Advances in plasma protein standardization.
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Biomedical subjects
Publications and source records attributed to S R Goodall.
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To simplify the method of plasma volume measurement by Evans blue dye dilution we used, for the first time, the same venous site for injection of dye and collection of samples. In a series of 49 studies the dye decay between 10 and 35 min after injection was highly linear (r = 0.991 +/- 0.01), indicating that contamination of samples is very unlikely. We repeated the measurements after eight weeks in nine patients; the mean difference was 16.4 +/- 19.6 ml, indicating a high degree of reproducibility. We found that extrapolation of the dye decay curve to time zero is required for accurate estimates of plasma volume. There was good agreement between the estimates of plasma volume obtained by extrapolation from only three samples taken at 10, 20 and 30 min after dye injection with the results obtained using all six samples. We also found good agreement between the estimates of plasma volume obtained by using standard curves constructed from four standard dilutions of 1.25, 2.5, 5 and 10 mg/l and those obtained by the use of standard curves constructed from the blank and only one standard dilution of 10 mg/l. We therefore conclude that the Evans blue technique can be simplified with minimal loss of accuracy, by using only one venous site for injection and withdrawal, withdrawing only three samples between 10 and 30 min after injection and using a two point calibration line.
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There is no reliable and safe method for measuring plasma volume in ill newborn infants. We describe an adaptation of the dye dilution technique using indocyanine green as the plasma label, which can be used in the sickest and smallest of infants with the minimum of disturbance. To avoid the need to take large volumes of blood from the infant, samples were diluted 1:1 with distilled water and pooled adult sera was used to construct the dye dilution standard curves. Eighteen preterm and fullterm infants were studied on 30 occasions. The measured plasma volume ranged between 21.4 and 106 ml/kg. Paired measurements were performed within 30-90 minutes of each other in seven infants. In five infants estimations of plasma volume were made shortly before and 30 minutes after the infusion of a known quantity of plasma. In eight out of 12 infants who had two measurements made there was close agreement between the second measured volume and the first measured volume, taking into account how much plasma had been given to or taken from the infant between the two measurements. The error ranged from 0.2 to 5.2 ml and the plasma recovery error ranged from -2.9% to +4.7%. In the remaining four infants the errors ranged from 2.1 to 9.5 ml and -14.2% to +8.8%. Errors in the measurement of plasma volume may arise as the result of sampling too early before full mixing of the dye has occurred, and there is a potential error in the measurement due to the distribution of albumin in the extracellular space in sick infants resulting in an overestimation of the plasma volume. Proposals for reducing sources of errors are discussed.
Two experiments were conducted with growing male rats to determine the effects of 120 ppm of dietary sarsaponin (S) on nitrogen (N) metabolism when urea or protein are added to the diet. Growth, feed efficiency, N digestibility and balance, urinary N and ammonia-N (NH3-N), and cecal urease and NH3-N were measured. Growth and feed utilization were unaffected by dietary S. Adding urea or protein to the diet increased apparent N digestibility and increased urinary-N excretion. Urea did not affect N balance, whereas growth, feed utilization and N balance were maximized with 22% compared with either 16 or 28% dietary protein. Urinary NH3-N excretion was decreased by S when urea was added to the diet but was not affected when fed with increasing dietary protein. Cecal urease was decreased by S when urea was added or when the protein level was increased in the diet; effects on cecal NH3-N varied between the two experiments. Plasma urea-N was decreased by S. It is concluded that S has minor effects on N metabolism in rats and that NH3-N formation or excretion is only marginally affected by dietary S. If S decreases NH3-N level in confinement facilities, it is concluded that the effect is after the waste material is excreted by the animal, perhaps through reduced urease activity.
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