Document Detail


Is respiratory failure a consequence of blood transfusion?
MedLine Citation:
PMID:  7401203     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The pulmonary entrapment of microaggregates, platelets, and white cells in stored blood is thought to contribute to abnormalities in lung function. Washing of red cells removes these potentially damaging elements. This prospective, randomized, double-blind study compares the pulmonary function of patients undergoing abdominal aortic aneurysmectomy who received either washed or unwashed red cell concentrates. Both groups received equivalent volumes of blood, albumin, and balanced salt solution duing surgery. Postoperatively, no differences were observed in the physiologic shunt, QS/QT, pulmonary artery pressure, pulmonary vascular resistance, or effective dynamic compliance. The cardiac index at equivalent left ventricular filling pressures was the same. The results indicate that it is unlikely that microaggregates or other formed elements in stored blood lead to compromised pulmonary function.
Authors:
G A Grindlinger; A M Vegas; W H Churchill; C R Valeri; H B Hechtman
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Journal of trauma     Volume:  20     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  1980 Aug 
Date Detail:
Created Date:  1980-10-27     Completed Date:  1980-10-27     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  627-31     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Aortic Aneurysm / physiopathology,  surgery
Blood Gas Analysis
Blood Transfusion / adverse effects*
Cell Aggregation
Double-Blind Method
Erythrocyte Transfusion
Female
Hemodynamics
Humans
Male
Prospective Studies
Random Allocation
Respiratory Function Tests
Respiratory Insufficiency / etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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