Mortality increases after massive exchange transfusion with older stored blood in canines with experimental pneumonia

Author:

Solomon Steven B.1,Wang Dong1,Sun Junfeng1,Kanias Tamir2,Feng Jing1,Helms Christine C.3,Solomon Michael A.1,Alimchandani Meghna4,Quezado Martha4,Gladwin Mark T.25,Kim-Shapiro Daniel B.3,Klein Harvey G.6,Natanson Charles1

Affiliation:

1. Critical Care Medicine Department, National Institutes of Health (NIH) Clinical Center, Bethesda, MD;

2. Vascular Medicine Institute, University of Pittsburgh, Pittsburgh, PA;

3. Department of Physics and the Translational Science Center, Wake Forest University, Winston-Salem, NC;

4. Laboratory of Pathology, National Cancer Institute, NIH, Bethesda, MD;

5. Department of Medicine, Division of Pulmonary, Allergy and Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA; and

6. Department of Transfusion Medicine, NIH Clinical Center, Bethesda, MD

Abstract

Key Points In canine S aureus pneumonia, first randomized blinded trial showing blood transfused at end of storage period increases mortality. Increased in vivo hemolysis, cell-free hemoglobin, pulmonary hypertension, tissue damage, and gas exchange abnormalities each contributed.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

Reference38 articles.

1. Global database on blood safety: report 2004-2005.;World Organization of Health,2008

2. Workshop on red cells stored in additive solution systems.;Food and Drug Administration,1985

3. Duration of red-cell storage and complications after cardiac surgery.;Koch;N Engl J Med,2008

4. Harmful effects of transfusion of older stored red blood cells: iron and inflammation.;Hod;Transfusion,2011

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