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Anaphylactic reactions are excluded by the presence of red plasma or urine, discordant pretransfusion and posttransfusion ABO blood types, or a positive direct antiglobulin (Coombs) test result. Demonstration of anti-IgA in a pretransfusion sample of the recipient's serum or plasma establishes the diagnosis.
The equipment used in the transfusion of blood components includes filters, tubing (straight or âYâ tubing), needles, pumps, blood warmers, and rapid infusion devices. The transfusion of all blood components requires the use of an inline filter to remove debris in the form of blood clots and blood cell aggregates.