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IN VITRO COMPARISON OF HEATED SALINE‐BLOOD ADMIXTURE WITH A HEAT EXCHANGER FOR RAPID WARMING OF RED BLOOD CELLS

 

作者: Stephen Cohn,   Gary Stack,  

 

期刊: The Journal of Trauma: Injury, Infection, and Critical Care  (OVID Available online 1993)
卷期: Volume 35, issue 5  

页码: 688-691

 

ISSN:0022-5282

 

年代: 1993

 

出版商: OVID

 

数据来源: OVID

 

摘要:

We compared the rapidity of rewarming and infusing red blood cells (RBCs) mixed with 24°C, 50°C, and 60°C saline with the rapidity of administering undiluted RBCs through a heat exchanger. We measured flow rate, final temperature, and hemolysis in matched 41–45-day-old pooled AS-1 RBCs infused through high-flow tubing via a 14-gauge catheter under the influence of gravity. Undiluted RBCs were tested as controls. The final temperature of the 60°C admixture technique was lower than that with the heat exchanger (28.5 ± 0.2°C vs. 32.7 ± 0.2°C), but the flow rate was higher (258 ± 8 mL/min vs. 61 ± 4 mL/min). Admixture with 60°C saline resulted in no increase in hemolysis. This technique appears to be a simple, inexpensive method for rapid rewarming and infusion of RBCs and may be valuable for administration of RBCs simultaneously through multiple sites during resuscitation.

 

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