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Transfus Med ; 13(5): 303-10, 2003 Oct.
Article in English | MEDLINE | ID: mdl-14617341

ABSTRACT

To investigate whether packed red cells (PRCs) prepared from autologous cord blood-packed red cells (AC-PRCs) could be used as an alternative for homologous-packed red cells (H-PRCs), we developed a system to collect and prepare AC-PRCs and determined standard storage parameters during 35 days of storage in extended storage medium (Sag-mannitol). We collected and fractionated cord blood from 390 newborns. The amount and quality of the AC-PRCs were analysed. The bacterial contamination rate was 1.84%. Twelve AC-PRCs were stored for 35 days, and standard laboratory parameters were measured at day 1 and day 35. The initial laboratory parameters of the AC-PRCs were similar to the parameters of the H-PRCs. After 35 days, the AC-PRCs displayed an increased haemolysis rate compared to H-PRCs (1.1 versus 0.2%) and also a significant decreased adenosine triphosphate value (1.2 versus 2.3 micromol L(-1)). Haemoglobin, haematocrit and pH were comparable in both groups. AC-PRCs meet the quality criteria for H-PRCs after 35 days. Utilizing a closed collection system for cord blood and an extended storage medium will increase safety and quality and facilitate the routine transfusion of autologous red cells derived from cord blood.


Subject(s)
Blood Transfusion, Autologous/methods , Erythrocyte Transfusion/methods , Adenosine Triphosphate/blood , Bacteria , Blood Preservation/methods , Blood Preservation/standards , Blood Specimen Collection/methods , Blood Specimen Collection/standards , Blood Transfusion, Autologous/standards , Erythrocyte Transfusion/standards , Fetal Blood , Hematocrit , Hemoglobins/analysis , Hemolysis , Humans , Hydrogen-Ion Concentration , Infant, Newborn , Mannitol , Quality Control
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