BACKGROUND Exchange transfusion (ET) has biologic plausibility as an adjunct to antimalarial drugs in treating severe malaria and has been used for decades despite limited evidence of its efficacy in improving survival. We examined the efficacy of ET as an adjunct treatment for severe malaria using US surveillance data and reviewed the literature to update recommendations. METHODS Patients wi...

Because of complicated rheological issues related with sickle cell blood, there exists a practical need to rationally determine critical hematocrit in transfusions for sickle cell patients. In this research, two major effects, i.e. oxygen concentration and hematocrit, are considered in a theoretical hydrodynamic model incorporating oxygen transport and lubrication theory. The pressure drop depe...

The overall incidence of glucose-6-phosphate dehydrogenase (G6PD) deficiency in Iranian population is estimated around 10%-14.9%. G6PD deficiency is an X-linked disorder and 80% of donors are usually male. At present, donors’ blood is not routinely screened for G6PD deficiency in Iran blood bank where for detecting such enzyme deficiency, reliance is placed on pre-donation data. Thus, the G6PD ...

Lung diffusing capacity for nitric oxide (DLNO) is used to measure alveolar membrane conductance (DMNO), but disagreement remains as to whether DMNO=DLNO, and whether blood conductance (thetaNO)=infinity. Our previous in vitro and in vivo studies suggested that thetaNO<infinity. We now show in a membrane oxygenator model perfused with whole blood that addition of a cell-free bovine hemoglobin (...

Plasma concentrations of calcium, phosphate, citrate, albumin, and parathyroid hormone (PTH) were measured during and after exchange transfusion of infants suffering from haemolytic disease using blood anticoagulated with acid-citrate and dextrose (ACD) or heparin. Pretransfusion plasma PTH and phosphate both correlated positively with postnatal age but not with each other. Transfusion with ACD...

BACKGROUND In vitro studies suggest that mediators of systemic inflammatory response syndrome are generated in the course of hemolytic transfusion reactions. Evidence for the in vivo significance of these findings is given by the present clinical and laboratory analysis of a severe delayed hemolytic transfusion reaction (DHTR). CASE REPORT A 67-year-old patient (blood group O, D-negative) wit...

Blood transfusion centers are under considerable pressure to produce platelet concentrates with high quality and safety due to the short shelf life of 3-5 days as well as possible bacterial and viral contaminations. For a variety of reasons, many Europeans have changed their methods of component production from whole blood using the North American standard platelet-rich plasma method to the buf...

Studies were done on dogs in vivo to determine the effect of intracardiac blood on the electrocardiogram. By exchange transfusions of packed cells or of Rheomacrodex, hematocrit was raised to over 70% or lowered to 16%. The electrical resistivity of the blood changed accordingly from control values of 150 ohm-cm to over 500 ohm-cm or to as low as 67 ohm-cm. The x-, y-, and zvector leads were pr...

Jaundice occurs in most newborn infants. Most jaundice is benign, but because of the potential toxicity of bilirubin, newborn infants must be monitored to identify those who might develop severe hyperbilirubinemia and, in rare cases, acute bilirubin encephalopathy or kernicterus. The focus of this guideline is to reduce the incidence of severe hyperbilirubinemia and bilirubin encephalopathy whi...

This study was undertaken in an effort to examine the effects of selective variations in systemic hematocrit on the preglomerular. glomerular. and postglomerular microcirculation in the rat. By isovolemic exchange transfusions, systemic hematocrit (control 51 ml/ 100 ml) was either reduced (21 ml/100 ml, N = 7 rats) or elevated (62 ml/100 ml, N = 7). Single nephron glomerular filtration rate va...