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In Vitro Hematological Testing of Rotary Blood Pumps: Remarks on Standardization and Data Interpretation

机译:旋转式血泵的体外血液学测试:标准化和数据解读的注意事项

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Abstract:Pump test procedures using blood will have to meet several standards not only to obtain reliable results in vitro but also to allow comparison of results of different investigators. This article reviews some of the issues that should be considered in pump testing, especially referring to the discussions held at the International Workshops on Rotary Blood Pumps in 1988 and 1991. The test loop itself should meet some requirements such as constant physiological temperature, standardized circulating volume, control of pressure and flow, and exact definition of the blood‐contacting surface. Specifications have to be made concerning the test fluid blood, including sampling technique, anticoagulation, blood gases, pH, and glucose level. Only fresh blood should be used. Heparin is recommended for anticoagulation because it will be used also in vivo. Different procedures for cleaning and rinsing of plastic materials for reuse are mentioned. Bacterial overgrowth, which can lead to extreme oxygen consumption and acidosis, may be avoided through addition of antibiotics (e.g., gentamicin). To be able to compare data of the different working groups, a new modified index of hemolysis (MIH) has been define
机译:摘要:使用血液的泵测试程序必须满足几个标准,不仅要获得可靠的体外结果,还要允许比较不同研究者的结果。本文回顾了泵测试中应考虑的一些问题,特别是参考了 1988 年和 1991 年旋转式血泵国际研讨会上的讨论。测试回路本身应满足一些要求,例如恒定的生理温度、标准化的循环容积、压力和流量的控制以及血液接触表面的精确定义。必须制定有关测试液体血液的规格,包括采样技术、抗凝、血气、pH 值和葡萄糖水平。只能使用新鲜血液。建议将肝素用于抗凝,因为它也将在体内使用。提到了清洁和漂洗塑料材料以供重复使用的不同程序。细菌过度生长可导致极度耗氧和酸中毒,可通过加用抗生素(例如庆大霉素)来避免。为了能够比较不同工作组的数据,已经定义了一种新的改良溶血指数 (MIH)

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