Packed red blood cells

Packed red blood cells
Bag of packed red blood cells.
Clinical data
Other namesStored packed red blood cells, packed cells, red cell concentrate, red cell component
Routes of
administration
IV
ATC code
Identifiers
ChemSpider
  • none

Red blood cell concentrates, also known as red cell concentrates or packed red blood cells, are red blood cells that have been separated for blood transfusion.[1] A red blood cell concentrate typically has a haematocrit of 0.50 – 0.70 L/L and a volume between 250 and 320 mL. Transfusion of red blood cell concentrates is indicated to compensate for a deficit caused by critical bleeding or to correct anaemic conditions, in order to increase the oxygen-carrying capacity and avoid detrimental effects caused by oxygen debt.[2]

In adults, one unit brings up hemoglobin levels by about 10 g/L (1 g/dL).[3][4] Repeated transfusions may be required in people receiving cancer chemotherapy or who have haemoglobin disorders. Cross-matching may be required before the blood is given.[1] A red blood cell concentrate is given by injection into a vein.[5] The widespread use of red blood cell concentrates as part of blood component therapy began in the middle of the 20th century, when polyvinyl chloride (PVC) blood bags were introduced as storage containers.[6] Transfusion is on the World Health Organization's List of Essential Medicines.[7]

The widespread use of packed red blood cells began in the 1960s.[8] It is on the World Health Organization's List of Essential Medicines.[9][10] A number of other versions also exist including whole blood, leukocyte reduced red blood cells, and washed red blood cells.[11]

  1. ^ a b Connell NT (December 2016). "Transfusion Medicine". Primary Care. 43 (4): 651–659. doi:10.1016/j.pop.2016.07.004. PMID 27866583.
  2. ^ Lozano M, Badawi M (December 2020). "Indications for transfusion of blood components". ISBT Science Series. 15 (S1): 320–330. doi:10.1111/voxs.12605. ISSN 1751-2816.
  3. ^ Padhi S, Kemmis-Betty S, Rajesh S, Hill J, Murphy MF (November 2015). "Blood transfusion: summary of NICE guidance". BMJ. 351 (nov18 2): h5832. doi:10.1136/bmj.h5832. PMID 26581483.
  4. ^ Weinstein SM (2015). Plumer's Principles and Practice of Intravenous Therapy. Philadelphia: Wolters Kluwer. ISBN 978-0-7817-5944-1.
  5. ^ Linton AD (2015). Introduction to Medical-Surgical Nursing. Elsevier Health Sciences. ISBN 9781455776412.
  6. ^ Walter CW (October 1984). "Invention and development of the blood bag". Vox Sanguinis. 47 (4): 318–324. doi:10.1111/j.1423-0410.1984.tb01603.x. PMID 6385482.
  7. ^ World-Health Organization (2022-09-12). "World Health Organization model list of essential medicines for children - 8th list, 2021". Yearbook of Paediatric Endocrinology. doi:10.1530/ey.19.13.1. ISSN 1662-4009.
  8. ^ Das PC, Smit-Sibinga CT, Halie MR (2012). Supportive therapy in haematology. Springer Science & Business Media. p. 190. ISBN 9781461325772. Archived from the original on 2017-01-10.
  9. ^ World Health Organization (2019). World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization. hdl:10665/325771. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO.
  10. ^ World Health Organization (2021). World Health Organization model list of essential medicines: 22nd list (2021). Geneva: World Health Organization. hdl:10665/345533. WHO/MHP/HPS/EML/2021.02.
  11. ^ Connell NT (December 2016). "Transfusion Medicine". Primary Care. 43 (4): 651–659. doi:10.1016/j.pop.2016.07.004. PMID 27866583.

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