Characteristics of oxygen carriers in modern blood substitutes

Cover Page

Cite item

Full Text

Abstract

Intraoperative and posttraumatic blood loss can be compensated by the introduction of crystalloid and colloid solutions. Blood transfusion is an effective method, but has several disadvantages: it may cause severe hemolytic reactions, infections and immune disorders. Blood substitutes based on oxygen-carrying molecules can solve most of these problems. The search for alternatives to donor blood and its preparations has continued for a long time, but only at this stage a few of the oxygen carriers have reached the phase of clinical trials. Artificial oxygen carriers are pharmacological agents used to improve oxygen delivery, regardless of the functions of erythrocytes, which perform solely a transport function of oxygen delivery. In this article, the authors have tried to reflect the current stage in the development, implementation and usage of oxygen carriers.

About the authors

N V Shevchenko

354th District Military Clinical Hospital, Russia

Email: hospital_.irk@mail.ru

S N Khudyakov

354th District Military Clinical Hospital, Russia

A A Zyryanov

354th District Military Clinical Hospital, Russia

D A Pyrenkov

354th District Military Clinical Hospital, Russia

References

  1. Афонин Н.И. Современные принципы инфузионно-трансфузионной терапии острой кровопотери // Вестн. службы крови Рос. - 2000. - №2 - С. 13-16.
  2. Брюсов П.Г. Трансфузионная терапия при острой кровопотере // Воен.-мед. ж. - 1997. - №7. - С. 17-19.
  3. Мороз В.В., Атауллаханов Ф.И., Лисовская И.Л. и др. Влияние перфторана на морфологию и реологические свойства эритроцитов у больных с тяжёлой травмой и кровопотерей // Анестезиол. и реаним. - 2001. - №6. - С. 22-25.
  4. Медус А.И., Сапсай В.Ф., Нетесин Е.С. Основные аспекты инфузионно-трансфузионной терапии на современном этапе. - Иркутск: Мед. изд-во, 2002. - С. 170-175.
  5. Усенко Л.В., Клигуленко Е.Ф., Заяц А.Н. Перфторорганические соединения в биологии и медицине. - Пущино, 1997. - С. 89-93.
  6. Coctan R., Spahn D. Haemoglobin, oxygen carriers and perioperative organ perfusion // Best Prac. Res. Clin. Anaesth. - 2008. - Vol. 22. - P. 63-80.
  7. Kim H., Greenburg A. Artificial oxygen carriers as red blood cell substitutes: a selected rev iew and current status // Artificial Organs. - 2004. - Vol. 28. - P. 813-828.
  8. Inayat M., Bernard A., Gallicchio V. et al. Oxygen carriers: a selected review // Transfus. and Apheres. Sci. - 2006. - Vol. 34. - P. 25-32.
  9. Winslow R. Red cell cubstitutes // Semin. in Hematol. - 2007. - Vol. 44. - P. 51-59.
  10. Sprung J., Kindscher J., Wahr J. et al. The use of bovine hemoglobin glutamer-250 (Hemopure) in surgical patients: a result of a multicenter, randomized, single-blinded trial // Anesth. Analg. - 2002. - Vol. 94. - P. 799-808.
  11. Greenburg A., Kim H. Use of an oxygen therapeutic as an adjunct to intraoperative autologous donation to reduce transfusion requirements in patients undergoing coronary artery bypass graft surgery // J. of the Amer. Coll. of Surg. - 2004 - Vol. 198. - P. 373-383.
  12. Sloan E.P., Koenigsberg M., Brunett P.H. et al. Post hoc mortality analysis of the efficacy trial of diaspirin cross-linked hemoglobin in the treatment of severe traumatic hemorrhagic shock // J. Trauma. - 2002. - Vol. 52. - P. 887-895.
  13. Kerner T., Ahlers O., Veit S. et al. DCL-Hb for trauma patients with severe hemorrhagic shock: the European «On-Scene» Multicenter Study // Intens. Care Med. - 2003. - Vol. 29. - P. 378-385.
  14. Vandegriff K.D., Malavalli A. et al. MP4, a new nonvasoactive PEG-Hb conjugate // Transfusion. - 2003. - Vol. 43. - P. 509-516.

© 2012 Shevchenko N.V., Khudyakov S.N., Zyryanov A.A., Pyrenkov D.A.

Creative Commons License

This work is licensed
under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.





This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies