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The use of vascular access ports for blood collection in feline blood donors.

机译:使用血管通路端口进行猫献血者的血液采集。

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摘要

This thesis is an investigation of the use of vascular access ports (VAP) for blood collection in cats. The objectives of the study were to document the ease and complications associated with the placement, maintenance, use and removal of VAP for blood collection in cats over a 6-month period, assess the level of systemic hypotension associated with the collection and the quality of the blood collected.; Eight cats underwent conventional blood collections, which involved jugular venipuncture performed on heavily sedated cats, at the beginning and the end of the study. All cats underwent surgical placement of VAP which were used for blood collection every 6 to 8 weeks over a 6-month period and then surgically removed. Fluctuations in blood pressure during collection were compared between methods. Parameters conventionally used as indicators of blood quality including albumin, hematocrit, glucose and potassium levels, lactate dehydrogenase activity, blood pH, erythrocyte osmotic fragility and blood sterility were assessed in samples from blood obtained by both conventional and VAP collections, before and after a 25-day storage period.; Vascular access port collections were successfully performed 30 out of 31 times. Sampling occlusions were common but were invariably correctable through cervical manipulations. Other complications included development of seromas (3) and excoriations (3) at site of device insertion, behavioral abnormalities during blood collection (2), dehiscence of the surgical wound (1), device infection (1) and device fracture (1). Sedation was used in 6/8 cats to facilitate cervical manipulations and/or reduce the incidence of behavioral abnormalities. All devices were covered with a thick fibrotic capsule at the time of removal. Cytological and histological evaluation of the fibrotic capsule, and fluid entrapped within it, suggested marked active inflammation. The use of VAP for blood collection resulted in a significantly higher blood pressure nadir and a smaller drop in systolic blood pressure than conventional collection did. Osmotic fragility of erythrocytes obtained through VAP collection was significantly greater than that of erythrocytes from conventional collection, both before and after storage. This suggests that the quality of blood obtained through VAP collection may not be equivalent to that of blood obtained through conventional collection.
机译:本文是对使用血管通路(VAP)采集猫的血液的研究。该研究的目的是记录在6个月内猫的采血过程中与VAP的放置,维护,使用和移除有关的难易程度和并发症,评估与采血相关的全身性低血压水平和质量收集的血液。在研究的开始和结束时,对八只猫进行了常规的血液采集,包括对重度镇静的猫进行颈静脉穿刺。所有的猫均接受VAP手术放置,在6个月内每6至8周进行一次采血,然后通过手术将其取出。比较了两种方法在采集过程中血压的波动。在25和25岁之前和之后,对通过常规和VAP采集的血液样本评估了常规用作血液质量指标的参数,包括白蛋白,血细胞比容,葡萄糖和钾水平,乳酸脱氢酶活性,血液pH值,红细胞渗透性脆性和血液无菌性。天存储期。在31次中,有30次成功进行了血管通路端口收集。采样咬合很常见,但通过宫颈操作总是可以纠正的。其他并发症包括在器械插入部位发生血清肿(3)和脱落(3),血液采集过程中的行为异常(2),手术伤口裂开(1),器械感染(1)和器械骨折(1)。在6/8只猫中使用了镇静剂,以利于颈椎操作和/或减少行为异常的发生。取出时,所有器械均被厚厚的纤维化囊覆盖。纤维化囊的细胞学和组织学评估以及其中包埋的液体提示明显的活跃炎症。与常规采集相比,使用VAP采集血液导致血压最低点明显升高,收缩压下降幅度较小。通过VAP收集获得的红细胞的渗透性脆性显着大于传统收集中获得的红细胞的渗透脆性。这表明通过VAP采集获得的血液质量可能与通过常规采集获得的血液质量不同。

著录项

  • 作者

    Aubert, Isabelle.;

  • 作者单位

    University of Guelph (Canada).;

  • 授予单位 University of Guelph (Canada).;
  • 学科 Biology Veterinary Science.; Biology Animal Physiology.
  • 学位 D.V.Sc.
  • 年度 2004
  • 页码 119 p.
  • 总页数 119
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 动物学;生理学;
  • 关键词

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