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Hemoglobin solution: a potential oxygen transporting plasma volume expander.

H R Kaplan, V S Murthy

    Federation Proceedings
    |May 1, 1975
    PubMed
    Summary
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    A novel hemoglobin solution (WXb8326) effectively expanded plasma volume and transported oxygen in dogs. It enabled survival even at critically low hematocrit levels, outperforming other expanders.

    Area of Science:

    • Biomedical Engineering
    • Hematology
    • Critical Care Medicine

    Background:

    • Plasma volume expanders are crucial in managing blood loss and shock.
    • Existing expanders have limitations in oxygen-carrying capacity.
    • Human hemoglobin solutions offer potential for oxygen transport.

    Purpose of the Study:

    • To evaluate a 6% stroma-free human hemoglobin solution (WXb8326) as a plasma volume expander.
    • To assess its oxygen transport capabilities in a canine model.
    • To compare its efficacy against dextran-70 and 5% albumin.

    Main Methods:

    • Anesthetized spontaneously breathing dogs underwent serial phlebotomies and colloid replacement.
    • Hematocrit levels were reduced to critical levels (≤5%) and survival was monitored.

    Related Experiment Videos

  • Oxygen transport characteristics during isovolumic hemodilution were studied.
  • Oxygen content of erythrocytic (EHb) and extraerythrocytic hemoglobin (EEHb) was analyzed.
  • Main Results:

    • WXb8326 demonstrated superior survival rates at hematocrit levels ≤5% compared to dextran-70 and albumin.
    • All dogs survived acute reductions to 5-10% hematocrit, but subacute survival varied.
    • WXb8326 effectively oxygenated EEHb without interfering with EHb oxygen saturation.
    • EEHb contributed oxygen to tissues during high oxygen demand.

    Conclusions:

    • WXb8326 is a promising candidate for a plasma volume expander with oxygen transport function.
    • Its ability to maintain oxygen delivery at critically low hematocrit is significant.
    • Further research into its clinical application is warranted.