Impact of Venous Catheters on Packed Red Blood Cells

ABSTRACT This study was designed to test the hypothesis that there would be increased hemolysis, as indicated by an increase in plasma free hemoglobin and potassium, when packed cells were infused through small gauge percutaneous catheters (24 and 28 g, PC) compared with short catheters (24 g; SC)....

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Veröffentlicht in:American journal of perinatology 1991-07, Vol.8 (4), p.280-283
Hauptverfasser: Oloya, Richard O., Feick, Harriet J., Bozynski, Mary Ellen A.
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container_end_page 283
container_issue 4
container_start_page 280
container_title American journal of perinatology
container_volume 8
creator Oloya, Richard O.
Feick, Harriet J.
Bozynski, Mary Ellen A.
description ABSTRACT This study was designed to test the hypothesis that there would be increased hemolysis, as indicated by an increase in plasma free hemoglobin and potassium, when packed cells were infused through small gauge percutaneous catheters (24 and 28 g, PC) compared with short catheters (24 g; SC). We were unable to study the 28 g PC because after 1 hour, at a flow rate of 10 ml/hr, only 2.4 ml packed cells were infused. There was a significant increase in plasma free hemoglobin when pre- and postinfusion values were compared (SC, p = 0.005; PC, p = 0.009), but a statistically significant increase in potassium only for the SC (p = 0.008). There were no significant differences between the catheters for either potassium or free hemoglobin. For either catheter the quantity of free hemoglobin transfused could potentially cause a significant rise in serum bilirubin and hemoglobinuria.
doi_str_mv 10.1055/s-2007-999397
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subjects Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Blood Component Transfusion - instrumentation
Catheterization, Central Venous - instrumentation
Hemoglobins - analysis
Hemolysis
Humans
Intensive care medicine
Medical sciences
ORIGINAL ARTICLE
Potassium - blood
Rheology
title Impact of Venous Catheters on Packed Red Blood Cells
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