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Platelet transfusions came into medical use in the 1950s and 1960s. [1] [5] It is on the World Health Organization's List of Essential Medicines. [6] [7] Some versions of platelets have had the white blood cells partially removed or been gamma irradiated which have specific benefits for certain populations. [8]
If all of the incidentally collected white blood cells are transfused with the platelets, substantial rejection problems can occur. Therefore, it is standard practice to filter out white blood cells before transfusion by the process of leukoreduction. Early platelet transfusions used a filter to remove white blood cells at the time of transfusion.
Below pH 6.2, the damage to the platelets is irreversible, and platelets do not circulate when transfused. [3] Platelets are therefore stored in gas-permeable containers with a large volume-to-surface ratio, in order to expel carbon dioxide, which elevates the pH. Also, these containers allow for the entry of oxygen, favoring oxidative metabolism.
A massive transfusion protocol is used when significant blood loss is present such as in major trauma, when more than ten units of blood are needed. Packed red blood cells, fresh frozen plasma, and platelets are generally administered. [131] Typical ratios of fresh frozen plasma, platelets and packed red blood cells are between 1:1:1 and 1:1:2 ...
The change in the recipient's platelet count after transfusion is termed the "increment" and is calculated by subtracting the pre-transfusion platelet count from the post-transfusion count. Many factors affect the increment including body size, the number of platelets transfused, and clinical features that may cause premature destruction of the ...
Red blood cells or packed cells is transfused to patients with anemia/iron deficiency. It also helps to improve the oxygen saturation in blood. It can be stored at 2.0 °C-6.0 °C for 35–45 days. Platelet transfusion is transfused to those with low platelet count. Platelets can be stored at room temperature for up to 5–7 days.
Blood flow ensures the transportation of nutrients, hormones, metabolic waste products, oxygen, and carbon dioxide throughout the body to maintain cell-level metabolism, the regulation of the pH, osmotic pressure and temperature of the whole body, and the protection from microbial and mechanical harm.
It is used in the treatment of massive bleeding, in exchange transfusion, and when people donate blood to themselves (autologous transfusion). [1] [2] One unit of whole blood (approximately 450 mL) increases hemoglobin levels by about 10 g/L. [3] [4] Cross matching is typically done before the blood is given. [2] [5] It is given by injection ...