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Inoue M, Udono Y, Kato Y, Fukui K, Watanabe N. Evaluation of erythrocyte membrane oxidation due to their exposure to shear flow generated by extracorporeal blood pump. Int J Artif Organs 2024; 47:155-161. [PMID: 38425132 PMCID: PMC10938486 DOI: 10.1177/03913988241230942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Accepted: 01/08/2024] [Indexed: 03/02/2024]
Abstract
Several similarities have been found between shear stress-induced erythrocyte damage and physiological aging of erythrocytes in terms of elevated mechanical fragility, increased erythrocyte aggregation, and decreased membrane surface charge. Accordingly, we hypothesized that blood pump circulation, which generates shear stress, would accelerate erythrocyte aging, manifesting as oxidation. Therefore, the purpose of this study was to investigate the effect of blood pump circulation on erythrocyte oxidation. Fresh porcine blood was acquired from a slaughterhouse and anticoagulated with sodium citrate. About 500 mL of anticoagulated whole blood was circulated for 180 min in an in vitro test circuit comprising a BP-80 blood pump with a pump speed and a pump pressure head of 100-120 mmHg. A blood sample was taken at the start of the circulation and 180 min afterward. The hemolysis level and oxidation amount of the erythrocyte membrane were analyzed and compared between samples. Hemolysis increased with the prolongation of shear exposure inside the pump circuit. After 180 min of blood pumping in circuit, the oxidation level of the erythrocyte membrane showed an increase of 0.1 nmol/mg protein. Moreover, the membrane oxidation levels of sheared erythrocytes were greater than those of control erythrocytes. These results suggest that blood pump circulation accelerates erythrocyte aging and give us a greater understanding of the effects of blood pump perfusion.
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Affiliation(s)
- Masataka Inoue
- Functional Control Systems, Graduate School of Engineering and Science, Shibaura Institute of Technology—Omiya Campus, Saitama, Saitama Prefecture, Japan
| | - Yuki Udono
- Systems Engineering and Science, Graduate School of Engineering and Science, Shibaura Institute of Technology, Saitama, Japan
| | - Yugo Kato
- Division of Biochemistry, Department of Pathological and Therapeutic Science, Faculty of Medicine, Tottori University, Tottori, Japan
- Molecular Cell Biology Laboratory, Department of Bioscience and Engineering, College of Systems Engineering and Science, Shibaura Institute of Technology, Saitama, Japan
| | - Koji Fukui
- Molecular Cell Biology Laboratory, Department of Bioscience and Engineering, College of Systems Engineering and Science, Shibaura Institute of Technology, Saitama, Japan
| | - Nobuo Watanabe
- Functional Control Systems, Graduate School of Engineering and Science, Shibaura Institute of Technology—Omiya Campus, Saitama, Saitama Prefecture, Japan
- Systems Engineering and Science, Graduate School of Engineering and Science, Shibaura Institute of Technology, Saitama, Japan
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Kita VY, Orsi KCSC, de Souza AHP, Tsunemi MH, Avelar AFM. Transfusion Practice: Hemolysis Markers After In Vitro Infusion of Packed Red Blood Cells by the Gravitational Method in Peripheral Catheter. JOURNAL OF INFUSION NURSING 2023; 46:320-331. [PMID: 37920106 DOI: 10.1097/nan.0000000000000521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2023]
Abstract
The objective of this study was to compare hemolysis marker levels after in vitro infusion of red blood cells (RBCs) according to storage time, infusion rate, and peripheral intravenous catheter size. This is an experimental study with randomly administered RBCs in quintuplicate, according to storage time shorter than and longer than 14 days, as well as infusion rate (50 mL/h and 100 mL/h) using catheters with calibers of 14-, 18-, and 20-gauge. Aliquots were collected from RBCs (V1), after equipment and catheter (V2) free-flow filling and after controlled infusion through the catheter (V3). The hemolytic markers analyzed were degree of hemolysis (%), hematocrit (Ht) (%), total hemoglobin (THb) (g/dL), free hemoglobin (FHb) (g/dL), potassium (K) (mmol/L), and lactate dehydrogenase (LDH) (U/L), considering a probability of error ≤5%. Sixty experiments were performed with the analysis of 180 aliquots. When RBCs aged <14 days were used, all catheters tended to increase THb, FHb, and K; while >14 days, RBCs presented increased FHb and degree of hemolysis with catheters of 18-gauge and THb levels at 14-gauge. Among the conditions analyzed, only 20-gauge catheters (the smallest) did not influence changes in hemolysis markers, regardless of RBC storage time.
