Evidence map›Paper›PMID 29067695›Full record

ArticleVox sanguinis2018

Towards bedside washing of stored red blood cells: a prototype of a simple apparatus based on microscale sedimentation in normal gravity.

G Khanal, R A Huynh, K Torabian, H Xia, E Vörös, S S Shevkoplyas

Open access · greenAbstract read
In one paragraph

Article in Vox sanguinis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 42% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

G KhanalDepartment of Biomedical Engineering, University of Houston, Houston, TX, USA.
R A HuynhDepartment of Biomedical Engineering, University of Houston, Houston, TX, USA.
K TorabianDepartment of Biomedical Engineering, University of Houston, Houston, TX, USA.
H XiaDepartment of Biomedical Engineering, University of Houston, Houston, TX, USA.
E VörösDepartment of Biomedical Engineering, University of Houston, Houston, TX, USA.
S S ShevkoplyasDepartment of Biomedical Engineering, University of Houston, Houston, TX, USA.ORCID http://orcid.org/0000-0002-8203-8365
University of Houston · US

Funding

Eliminating Mediators of Toxicity from Stored BloodR01HL117329 · NHLBI · UNIVERSITY OF HOUSTON · PI SHEVKOPLYAS, SERGEY S · 2012 to 2017
$1.9M
NHLBI NIH HHS R01 HL117329
6 · The paper itself

Abstract

BACKGROUND AND

objectivesInfusion of by-products of red blood cell (RBC) storage-induced degradation as well as of the residual plasma proteins and the anticoagulant-preservative solution contained in units of stored blood serve no therapeutic purpose and may be harmful to some patients. Here, we describe a prototype of a gravity-driven system for bedside washing of stored RBCs. MATERIALS AND

methodsStored RBCs were diluted to 10% haematocrit (Hct) with normal saline, matching the conventional washing procedure. The dilute RBC suspensions were passed through a column of coiled tubing to allow RBC sedimentation in normal gravity, thus separating them from the washing solution. Washed RBCs were collected using bifurcations located along the tubing. Washing efficiency was quantified by measuring Hct, morphology, deformability, free haemoglobin and total-free protein.

resultsThe gravity-driven washing system operating at 0·5 ml/min produced washed RBCs with final Hct of 36·7 ± 3·4% (32·3-41·2%, n = 10) and waste Hct of 3·4 ± 0·7% (2·4-4·3%, n = 10), while removing 80% of free haemoglobin and 90% of total-free protein. Washing improved the ability of stored RBCs to perfuse an artificial microvascular network by 20%. The efficiency of washing performed using the gravity-driven system was not significantly different than that of conventional centrifugation.

conclusionsThis proof-of-concept study demonstrates the feasibility of washing stored RBCs using a simple, disposable system with efficiency comparable to that of conventional centrifugation, and thus represents a significant first step towards enabling low-cost washing of stored blood at bedside.

Indexed as

Blood ProteinsBlood SafetyBlood TransfusionCentrifugationErythrocyte CountErythrocytesHematocritHumansBlood Proteinsblood component productionblood processingred cell componentstransfusion - pediatrics

Identifiers

PMID29067695
PMCPMC5775035
OpenAlexW2765656240

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.