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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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