Fibrinogen and albumin deficiencies associated with packed red blood cell transfusions

Anesth Analg. 1975 Jan-Feb;54(1):89-93. doi: 10.1213/00000539-197501000-00018.

Abstract

Fibrinogen content was determined for each of 50 units of citrate-dextrose-phosphate (CPD)-preserved whole blood, packed red blood cells reconstituted with 250 ml. of saline, and packed red cells reconstituted with 250 ml. of purified plasma protein fraction (PPF). The total protein and albumin were measured, by electrophoresis, on each of 10 units of the three varieties of blood. The fibrinogen content of the two types of reconstituted cells was significantly lower than that of whole blood. Although the total protein/albumin content of whole blood and PPF-reconstituted red cells was similar, saline-reconstituted cells were markedly deficient in both total protein and albumin. Low fibrinogen and platelet levels subsequent to transfusion with reconstituted packed red cells can lead to an erroneous diagnosis of disseminated intravascular coagulation. Administration of large quantities of saline-reconstituted packed cells could be an etiologic factor in postoperative interstitial pulmonary edema.

MeSH terms

  • Adult
  • Afibrinogenemia / etiology*
  • Blood Chemical Analysis
  • Blood Coagulation Tests
  • Blood Proteins / adverse effects
  • Blood Proteins / analysis
  • Citrates
  • Disseminated Intravascular Coagulation / diagnosis
  • Erythrocytes* / analysis
  • Fibrinogen / analysis
  • Glucose
  • Humans
  • Liver Transplantation
  • Male
  • Phosphates
  • Serum Albumin / analysis
  • Serum Albumin / deficiency*
  • Sodium Chloride
  • Thrombin
  • Thromboplastin
  • Time Factors
  • Transfusion Reaction*
  • Transplantation, Homologous

Substances

  • Blood Proteins
  • Citrates
  • Phosphates
  • Serum Albumin
  • Sodium Chloride
  • Fibrinogen
  • Thromboplastin
  • Thrombin
  • Glucose