JRH Railway Hospital performs exchange transfusion procedure, a first for any railway hospital

Western Railway’s Jajivan Ram Hospital successful managed to save the life of a 19-year-old boy was recently diagnosed with bilateral Avascular Necrosis (AVN) of Hip Joints. He is also a patient of sickle cell anaemia, and that is why it was essential to perform the exchange transfusion of blood, which was a first of its kind procedure at an Indian Railway hospital


The patient was a 19-year-old boy named Nikhil Bansod; he is the son of a Trackman in the Engineering Department of Nagpur Division (Central Railways). The boy was admitted to the hospital on December 27, 2018 for a bilateral hip pain.

The doctors successfully performed the ‘Exchange Transfusion’ which is a red blood cell exchange procedure i.e. replacement of complete defective red blood cells with fresh concentrated red blood corpuscles, by Apharesis. Approximately, 3 litres of blood volume was exchanged in a single sitting.

Exchange transfusion is a potentially life-saving procedure that is done to counteract the effects of serious jaundice or changes in the blood due to sickle cell anaemia.

While speaking to the press Ravindra Bhakar, Chief Public Relations Officer, Western Railway said, “The procedure involves slowly removing the person’s blood and replacing it with fresh blood or plasma. It is a noteworthy achievement that it is the first RBC exchange by Aphearesis Procedure performed over the entire Indian Railways Hospitals.”

The patient was referred to KEM Hospital at Mumbai for expert haematological opinion for pre-operative and post-operative line of management since orthopaedic surgeons decided that he needed total hip replacement (THR) surgery.

After getting fitness for the surgery, the patient was operated for total hip replacement on January 23, 2019.

But after the surgery his condition began to worsen. Since the patient was not improving with blood transfusions and hydration, the doctors decided that it was critical to do exchange transfusion for the patient from JRH Railway Hospital in order to save the patient’s life.

Dr Yoganand Patil, Blood Bank Incharge, Jag Jivan Ram Hospital, “With the procedure which has been performed the first time in a railway hospital across India, I can proudly say that now the railway hospital is also equipped to save the patient in the emergency. Now we don’t need to refer the patient to another private hospital. This procedure has been done in very few hospitals in Mumbai.”

The Blood Bank department of JRH had performed the Exchange Transfusion/ RBC Exchange on Thursday, January 31, 2019. The patient’s health has significantly improved after this procedure.