Quality of red blood cells washed using the ACP 215 cell processor: assessment of optimal pre- and postwash storage times and conditions

Transfusion
Adele L HansenJason P Acker

Abstract

Washing of red blood cell concentrates (RCCs) is required for potassium-sensitive transfusion recipients, including neonates in need of large-volume transfusions. When open, nonsterile washing systems are used, postwash outdate time is limited to 24 hours, often leading to problems providing the component to the patient before expiry. A closed, automated cell processor, the ACP 215 from Haemonetics Corporation, was used to wash RCCs and determine optimal pre- and postwash storage times. Two postwash storage solutions, additive solution (AS)-3 and saline-adenine-glucose-mannitol (SAGM), were compared. The in vitro quality of leukoreduced RCCs, prepared from citrate-phosphate-dextrose-anticoagulated whole blood, was determined postwash and compared to existing guidelines for RCC quality (hemoglobin content, hematocrit, and hemolysis) and predetermined criteria for ATP and supernatant potassium levels. A criterion for visual hemolysis was also applied. The prewash storage time, postwash storage time, and the postwash resuspension solution all contributed to RCC quality postwash. Levels of hemolysis were greater when washed RCCs were resuspended in SAGM (p = 0.01), while AS-3 proved worse at maintaining ATP levels postwash (p < 0.0...Continue Reading

References

Jul 1, 1992·Transfusion Medicine Reviews·W A Heaton
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Jan 15, 2002·Transfusion Medicine Reviews·Samuel O Sowemimo-Coker
Jun 5, 2004·Shock·Christopher C SillimanWalter L Biffl

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Citations

Apr 27, 2016·Hematology/oncology Clinics of North America·Eric A Gehrie, Nancy M Dunbar
Jul 10, 2013·Transfusion·Jayme D R KurachJason P Acker
Jan 11, 2017·Journal of Blood Transfusion·Jason P AckerWilliam P Sheffield
Jan 18, 2018·Transfusion·Dirk de KorteUNKNOWN Biomedical Excellence for Safer Transfusion (BEST) collaborative
Sep 12, 2018·Transfusion·Susan ProffittRebecca Cardigan
Sep 16, 2018·Blood Advances·Ruqayyah J AlmizraqJennifer A Muszynski
Jul 8, 2020·Vox Sanguinis·Rebecca CardiganStephen Thomas
Jun 22, 2018·Transfusion Medicine and Hemotherapy : Offizielles Organ Der Deutschen Gesellschaft Fur̈ Transfusionsmedizin Und Immunham̈atologie·Ruqayyah J AlmizraqJason P Acker
Dec 30, 2017·American Journal of Hematology·Eszter VörösSergey S Shevkoplyas

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