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Rapid Fractionation and Isolation of Whole Blood Components in Samples Obtained from a Community-based Setting
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Thawed and liquid plasma--what do we know?

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Summary
This summary is machine-generated.

Extended storage of thawed plasma may reduce wastage but impacts coagulation factor levels. Further research is needed to balance potential efficacy reduction with clinical needs in massive transfusion protocols.

Keywords:
blood componentfresh-frozen plasmaliquid plasmathawed plasma

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Area of Science:

  • Transfusion Medicine
  • Hematology

Background:

  • Increasing interest in extended storage of thawed plasma to minimize wastage and enhance availability for massive transfusion protocols.
  • Existing studies assess coagulation factor stability in thawed plasma, with Factor VIII (FVIII) being the most affected.

Purpose of the Study:

  • To evaluate the impact of extended storage on the quality and efficacy of thawed plasma.
  • To synthesize current knowledge on coagulation factor activity, thrombin generation, and potential risks associated with extended-thawed plasma storage.

Main Methods:

  • Review of existing studies assessing coagulation factor activity and thrombin generation in thawed plasma.
  • Analysis of data on DEHP levels and bacterial contamination risks in extended-stored plasma.

Main Results:

  • Factor VIII (FVIII) shows significant activity loss within 24 hours of thawing, with continued decline for most factors during extended storage.
  • Thrombin generation studies yield variable results.
  • Extended storage is linked to increased DEHP levels; bacterial contamination has not been a significant issue in practice.

Conclusions:

  • Extended storage of thawed plasma presents a trade-off between reduced wastage and potential decreased efficacy due to coagulation factor degradation.
  • Clinical studies on the efficacy of extended-thawed plasma are lacking, necessitating a careful balance between component availability and patient outcomes.