Adequate survival of red cells from units "undercollected" in citrate-phosphate-dextrose-adenine-one. 1984

R J Davey, and B L Lenes, and A J Casper, and D L Demets

The lower limit for the volume of whole blood that may be collected for transfusion into standard blood recipient sets is 405 ml. Each year it is estimated that 82,500 to 161,700 units are drawn which contain between 275 and 405 ml. This study evaluated whether these "undercollected" units would be suitable for transfusion. Twenty normal adults donated both a "standard" unit (450 ml) and an "undercollected" unit (275 ml) in 63 ml of citrate-phosphate-dextrose-adenine-one (CPDA-1). The units were packed within 4 hours (mean Hct 71%) and stored undisturbed at 4 degrees C for 35 days. Aliquots of 1 to 2 ml of red cells from each unit were then labeled with 51chromium (51Cr) and reinfused into the original donor. The mean 24-hour survival of the 450-ml units was 78.8 percent (SD 12.2, SEM 2.7), while the mean 24-hour survival of the 275-ml units was 87.7 percent (SD 10.7, SEM 2.4; p less than .01). Seven inadvertently undercollected units (mean vol: 295 ml) had a mean 24-hour survival of 91.9 percent. The higher concentration of dextrose and adenine in the undercollected units may improve posttransfusion red cell viability. These data suggest that 275 ml is the minimum acceptable volume for blood donated into CPDA-1.

UI MeSH Term Description Entries
D008297 Male Males
D010710 Phosphates Inorganic salts of phosphoric acid. Inorganic Phosphate,Phosphates, Inorganic,Inorganic Phosphates,Orthophosphate,Phosphate,Phosphate, Inorganic
D001793 Blood Preservation The process by which blood or its components are kept viable outside of the organism from which they are derived (i.e., kept from decay by means of a chemical agent, cooling, or a fluid substitute that mimics the natural state within the organism). Blood Preservations,Preservation, Blood,Preservations, Blood
D001803 Blood Transfusion The introduction of whole blood or blood component directly into the blood stream. (Dorland, 27th ed) Blood Transfusions,Transfusion, Blood,Transfusions, Blood
D001815 Bloodletting Puncture of a vein to draw blood for therapeutic purposes. Bloodletting therapy has been used in Talmudic and Indian medicine since the medieval time, and was still practiced widely in the 18th and 19th centuries. Its modern counterpart is PHLEBOTOMY.
D002951 Citrates Derivatives of CITRIC ACID.
D004905 Erythrocyte Aging The senescence of RED BLOOD CELLS. Lacking the organelles that make protein synthesis possible, the mature erythrocyte is incapable of self-repair, reproduction, and carrying out certain functions performed by other cells. This limits the average life span of an erythrocyte to 120 days. Erythrocyte Survival,Aging, Erythrocyte,Survival, Erythrocyte
D005260 Female Females
D005947 Glucose A primary source of energy for living organisms. It is naturally occurring and is found in fruits and other parts of plants in its free state. It is used therapeutically in fluid and nutrient replacement. Dextrose,Anhydrous Dextrose,D-Glucose,Glucose Monohydrate,Glucose, (DL)-Isomer,Glucose, (alpha-D)-Isomer,Glucose, (beta-D)-Isomer,D Glucose,Dextrose, Anhydrous,Monohydrate, Glucose
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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