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Affiliation(s)
- Vanessa Yukie Kita
- Nursing School, Universidade Federal de São Paulo, São Paulo, Brazil (Drs Kita, Orsi, de Souza, and Avelar); Department of Biostatistics, Universidade Estadual Paulista Júlio de Mesquita Filho - Botucatu, São Paulo, Brazil (Dr Tsunemi)
- Vanessa Yukie Kita, RN, MNSc, earned a nursing degree from the Federal University of São Paulo - UNIFESP (2004) and a master of science degree (UNIFESP - 2019). She has experience in the field of nursing, with an emphasis on intensive care. She is currently professor of intensive care at UNIFESP Paulista School of Nursing
- Kelly Cristina Sbampato Calado Orsi, RN, PhD, earned a degree in nursing from the Federal University of São Paulo (2005), as well as a Master of Science (2015) and PhD in sciences at the Escola Paulista de Enfermagem (2019). She is currently professor at the Pediatric Nursing Department at Escola Paulista de Enfermagem/UNIFESP
- Adja Havreluk Paiva de Souza, RN, MNSc, earned a degree in nursing from the Federal University of São Paulo (2005), specialist in emergency nursing degree from the Federal University of São Paulo (2007), and Master of Science (UNIFESP - 2019)
- Miriam Harumi Tsunemi, PhD, earned a degree in statistics from Universidade Estadual Paulista Júlio de Mesquita Filho (2001), a Master's Degree in statistics from the Federal University of São Carlos (2003), and a PhD from the Institute of Mathematics and Statistics of the University of São Paulo
- Ariane Ferreira Machado Avelar, RN, PhD, graduated from the Albert Einstein College of Nursing (1998), earned a Master's Degree in Federal Nursing from São Paulo (2003), and PhD in Sciences at the Federal University of São Paulo (2009). She is currently an associate professor at the Department of Pediatric Nursing (UNIFESP)
| | - Kelly Cristina Sbampato Calado Orsi
- Nursing School, Universidade Federal de São Paulo, São Paulo, Brazil (Drs Kita, Orsi, de Souza, and Avelar); Department of Biostatistics, Universidade Estadual Paulista Júlio de Mesquita Filho - Botucatu, São Paulo, Brazil (Dr Tsunemi)
- Vanessa Yukie Kita, RN, MNSc, earned a nursing degree from the Federal University of São Paulo - UNIFESP (2004) and a master of science degree (UNIFESP - 2019). She has experience in the field of nursing, with an emphasis on intensive care. She is currently professor of intensive care at UNIFESP Paulista School of Nursing
- Kelly Cristina Sbampato Calado Orsi, RN, PhD, earned a degree in nursing from the Federal University of São Paulo (2005), as well as a Master of Science (2015) and PhD in sciences at the Escola Paulista de Enfermagem (2019). She is currently professor at the Pediatric Nursing Department at Escola Paulista de Enfermagem/UNIFESP
- Adja Havreluk Paiva de Souza, RN, MNSc, earned a degree in nursing from the Federal University of São Paulo (2005), specialist in emergency nursing degree from the Federal University of São Paulo (2007), and Master of Science (UNIFESP - 2019)
- Miriam Harumi Tsunemi, PhD, earned a degree in statistics from Universidade Estadual Paulista Júlio de Mesquita Filho (2001), a Master's Degree in statistics from the Federal University of São Carlos (2003), and a PhD from the Institute of Mathematics and Statistics of the University of São Paulo
- Ariane Ferreira Machado Avelar, RN, PhD, graduated from the Albert Einstein College of Nursing (1998), earned a Master's Degree in Federal Nursing from São Paulo (2003), and PhD in Sciences at the Federal University of São Paulo (2009). She is currently an associate professor at the Department of Pediatric Nursing (UNIFESP)
| | - Adja Havreluk Paiva de Souza
- Nursing School, Universidade Federal de São Paulo, São Paulo, Brazil (Drs Kita, Orsi, de Souza, and Avelar); Department of Biostatistics, Universidade Estadual Paulista Júlio de Mesquita Filho - Botucatu, São Paulo, Brazil (Dr Tsunemi)
- Vanessa Yukie Kita, RN, MNSc, earned a nursing degree from the Federal University of São Paulo - UNIFESP (2004) and a master of science degree (UNIFESP - 2019). She has experience in the field of nursing, with an emphasis on intensive care. She is currently professor of intensive care at UNIFESP Paulista School of Nursing
