Measurement of Free Hemoglobin Percentage in Stored Packed Red Blood Cells Units by Colorimetric Method

Aims:To measure free hemoglobin percentage in stored packed red blood cells units by colorimetric method.Study Design:This is a descriptive, hospital based case study.Place and Duration of Study:Khartoum central blood bank during the period from June to September 2021.Methodology:A total of thirty-six packed red blood cells blood bags with Citrate-Phosphate-Dextrose-Adenine-one (CPDA-1) stored at 2-6°C for 35 days were withdrawn aseptically on days one; 14, and day 35. Free hemoglobin concentration was measured with Drabkin's method through digital photoelectric colorimeter in which the percentage of hemolysis was calculated, and PH values were measured by a PH meter (ADWA). Mean and standard deviation ofeach day were calculated by statistical package for social science (SPSS)computer program version 22.0.Results:The results showed statistically significant elevation in percentages of free plasma hemoglobin with prolongation of storage duration periods; day one compared with day 14 (P= 0.001), day one compared with day 35(P= 0.001) and day 14 compared with day 35 (P= 0.001). No significant correlation was observed between the degree of hemolysis in day 35 with PH values (P= 0.9).Conclusion:This study concluded that prolonged storage is associated with elevation of free plasma hemoglobin level indicative of progressive hemolysis.

Serial assessment of biochemical parameters of red cell preparations to evaluate safety for neonatal transfusions.

Background & Objectives: Neonatologists often prefer fresh blood (<7 days) for neonatal transfusions. The main concerns for stored RBCs are ex vivo storage lesions that undermine red cell functions and may affect metabolic status of neonatal recipients. This study was designed to evaluate serial in vitro changes of biochemical parameters in different RBC preparations during storage to consider for neonatal transfusions even after storage beyond one week. Methods: Twenty five units each of whole blood (CPDA-1 RBC, SAGM RBC) were selected for serial biochemical parameter assessment after each fulfilled the quality criteria (volume and haematocrit). These units were tested serially for supernatant potassium, pH, lactate, haemoglobin, glucose and red cell 2,3 diphosphoglycerate (2,3 DPG) up to 21 days of storage. Results: Within each group of RBC, rise in mean concentration of potassium, lactate and plasma haemoglobin from day 1 to 21 of storage was significant in CPDA-1 RBC having the highest levels at day 21. From day 3 to 21, SAGM RBC had higher mean pH value than CPDA-1 RBC though this difference was not statistically significant. SAGM RBC had highest mean glucose concentration during storage than other two types of red cell preparations (P<0.005). Within each group, fall in mean 2,3 DPG concentration from day 1 to 7 was significant (P<0.05). A positive correlation existed between mean plasma potassium and haemoglobin in all three types of red cells (r=0.726, 0.419, 0.605 for CPDA-1 RBC, SAGM RBC and whole blood respectively, P<0.005). Interpretation & Conclusions: All the three red cell preparations tested revealed biochemical changes within acceptable limits of safety till 21 days of storage. CPDA-1 RBCs had the highest degree of these changes.

Monitoração e avaliação clínica da eficácia da transfusão de sangue total e concentrado de hemácias em cães / Monitoring and evaluation of the efficacy of whole blood and packed red cells transfusion in dogs

A terapia transfusional tem grande potencial de salvar vidas na clínica de pequenos animais, e é usada principalmente na terapêutica de emergência em animais anêmicos, entretanto este procedimento está associado a vários riscos. Uma das formas de minimizá-los é pela monitoração constante durante a transfusão sanguínea, permitindo assim avaliar a melhora clínica do paciente. O objetivo deste trabalho foi avaliar a eficácia da transfusão de sangue total e de concentrado de hemácias em cães anêmicos, por meio da monitoração dos parâmetros vitais. Foram avaliadas 77 transfusões em cães, sendo 52 de sangue total armazenado e 25 de concentrado de hemácias. Durante todo o procedimento aferiu-se (a cada 15-30 minutos) a temperatura, frequência cardíaca, frequência respiratória e a coloração de mucosas dos pacientes, além do tempo de preenchimento capilar. Os resultados obtidos mostraram que ambos os componentes promoveram melhora dos parâmetros avaliados a partir de 45 minutos do início da transfusão sanguínea, principalmente da frequência cardíaca, coloração de mucosas e tempo de preenchimento capilar (p<0,05). A transfusão bem sucedida proporcionou melhora clínica aparente a partir de duas horas do início do procedimento.

Transfusion therapy has a great potential to save lives in small animals practice, and it has been used mainly in the emergency treatment for anemic animals, although this procedure is related to certain risks. A manner to minimize these risks is through keeping close monitoring during the time of transfusion, which furthermore allows an evaluation of recovering of the patient. The aim of the present research was to evaluate the efficacy of whole blood and packed red cells transfusions in anemic dogs. Seventy-seven transfusions in dogs have been done, 52 of whole blood and 25 of packed red cells, measuring (every 15-30 minutes) temperature, cardiac and breathing frequency, mucous tissue color and capillaries filling time throughout the procedure. The outcome shows that both compounds, may cause improvements to every assessed parameters 45 minutes from the start of the transfusion mainly to cardiac frequency, mucous tissue color and capillaries filling time (p<0.05). The success of a transfusion ensures apparent clinical improvement from two hours of the onset of the procedure.

Blood Component Quality Control / 대한수혈학회지

BACKGROUND: Blood donations vary in composition because of considerable variation in donor cell counts and volume collected. In order to minimize the variation in end products, and reduce the likelihood of low quality products, Quality Assurance(QA) program is required. Quality control(QC) refers to procedures in which the potency, safety or purity of end products are periodically measured and related to a set of pre-existing criteria, called standards. We performed the blood component QC, the results of QC testing were analyzed according to the acceptance criteria for AABB(American Association of Blood Bank) and council of Europe and we defined QC parameters of each of blood components in Korea National Red Cross. METHODS: Between Jan. 2000 and Dec. 2000, 150 representative blood components with abnormal screening tests were evaluated to ensure that certain acceptance criteria were met. We tested the volume, hematocrit and hemoglobin in fifty units of packed red cells. We tested the volume, pH, platelet count, and WBC count in fifty units of platelet concentrates, and the volume and factor VIII in fifty unit of fresh frozen plasma. RESULTS: The values of volume, hematocrit and hemoglobin of packed red cells were 237 +/- 19mL, 74 +/- 3% and 55 +/- 4g/unit, respectively. 1 unit(2%) in hematocrit and 1 unit in hemoglobin revealed unacceptable results. The volume, pH, platelet count, and WBC count of platelet concentrates were 54 +/- 5mL, 6.6 +/- 0.3, 6.4 +/- 1.7 X 1010/unit, 0.03 +/- 0.03 X 109/unit, respectively. 7 units(14%) in pH revealed unacceptable results, but platelet and WBC count revealed acceptable results. The volume and factor VIII of fresh frozen plasma were 183 +/- 15mL and 112 +/- 65IU/dL, respectively. 19 units(38%) in factor VIII revealed unacceptable results. CONCLUSION: We suggest the volume, hematocrit and hemoglobin in packed red cells, the volume, pH, platelet count, and WBC count in platelet concentrates, and the volume and factor VIII in fresh frozen plasma as QC tests in Korea National Red Cross. To provide blood components which safety and effectiveness are ensured, we must define blood component QC considering the requirements testing, frequency, retesting, acceptance criteria, corrective action and resposibility. And blood centers should establish a Total Quality System(TQS) in order to ensure their processes and procedures including donor recruitment, collection of blood, laboratory testing, preparation of blood components and distribution.