12:31 pm

    You actually make it seem so easy with your presentation but I find this matter to be actually something which I think I would never understand. It seems too complex and extremely broad for me. I’m looking forward for your next post, I will try to get the hang of it!

  15. Web Design

    January 19, 2018 at 2:35 pm

    I like this website so much, saved to fav. “Respect for the fragility and importance of an individual life is still the mark of an educated man.” by Norman Cousins.

  16. Energy Health

    January 19, 2018 at 9:47 pm

    I have been exploring for a little for any high-quality articles or blog posts on this kind of space . Exploring in Yahoo I finally stumbled upon this website. Reading this information So i am satisfied to express that I’ve an incredibly just right uncanny feeling I found out exactly what I needed. I such a lot without a doubt will make certain to do not omit this web site and provides it a glance regularly.

  17. Running Boards

    January 19, 2018 at 9:47 pm

    Hello.This post was extremely motivating, especially since I was looking for thoughts on this issue last Wednesday.

  18. Health

    January 20, 2018 at 6:37 am

    Wow! This could be one particular of the most beneficial blogs We have ever arrive across on this subject. Actually Fantastic. I’m also an expert in this topic therefore I can understand your hard work.

  19. Used Car Loan

    January 20, 2018 at 10:27 am

    I haven¡¦t checked in here for some time because I thought it was getting boring, but the last few posts are great quality so I guess I¡¦ll add you back to my everyday bloglist. You deserve it my friend 🙂

  20. Business

    January 20, 2018 at 1:05 pm

    I have recently started a site, the info you offer on this web site has helped me greatly. Thanks for all of your time & work. “My dear and old country, here we are once again together faced with a heavy trial.” by Charles De Gaulle.

  21. Czym Wyczyscic Brudny Dywan

    January 21, 2018 at 3:34 am

    Merely a smiling visitor here to share the love (:, btw great design. “Competition is a painful thing, but it produces great results.” by Jerry Flint.

  22. Career And Jobs

    January 21, 2018 at 7:00 am

    I believe this web site holds some rattling great info for everyone :D. “As ill-luck would have it.” by Miguel de Cervantes.

  23. Noclegi Gorzów Wielkopolski

    January 21, 2018 at 10:34 am

    A person necessarily assist to make severely posts I might state. That is the first time I frequented your web page and to this point? I surprised with the research you made to create this particular put up amazing. Fantastic process!

  24. Fashion

    January 21, 2018 at 3:11 pm

    Some really nice and useful info on this web site, likewise I conceive the design contains great features.

  25. Best Skin Care

    January 21, 2018 at 8:11 pm

    Hello There. I found your blog using msn. This is a very well written article. I’ll be sure to bookmark it and return to read more of your useful information. Thanks for the post. I’ll definitely comeback.

  26. business management

    March 13, 2018 at 1:39 pm

    You can definitely see your skills within the work you write. The sector hopes for even more passionate writers such as you who aren’t afraid to say how they believe. At all times go after your heart.

  27. vitamins

    March 13, 2018 at 1:39 pm

    Hey, you used to write magnificent, but the last few posts have been kinda boring¡K I miss your great writings. Past several posts are just a little bit out of track! come on!

  28. online retailer

    March 13, 2018 at 1:40 pm

    Hey There. I found your blog using msn. This is a very well written article. I’ll be sure to bookmark it and return to read more of your useful info. Thanks for the post. I’ll certainly return.

  29. masters in education

    March 13, 2018 at 1:43 pm

    I¡¦ve been exploring for a little for any high quality articles or blog posts in this kind of house . Exploring in Yahoo I finally stumbled upon this site. Studying this info So i¡¦m glad to show that I have an incredibly just right uncanny feeling I found out just what I needed. I so much surely will make certain to don¡¦t put out of your mind this site and give it a glance regularly.

  30. travel advisor

    March 15, 2018 at 8:09 am

    Needed to draft you a tiny word just to say thank you over again regarding the fantastic tricks you have featured in this article. It is really wonderfully open-handed with people like you to convey freely precisely what a few people could have offered as an electronic book to end up making some cash on their own, specifically considering that you could have tried it if you ever decided. Those things likewise acted to become easy way to realize that someone else have the same fervor just as my own to find out great deal more when it comes to this issue. I think there are lots of more pleasurable times ahead for individuals that look over your website.

  31. technology articles

    March 20, 2018 at 7:26 pm

    Excellent read, I just passed this onto a friend who was doing some research on that. And he just bought me lunch because I found it for him smile So let me rephrase that: Thank you for lunch!

  32. medical school

    March 20, 2018 at 7:30 pm

    Thanks for sharing excellent informations. Your web site is so cool. I am impressed by the details that you¡¦ve on this blog. It reveals how nicely you understand this subject. Bookmarked this website page, will come back for more articles. You, my pal, ROCK! I found simply the info I already searched everywhere and simply couldn’t come across. What an ideal website.

  33. business news article

    March 21, 2018 at 6:51 pm

    Definitely believe that which you said. Your favorite reason appeared to be on the web the easiest thing to be aware of. I say to you, I certainly get irked while people think about worries that they plainly don’t know about. You managed to hit the nail upon the top and defined out the whole thing without having side-effects , people could take a signal. Will probably be back to get more. Thanks

  34. art and photography courses

    March 23, 2018 at 3:59 pm

    Thanks , I have recently been searching for information approximately this topic for a long time and yours is the greatest I’ve found out so far. But, what in regards to the conclusion? Are you sure concerning the source?

  35. vitamins

    March 23, 2018 at 4:00 pm

    I wish to express some appreciation to the writer for rescuing me from this condition. Just after surfing around throughout the the web and seeing basics which are not helpful, I believed my entire life was over. Existing devoid of the answers to the issues you’ve solved by means of your main article is a critical case, and ones which might have adversely affected my career if I had not discovered the blog. Your main talents and kindness in maneuvering almost everything was invaluable. I am not sure what I would have done if I hadn’t discovered such a step like this. I’m able to at this point look forward to my future. Thanks for your time so much for this professional and amazing help. I won’t think twice to suggest your blog to anybody who needs direction on this subject.

  36. home improvement stores

    March 23, 2018 at 4:01 pm

    I’m so happy to read this. This is the kind of manual that needs to be given and not the accidental misinformation that is at the other blogs. Appreciate your sharing this greatest doc.

  37. puzzle games

    March 23, 2018 at 4:01 pm

    Hello, i think that i saw you visited my site thus i came to “return the favor”.I am trying to find things to enhance my site!I suppose its ok to use some of your ideas!!

  38. online music player

    March 23, 2018 at 4:08 pm

    Hiya, I am really glad I’ve found this information. Today bloggers publish only about gossips and web and this is actually frustrating. A good blog with exciting content, that is what I need. Thanks for keeping this website, I will be visiting it. Do you do newsletters? Can not find it.

Leave a Reply

Your email address will not be published.

Most Popular





Get Heard Portal


eHealth Event Report



To Top