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Buffering and dilution in red blood cell storage.
1Department of Pathology, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA. jhess@umm.edu
Transfusion
|January 10, 2006
Summary
Storing red blood cells (RBCs) in buffered additive solutions (ASs) with increased volume enhances ATP levels and reduces hemolysis. This method allows for extended RBC storage up to 8 weeks, improving cell quality.
Area of Science:
- Blood banking and transfusion medicine
- Biochemistry of red blood cells
- Biomaterials science
Background:
- Red blood cell (RBC) storage requires maintaining a specific pH range (7.2-6.4) to support ATP production.
- Buffering or dilution of RBC storage solutions can enhance ATP levels.
Purpose of the Study:
- To evaluate the impact of different additive solutions (ASs) on RBC storage quality.
- To determine the feasibility of extending RBC storage duration using modified ASs.
Main Methods:
- Packed RBCs were stored in four ASs (AS-3, EAS-61, EAS-78, EAS-81), with EAS-78 and -81 containing bicarbonate.
- Biochemical measures were taken weekly for 10 weeks.
- In vivo recovery and hemolysis were assessed for RBCs stored in EAS-81 for 6 or 8 weeks.
Main Results:
- Higher RBC ATP concentrations were observed in RBCs stored in higher-volume or buffered ASs, with an additive effect.
- Dilute ASs reduced hemolysis, with buffering providing a lesser reduction.
- RBCs stored for 8 weeks in EAS-81 showed 87% 24-hour in vivo recovery and 0.4% hemolysis.
Conclusions:
- RBCs can be stored for 8 weeks in buffered conventional volume ASs.
- Combining buffering and increased AS volume further improves stored RBC characteristics.
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