Study on changes in WBC, K+ concentration and pH level in frozen red blood cell package before and after deglycerolization

  • Truong Ho Xuan Bệnh viện Quân y 103
  • Tuyen Thai Danh Bệnh viện Quân y 103
  • Manh Nguyen Dang Bệnh viện Trung ương Quân đội 108

Main Article Content

Keywords

White blood cell, K concentration, pH level, frozen red blood cell package

Abstract

Objective: To evaluate the change in white blood cell, potassium concentration and pH level in frozen red cell package (FRCP) at before deglycerolized, immediate time after deglycerolized (T0), 7 days post-deglycerolized (T7), 14 days post-deglycerolized (T14). Subject and method: We conducted a prospective, cross-sectional study on 32 frozen red blood cell units which were cryopreserved with high glycerol concentration (40%) at temperature of below -65oC from December of 2017 and were deglycerolized from June to August of 2019 at Hematology and Blood Transfusion Center, 103 Military Hospital. Result: WBC, that was 3.47 ± 1.33G/l in FRCP, were 0.060 ± 0.019G/l, 0.058 ± 0.022G/l and 0.055 ± 0.024G/l at T0, T7 and T14 respectively. Deglycerolization omitted 98.68% of WBC unchanged during storage time after deglycerolization. Average of K+ concentration level, that was 4.94 ± 0.76mmol/l at before deglycerolized, were 1.21 ± 0.39mmol/l, 11.73 ± 2.41mmol/l and 17.55 ± 3.00mmol/l, at T0, T7 and T14 respectively. K+ concentration increased significantly stastically during storage time after deglycerolization (p<0.01), T0, T7 and T14 pH level were 6.65 ± 0.027, 6.55 ± 0.044 and 6.47 ± 0.046, respectively. pH statistically decreased during storage time after deglycerol. Conclusion: Deglycerolization omitted almost of WBC in frozen red blood cell package. pH level decreased steadily and K+ concentration increased gradually during storage time after deglycerolization.

Article Details

References

1. Dung TTK (2016) Nghiên cứu ứng dụng bảo quản hồng cầu bằng kỹ thuật đông lạnh với glycerol nồng độ cao. Trường Đại học Y Dược Thành phố Hồ Chí Minh.
2. Bohoněk M, Petráš M, Turek I et al (2016) Quality evaluation of frozen apheresis red blood cell storage with 21-day postthaw storage in additive solution 3 and saline-adenine-glucose-mannitol: Biochemical and chromium-51 recovery measures. Transfusion 50(5): 1007-1013.
3. Bohoněk M, Petráš M, Turek I et al (2016) In vitro parameters of cryopreserved leucodepleted and non-leucodepleted red blood cells collected by apheresis or from whole blood and stored in AS-3 for 21 days after thawing. Blood Transfus 12(1): 199-203.
4. Chang AL, Hoehn RS, Jernigan P et al (2016) Previous cryopreservation alters the natural history of the red blood cell storage lesion. Shock 46(3-1): 89-95.
5. Fung MK, Grossma BJ, Hillyer CD et al (2014) Technical manual 18th edn. American Association of Blood Banks, United States.
6. Antwi-Baffour S, Jonathan KA, Felix Tsyawo RK et al (2019) A study of the change in sodium and potassium Ion concentrations in stored donor blood and their effect on electrolyte balance of recipients. Hindawi BioMed Research International: 5.
7. Valeri CR, Ragno G, Pivacek LE et al (2000) An experiment with glycerol-frozen red blood cells stored at -80 degrees C for up to 37 years. Vox Sang 79(3): 168-174.
8. Valeri CR, Srey R, Tilahun D et al (2015) The in vitro quality of red blood cells frozen with 40 percent (wt/vol) glycerol at -80 degrees C for 14 years, deglycerolized with the Haemonetics ACP 215, and stored at 4 degrees C in additive solution-1 or additive solution-3 for up to 3 weeks. Transfusion 44(7): 990-995.