- Kelly Cristina Sbampato Calado Orsi, RN, PhD, earned a degree in nursing from the Federal University of São Paulo (2005), as well as a Master of Science (2015) and PhD in sciences at the Escola Paulista de Enfermagem (2019). She is currently professor at the Pediatric Nursing Department at Escola Paulista de Enfermagem/UNIFESP
- Adja Havreluk Paiva de Souza, RN, MNSc, earned a degree in nursing from the Federal University of São Paulo (2005), specialist in emergency nursing degree from the Federal University of São Paulo (2007), and Master of Science (UNIFESP - 2019)
- Miriam Harumi Tsunemi, PhD, earned a degree in statistics from Universidade Estadual Paulista Júlio de Mesquita Filho (2001), a Master's Degree in statistics from the Federal University of São Carlos (2003), and a PhD from the Institute of Mathematics and Statistics of the University of São Paulo
- Ariane Ferreira Machado Avelar, RN, PhD, graduated from the Albert Einstein College of Nursing (1998), earned a Master's Degree in Federal Nursing from São Paulo (2003), and PhD in Sciences at the Federal University of São Paulo (2009). She is currently an associate professor at the Department of Pediatric Nursing (UNIFESP)
| | - Miriam Harumi Tsunemi
- Nursing School, Universidade Federal de São Paulo, São Paulo, Brazil (Drs Kita, Orsi, de Souza, and Avelar); Department of Biostatistics, Universidade Estadual Paulista Júlio de Mesquita Filho - Botucatu, São Paulo, Brazil (Dr Tsunemi)
- Vanessa Yukie Kita, RN, MNSc, earned a nursing degree from the Federal University of São Paulo - UNIFESP (2004) and a master of science degree (UNIFESP - 2019). She has experience in the field of nursing, with an emphasis on intensive care. She is currently professor of intensive care at UNIFESP Paulista School of Nursing
- Kelly Cristina Sbampato Calado Orsi, RN, PhD, earned a degree in nursing from the Federal University of São Paulo (2005), as well as a Master of Science (2015) and PhD in sciences at the Escola Paulista de Enfermagem (2019). She is currently professor at the Pediatric Nursing Department at Escola Paulista de Enfermagem/UNIFESP
- Adja Havreluk Paiva de Souza, RN, MNSc, earned a degree in nursing from the Federal University of São Paulo (2005), specialist in emergency nursing degree from the Federal University of São Paulo (2007), and Master of Science (UNIFESP - 2019)
- Miriam Harumi Tsunemi, PhD, earned a degree in statistics from Universidade Estadual Paulista Júlio de Mesquita Filho (2001), a Master's Degree in statistics from the Federal University of São Carlos (2003), and a PhD from the Institute of Mathematics and Statistics of the University of São Paulo
- Ariane Ferreira Machado Avelar, RN, PhD, graduated from the Albert Einstein College of Nursing (1998), earned a Master's Degree in Federal Nursing from São Paulo (2003), and PhD in Sciences at the Federal University of São Paulo (2009). She is currently an associate professor at the Department of Pediatric Nursing (UNIFESP)
| | - Ariane Ferreira Machado Avelar
- Nursing School, Universidade Federal de São Paulo, São Paulo, Brazil (Drs Kita, Orsi, de Souza, and Avelar); Department of Biostatistics, Universidade Estadual Paulista Júlio de Mesquita Filho - Botucatu, São Paulo, Brazil (Dr Tsunemi)
- Vanessa Yukie Kita, RN, MNSc, earned a nursing degree from the Federal University of São Paulo - UNIFESP (2004) and a master of science degree (UNIFESP - 2019). She has experience in the field of nursing, with an emphasis on intensive care. She is currently professor of intensive care at UNIFESP Paulista School of Nursing
- Kelly Cristina Sbampato Calado Orsi, RN, PhD, earned a degree in nursing from the Federal University of São Paulo (2005), as well as a Master of Science (2015) and PhD in sciences at the Escola Paulista de Enfermagem (2019). She is currently professor at the Pediatric Nursing Department at Escola Paulista de Enfermagem/UNIFESP
- Adja Havreluk Paiva de Souza, RN, MNSc, earned a degree in nursing from the Federal University of São Paulo (2005), specialist in emergency nursing degree from the Federal University of São Paulo (2007), and Master of Science (UNIFESP - 2019)
