Austere Environment, Blood Bank, Buddy Transfusion, Trauma
Conditions
Keywords
Blood, Whole blood, Cold-storage, Filtration, Transfusion, Platelet-function
Brief summary
In a combat situation the need for safe and high-quality blood products is increasing. WB (Whole Blood) is used in many trauma situations, but we wish to investigate whether there is an even better whole blood product. The purpose of this study is to examine the quality of leucoreduced, cold-stored whole blood. We also wish to examine the effects of filtration of whole blood without a 1-2 hour holding-time (warm-filtration) and the effects of forced filtration. We also wish to explore the possibility of using cold-stored WB for production of RCC. Analyses are performed with a main focus to investigate function and quality of red blood cells and platelets.
Interventions
Donation of 450-500 mL of whole blood according to local blood bank procedures and national guidelines.
Sponsors
Study design
Eligibility
Inclusion criteria
* Healthy volunteer * Age between 18 and 70 * Negative pregnancy test (women in fertile age) * Blood pressure range: (160-100)/(100-40) * Pulse range: 40-100
Exclusion criteria
* Usage of platelet-influencing medication * Mild flu or more severe illnesses * Open wound * Pregnancy or trying to get pregnant
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Platelet function | After 10 days of cold-storage | Platelet function is assessed by various parameters, such as thrombelastography (TEG), Multiplate and flow cytometry (Lactadherin, Calcein violet AM, ++). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Leukocyte count | After leukocyte filtration | Filtered whole blood should have a concentration less than 1\*10\^6 cells/L to avoid transfusion reactions. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Hemolysis | After 42 days of storage | RCC should not have a hemolysis of more than 0.8 %. We investigate this up to 42 days (35 days as RCC) (arm 5 +6) |
Countries
Norway