Download - RBC deplition/exchange
LOOKING at the benefits of RBC depletion/exchangevs. RBC Exchange
One Centre Experience(Eduard Cojocari and Pamela Harmon, UHN)
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• Indication1. Chest crisis2. Pain3. Pain/PHTN4. Pain/Priapism5. Pain/Ulcer6. Stroke7. Stroke8. Stroke9. Stroke
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Demographics
Hct in Depletion/ExchangeHct in Depletion/ExchangeHct in Depletion/ExchangeHct in Depletion/Exchange
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Hct in RBC ExchangeHct in RBC Exchange Hct in RBC ExchangeHct in RBC Exchange
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The use of blood productsThe use of blood productsThe use of blood productsThe use of blood products
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Run ParametersRun ParametersRun ParametersRun Parameters
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Platelets DepletionPlatelets Depletion Platelets DepletionPlatelets Depletion
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Ferritin LevelFerritin LevelFerritin LevelFerritin Level
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Hemoglobin C LevelHemoglobin C Level
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Hemoglobin S LevelHemoglobin S Level
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Summary Summary
Inlet Rate Depletion/Exchange ≈ Exchange
Run Time Depletion/Exchange ≈ Exchange
Post-RBCX Plt Depletion/Exchange < Exchange
Post-RBCX Hct Depletion/Exchange ≈ Exchange
Post-RBCX HbC Depletion/Exchange ≈ Exchange
Post-RBCX HbS Depletion/Exchange ≈ Exchange
Ferritin Depletion/Exchange < Exchange
Use of PRBC Depletion/Exchange < Exchange
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ConclusionsConclusions
RBC Depletion/Exchange procedure:• efficiency is comparable with simple RBC Exchange• allows to decrease the use of PRBC product by
≈ 2 units/procedure or ≈ 24 units/patient/year
Acknowledgements to Dr. David Barth.
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