Red cell damage after pumping by two infusion control devices (Arcomed VP 7000 and IVAC 572).
The aim of this study was to assess the performance in terms of red cell damage of two peristaltic volumetric infusion pumps - the Alaris IVAC 572 (San Diego, CA, USA) and Arcomed Volumed VP7000 (Regensdorf, Switzerland). Various infusion pumps are available to transfuse blood at a predetermined rate. It is recommended that each machine should be individually assessed. This experiment used six units of single-donor-transfusable packed red cells and ran each unit through both pumps. This was carried out at 9, 28 and 35 days post-donation at rates from 2 to 150 mL h(-1). Post-pumping samples from these experiments, and a pre-pumping sample in each case, were analysed for levels of potassium and free haemoglobin (Hb). They were also examined microscopically for evidence of cell damage. Potassium levels showed no significant change with pumping on any occasion, but rose significantly as the samples aged. Free Hb showed some variation, but the only consistent finding was a similar rise in value with increasing pack age. Microscopic examination revealed no cell damage under any condition. Both pumps performed to an acceptable level and appear safe to be used for red cell transfusion.
Musgrove Park Hospital, Taunton, Somerset, UK. helen.parfitt@tst.nhs.uk
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Parfitt
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Davies
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Tighe
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Ewings
D001803:Blood Transfusion / Q000295:instrumentation*; D004912:Erythrocytes / Q000473:pathology; D006454:Hemoglobins / Q000032:analysis; D006461:Hemolysis; D006801:Humans; D007260:Infusion Pumps / Q000009:adverse effects*; D011188:Potassium / Q000097:blood
D006454:Hemoglobins; D011188:Potassium