PLACENTAL TRANSFUSION AND HYPERBILIRUBINEMIA IN THE PREMATURE

PEDIATRICS ◽  
1972 ◽  
Vol 49 (3) ◽  
pp. 406-419 ◽  
Author(s):  
Saroj Saigal ◽  
Allison O'Neill ◽  
Yeldandi Surainder ◽  
Le-Beng Chua ◽  
Robert Usher

Placental transfusion has been compared in premature and full-term infants. Blood volume measurements showed that the 5-minute transfusion was similar in full-term and premature infants (47% and 50% increase in blood volume from birth). A larger proportion of the 5-minute transfusion occurred by 1 minute in full-term (76%) than in premature infants (56%). Placental transfusion, by increasing red cell volume, greatly enhanced the severity of neonatal hyperbilirubinemia. Bilirubin concentrations of 15 mg/100 ml developed in only 6% of premature infants when cord clamping was immediate, in 14% when cord clamping was delayed 1 minute, and in 38% after a 5-minute delay in cord clamping.

1985 ◽  
Vol 248 (3) ◽  
pp. R293-R301 ◽  
Author(s):  
J. P. Hannon ◽  
C. A. Bossone ◽  
W. G. Rodkey

When estimated by the dilution of 51Cr-labeled red blood cells under nearly basal conditions, immature splenectomized pigs (n = 20) had a circulating red cell volume of 17.8 +/- 1.64 (SD) ml/kg. At an assumed body-to-large vessel hematocrit (BH:LH) ratio of 0.9, plasma volume was 49.6 +/- 3.12 ml/kg and blood volume 67.3 +/- 3.67 ml/kg. Sham-operated pigs (n = 20) had a circulating red cell volume of 16.2 +/- 1.39 ml/kg, a plasma volume of 51.1 +/- 3.42 ml/kg, and blood volume of 67.2 +/- 4.12 ml/kg. Kinetic analysis of early 51Cr loss from the circulating blood of the sham-operated pigs indicated a splenic red cell sequestration of 4.5 +/- 0.89 ml/kg and a t1/2 of 9.76 +/- 1.93 min for splenic red cell turnover. Epinephrine injection (n = 6) and physical restraint (n = 8) caused rapid mobilization of splenic red blood cells in sham-operated pigs. Volume estimates in splenectomized pigs (n = 7) based on simultaneous dilutions of 51Cr-labeled red blood cells and 125I-labeled bovine albumin gave circulating red cell, plasma, and blood volumes of 18.4 +/- 2.46, 60.7 +/- 4.01, and 79.0 +/- 3.51 ml/kg, respectively, and a BH:LH ratio of 0.756 +/- 0.029. The latter value may have reflected an overestimation of plasma volume by the 125I-labeled albumin procedure.


1957 ◽  
Vol 191 (1) ◽  
pp. 159-162 ◽  
Author(s):  
S. Deavers ◽  
R. A. Huggins ◽  
E. L. Smith

Dogs anesthetized with morphine and sodium pentobarbital were killed by bleeding or with sodium pentobarbital. The control group did not receive a transfusion; the other group was given a transfusion of blood (10.0–14.9% of the body weight). The red cell volume was measured with radioactive Cr51 and the plasma volume with I131. The volume of red cells and plasma per gram of tissue and organ were calculated for: liver, spleen, kidney, heart, lung, stomach, intestine, muscle and skin. With transfusion there was an increase in the red cell volume per gram of tissue and organ except for the spleen. The liver was the primary site of trapped cells. All tissues of the transfused dogs contained more plasma than the controls. Every organ of the control dogs contained ‘extra’ plasma (that portion of the plasma free from cells); with transfusion the volume increased and represented a greater portion of the total organ blood volume. Good agreement was found between the calculation of trapped cells and plasma from blood volume measurements and by tissue analysis.


1985 ◽  
Vol 14 (6) ◽  
pp. 345-356
Author(s):  
Michael G. Garner ◽  
Andrew F. Phippard ◽  
John S. Horvath ◽  
Geoffrey G. Duggin ◽  
David J. Tiller

2013 ◽  
Vol 74 (5) ◽  
pp. 592-600 ◽  
Author(s):  
Demet Nalbant ◽  
Prasad Bhandary ◽  
Nell I. Matthews ◽  
Robert L. Schmidt ◽  
Anna Bogusiewicz ◽  
...  

1959 ◽  
Vol 196 (2) ◽  
pp. 420-422 ◽  
Author(s):  
Julius J. Friedman

The circulating and tissue hematocrits of normal unanesthetized mice were determined by means of independent red cell and plasma volume measurements. The red cell volume-indicator which was used in this study was radioiron (Fe59) tagged red cells. The plasma volume data were derived by means of radioiodine (I131) labeled serum albumin and were reported earlier (Friedman, Proc. Soc. Exper. Biol. & Med. 88: 323, 1955). The hematocrits of the various tissues were found to be: for spleen 51.3, lung 47.9, muscle 49.9, liver 38.9, intestine, 32.2, skin 29.2 and kidney 24.0%. The total body hematocrit was 35.4% as compared to 48.4 for venous blood. All tissues, with the exception of spleen and lung, contained hematocrits which were lower than that of venous blood suggesting the presence of some mechanism within the various tissues which is capable of effectively separating plasma from red cells.


Blood ◽  
1977 ◽  
Vol 49 (2) ◽  
pp. 301-307 ◽  
Author(s):  
R Alexanian

Abstract The plasma volume, red cell volume, or both were measured in 170 normal, anemic, or polycythemic subjects. For anemic subjects without a serum protein abnormality or splenomegaly, the relationship between hematocrit and red cell volume was linear and predictable. In patients with a serum monoclonal globulin on electrophoresis, the plasma voluem was significantly increased for the hematocrit in 30%, and the total blood volume was increased in 45%. The frequency of an elevated plasma volume was higher in patients with a markedly increased level of monoclonal protein. Reductions of abnormal proteins with chemotherapy were associated with declines in plasma volume. For a specific concentration, the serum viscosity was highest in patients with IgM proteins and lowest in patients with IgG globulins. Marked elevations in viscosity were noted only in sera with macroglobulinemia or with more than 5 g/dl of IgG or IgA globulins.


The Lancet ◽  
1934 ◽  
Vol 223 (5767) ◽  
pp. 513-517 ◽  
Author(s):  
JanetM. Vaughan ◽  
HelenM. Goddard

1996 ◽  
Vol 76 (2) ◽  
pp. 263-266 ◽  
Author(s):  
J. J. Matte ◽  
C. L. Girard

Changes of serum and plasma volumes were determined in 36 gestating sows and 20 lactating sows at their second parity. There was no change (P > 0.05) in blood and serum volumes between 4 wk pre-mating and 1 wk post-mating. During gestation, blood and serum volumes increased by approximately 25%, with most of this increase occurring between 11 and 14 wk of pregnancy (P < 0.006). From parturition to weaning at 4 wk of lactation, serum and blood volumes decreased linearly (P < 0.02) by approximately 9%. Key words: Serum volume, blood volume, packed red cell volume, sow


Sign in / Sign up

Export Citation Format

Share Document