Evaluation of platelet concentrates prepared using different methods after overnight holding (18–24 h) of whole blood at room temperature

浅黄色外套 血小板 血液成分 全血 阴性对照 血液保存 医学 化学 富血小板血浆 麻醉 外科 男科 内科学 急诊医学 传统医学
作者
Deviprasanna Mohanty,Rahul Chaurasia,Anand Kumar,Gopal Kumar Patidar,Hem Chandra Pandey,Arulselvi Subramanian
出处
期刊:Transfusion Medicine [Wiley]
卷期号:34 (4): 311-318
标识
DOI:10.1111/tme.13064
摘要

Abstract Background and Objectives Regulatory requirement of fixed holding time (6 h) of whole blood (WB) at room temperature, that is, 22–24°C (RT) results in sub‐optimal component separation. The aim was to evaluate the platelet concentrates (PC) prepared by both platelet rich plasma (PRP) and buffy coat (BC) methods after overnight hold (18–24 h) at RT. Materials and Methods A prospective experimental study was performed. A total of 48 WB units collected were divided into four groups (12 each) control‐1 (C1) and test‐1 (T1) for PRP and control‐2 (C2) and test‐2 (T2) for the BC method. Control groups were processed within 6 h, and in test groups, components were prepared after overnight hold, followed by evaluation of quality parameters. Results Irrespective of the method used, all PCs had similar volume, platelet yield, swirling, no bacterial contamination, RBC contamination, PaO 2 and PaCO 2 levels. PCs in the T1 group had significant differences in glucose and MPV values on d1, which were resolved by d5 of storage. PCs in T2 has significant differences in pH, glucose, and MPV levels throughout storage. PRBC in test and control groups had similar quality parameters till d42 of storage. FFPs in all tests were noninferior to the concurrent control groups till 3 months of storage. Conclusion Overnight holding of WB had no lasting deleterious changes. Though a few biochemical parameters in the test groups were significantly different, they can be accepted to improve the logistics of component separation. Overall PRP method seemed to have a better result than the BC method after an overnight hold.

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