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| Name | Class |
|---|---|
| Assiut University | OTHER |
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The aim of the study is to detect if the storage duration of red blood cells has impact on some biochemical parameters after intra operative transfusion in pediatric trauma patient
A pretransfusion draw of a few drops of patient venous blood, send for analysis by i-STAT Portable Clinical Analyser. Samples are processed immediately and provide laboratory quality results in 2 minutes using the CHEM 8+ i-STAT cartridge for measurement of:
Concurrently, a few drops of blood will be taken from the unit to be transfused will be analysed by i-STAT Portable Clinical Analyser for measurement of previous biochemical parameters.
The details of the unit, such as draw date, volume of transfusion, and date of transfusion, will be recorded. The RBC unit will be delivered to the operative room from the blood bank in an insulated box.
The transfusion is then given as clinically indicated at a rate of 50 to 150 mL/h based on the clinician's orders, the patient's weight, and the patient's clinical situation.
Volumes will be transfused to children according to the following top-up transfusion equation: desired Hemoglobin (Hb) (g/dl) - actual Hemoglobin (Hb) (g/dl) x weight (kg) x 3. (usually 10-20 ml/kg).
A second patient blood sample will be drawn one hour after the transfusion and will be analyzed by i-STAT Portable Clinical Analyser.
Patient information will be recorded for age, weight, sex, and primary diagnosis.
Demographic and clinical variables will be collected, to include type and quantity of all blood products and fluids received and medications administered. All surgical procedures will be documented.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Other | Red blood cells unit age 14 days or less |
|
| Group B | Other | Red blood cells unit age more than 14 days |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Red blood cells unit age 14 days or less | Biological | 30 Patients who will receive units of packed red blood cells stored stored for 14 days or less |
|
| Measure | Description | Time Frame |
|---|---|---|
| Serum potassium level | Mmol/l | One hour after red blood cells transfusion |
| Measure | Description | Time Frame |
|---|---|---|
| Serum ionised calcium | mg/dl | One hour after red blood cells transfusion |
| Serum glucose level | Mmol/l | One hour after red blood cells transfusion |
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Inclusion Criteria:
.ASA I-II physical status patients.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Abdelrady S Ibrahim | Assistant professor of anesthesia and intensive care | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Assiut university faculty of medicine | Asyut | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25504276 | Background | Qu L, Triulzi DJ. Clinical effects of red blood cell storage. Cancer Control. 2015 Jan;22(1):26-37. doi: 10.1177/107327481502200105. |
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| Red blood cells unit age more than 14 days | Biological | 30 patients who will receive units of packed red blood cells stored for more than 14 days |
|
| Blood Urea Nitrogen | mg/dL | One hour after red blood cells transfusion |
| Hemoglobin level | g/dl | One hour after red blood cells transfusion |