Talar and subtalar tilt: an experimental investigation.
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Biomedical subjects
Publications and source records attributed to R Ouellet.
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The in vivo survival of M(M+N-) red cells in two patients with anti-M was studied during hypothermia. The antibodies were IgM, of low titer, and did not react at 30 degrees C. 51Cr survival studies were performed using 2 ml of labeled blood. There was normal circulation of M(M+N-) cells at 37 degrees C and no accelerated loss of these cells at blood temperatures between 16 and 28 degrees C. One patient received 187 ml of MN (M+N +) red cells when the blood temperature was 25 degrees C without evidence of clinical transfusion reactions and without development of positive direct anti-human globulin test. Hypothermia did not adversely affect the immediate survival of M(M+N-) red cells transfused to patients with anti-M antibodies reactive in vitro below 30 degrees C.
Baboon whole blood, collected in 14 percent citrate-phosphate-dextrose anticoagulant solution in plastic bags was stored in 100-ml aliquots at 4 degrees C for 28 days in the presence or absence of 0.75 grams of phosphate anion exchange resin. In vitro and in vivo measurements after autologous transfusions were made to determine whether the phosphate anion exchange resin had any beneficial effect on the blood during storage. The in vitro measurements of red cell 2,3-diphosphoglycerate and P50 were higher throughout the 28 days of storage at 4 degrees C in the blood stored in the phosphate anion exchange resin. After autologous transfusions in six baboons of red cells prepared from whole blood stored at 4 degrees C for 21 days, the 24-hour posttransfusion survival values were 86 +/- 6 percent (mean +/- SD) in the presence of resin and 83 +/- 6 percent in the absence of resin. In five other baboons, red cells prepared from 28-day-old blood showed a mean 24-hour posttransfusion survival of 82 +/- 4 percent in the presence of resin and 75 +/- 4 percent in the absence of resin. The addition of a phosphate anion exchange resin to the citrate-phosphate-dextrose anticoagulant provided better maintenance of red cell 2,3-diphosphoglycerate concentrations and P50 levels during storage of whole blood at 4 degrees C, and red cells prepared from whole blood stored in this solution had better oxygen transport function than red cells prepared from blood stored without resin. Red cell adenosine triphosphate concentrations and 24-hour posttransfusion survival values were similar whether or not the anticoagulant contained resin.
Studies were done to compare three methods to determine the 100 percent survival value from which to estimate the 24-hour posttransfusion survival of preserved red cells. The following methods using small aliquots of 51Cr-labeled autologous preserved red cells were evaluated: First, the 125I-albumin method, which is an indirect measurement of the recipient's red cell volume derived from the plasma volume measured using 125I-labeled albumin and the total body hematocrit. Second, the body surface area method (BSA) in which the recipient's red cell volume is derived from a body surface area nomogram. Third, an extrapolation method, which extrapolates to zero time the radioactivity associated with the red cells in the recipient's circulation from 10 to 20 or 15 to 30 minutes after transfusion. The three methods gave similar results in all studies in which less than 20 percent of the transfused red cells were nonviable (24-hour posttransfusion survival values of between 80-100%), but not when more than 20 percent of the red cells were nonviable. When 21 to 35 percent of the transfused red cells were nonviable (24-hour posttransfusion survivals of 65 to 79%), values with the 125I-albumin method and the body surface area method were about 5 percent lower (p less than 0.001) than values with the extrapolation method. When greater than 35 percent of the red cells were nonviable (24-hour posttransfusion survival values of less than 65%), values with the 125I-albumin method and the body surface area method were about 10 percent lower (p less than 0.001) than those obtained by the extrapolation method.(ABSTRACT TRUNCATED AT 250 WORDS)