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Assessment of glomerular filtration rate in normal dog: analysis of the 51Cr-EDTA clearance and its relation to several endogenous parameters of glomerular filtration.

In 34 normal dogs the 51Cr-EDTA plasma clearance (C) according to the single injection technique was determined. The biexponential plasma disappearance curves were analysed according to a two compartment model. The results were compared with the plasma levels of creatinine and urea and with the endogenous creatinine clearance. In particular the dependence on body-weight (W) (range 8 to 57 kg) was established for several parameters. The dependence of C (ml per minute) on W (kg) could be described with both a linear function (C = 10 + 2.5 W) and a power function (C = 4.2 W0.88). The total distribution volume was equivalent to 19.6 per cent of W (range 12.1 to 33.5 per cent) whereas the rate constant lambda 0 (mean value 0.020 per minute, range 0.0115 to 0.0266 per minute) characterising the renal excretion did not depend on W. Good reproducibility (r = 0.92) of the C values was found in a test involving 13 dogs.

Animals↗

Increased pulmonary arteriovenous shunting in humans following blood transfusion. Relation to screen filtration pressure of transfused blood and prevention by Dacron wool (Swank) filtration.

Transfusion through standard filters to dogs of stored blood containing microaggregates results in an increase in pulmonary arteriovenous shunting (Qs/Qt) and a decreased diffusion capacity of the lung for O2. These effects are due to microemboli that pass the filters and are prevented by use of Dacron wool (Swank) micropore transfusion filters. It was the purpose of this study to determine whether alterations in pulmonary shunting occur in humans following transfusions of stored blood through standard transfusion filters. In eight patients transfused over 20% of blood volumes through standard filters, Qs/Qt and alveolar-arterial O2 tension differences increased significantly. These changes did not occur in patients transfused comparable amounts of blood through Dacron wool (Swank) filters or in patients transfused less than 20% of blood volumes. A direct correlation was found between the absolute percent change in Qs/Qt and the quantity of microaggregates passing the filter and present in the transfused blood. It is concluded that removal from stored blood of microaggregates by administration of the blood through effective micropore transfusion filters prevents an increase in Qs/Qt caused by administration of such material.

Adult↗