- Miriam Harumi Tsunemi, PhD, earned a degree in statistics from Universidade Estadual Paulista Júlio de Mesquita Filho (2001), a Master's Degree in statistics from the Federal University of São Carlos (2003), and a PhD from the Institute of Mathematics and Statistics of the University of São Paulo
- Ariane Ferreira Machado Avelar, RN, PhD, graduated from the Albert Einstein College of Nursing (1998), earned a Master's Degree in Federal Nursing from São Paulo (2003), and PhD in Sciences at the Federal University of São Paulo (2009). She is currently an associate professor at the Department of Pediatric Nursing (UNIFESP)
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Chen S, Zang Y, Wang L, Zheng J, Deng H, Li M, Li Y, Qian B, Lu Y. Evaluation of a rail logistics transmission system for the transportation of blood components within a medical centre. Vox Sang 2023; 118:955-965. [PMID: 37673798 DOI: 10.1111/vox.13527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Revised: 08/14/2023] [Accepted: 08/20/2023] [Indexed: 09/08/2023]
Abstract
BACKGROUND AND OBJECTIVES Rail logistics transmission systems (RLTSs) are commonly used for the transportation of blood samples, pathological specimens and other medical materials in many hospitals, as they are rapid, secure, cost-effective and intelligent. However, few studies have evaluated blood component transportation from blood banks to the patient care areas of hospitals using RLTS. In this study, we evaluate the RLTS used for the transportation of blood components within a medical centre. MATERIALS AND METHODS The dispatch of blood components, including packed red blood cells (pRBCs), fresh frozen plasma (FFP), cryoprecipitate and platelet units, from a blood bank to critical care areas or general wards was done using RLTS. Parameters such as the delivery time, temperature, physical integrity and blood component quality were evaluated via analytical testing using specimens obtained before and after transportation by RLTS. RESULTS The turnaround time and temperature of all tested blood units via RLTS transportation were able to meet the clinical demands of blood component delivery (median time: 323 s [118-668 s]; temperature variation: 4.5-8.9°C for pRBCs and FFP and 21.5-23.5°C for cryoprecipitate and platelet units). Furthermore, parameters of pRBC quality, including the haemolysis index and potassium and lactate dehydrogenase levels in plasma, were not significantly different before and after transportation through RLTS. Similarly, RLTS transportation affected neither the basic coagulation test results in FFP and cryoprecipitate specimens nor platelet aggregation and activation markers in apheresis platelet specimens. CONCLUSION Hospital-wide delivery of blood components via RLTS seems to be safe, reliable and cost-effective and does not have any negative impact on blood quality. Therefore, the establishment of standard criteria, protocols and guidelines based on further studies is needed.
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Affiliation(s)
- Shaoheng Chen
- Department of Blood Transfusion, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Yan Zang
- Department of Blood Transfusion, The First Affiliated Hospital of Naval Medical University, Shanghai, China
| | - Lili Wang
- Department of Blood Transfusion, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Jun Zheng
- Department of Blood Transfusion, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Huimin Deng
- Department of Blood Transfusion, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Meiting Li
- Department of Blood Transfusion, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Yaohua Li
- Department of Blood Transfusion, The First Affiliated Hospital of Naval Medical University, Shanghai, China
| | - Baohua Qian
- Department of Laboratory Medicine, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Yuanshan Lu
- Department of Blood Transfusion, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
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