Determination of red-cell mass in assessment and management of anaemia in babies needing blood transfusion

A new method for the rapid determination of red-blood-cell mass (RCM) in infants needing blood transfusion is described. RCM is estimated from the fall in the baby's fetal haemoglobin level resulting from transfusion of a known mass of adult-haemoglobin-containing red cells. In severe blood los...

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Veröffentlicht in:The Lancet (British edition) 1986-04, Vol.1 (8486), p.882-884
Hauptverfasser: PHILLIPS, H. M, HOLLAND, B. M, ABDEL ABDEL-MOIZ, SUHEIR FAYED, JONES, J. G, TURNER, T. L, WARDROP, C. A. J, COCKBURN, F
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container_issue 8486
container_start_page 882
container_title The Lancet (British edition)
container_volume 1
creator PHILLIPS, H. M
HOLLAND, B. M
ABDEL ABDEL-MOIZ
SUHEIR FAYED
JONES, J. G
TURNER, T. L
WARDROP, C. A. J
COCKBURN, F
description A new method for the rapid determination of red-blood-cell mass (RCM) in infants needing blood transfusion is described. RCM is estimated from the fall in the baby's fetal haemoglobin level resulting from transfusion of a known mass of adult-haemoglobin-containing red cells. In severe blood loss and refractory anaemias in preterm infants, in addition to the red-cell deficit, the plasma volume is low, leading to a falsely high haematocrit of about 0.30, which conceals a deficiency of 50-70% in circulating red cells. Red-cell transfusion in such infants based on haematocrit often fails to restore RCM to normal, leading to repeated transfusions. The frequency of transfusions may be reduced by giving enough red cells fully to correct the deficiency based on RCM estimation.
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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Adult
Anemia - blood
Anemia - therapy
Anemia, Neonatal - therapy
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Blood Transfusion
Blood Volume
Body Weight
Emergency and intensive care: neonates and children. Prematurity. Sudden death
Erythrocyte Transfusion
Erythrocyte Volume
Hematocrit
Hemoglobins - analysis
Humans
Infant
Infant, Newborn
Infant, Premature, Diseases - blood
Infant, Premature, Diseases - therapy
Intensive care medicine
Medical sciences
Plasma Volume
title Determination of red-cell mass in assessment and management of anaemia in babies needing blood transfusion
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