Effects Of Repetitive Uncontrolled Temperature Exposure On The Quality Of Packed Red Blood Cells

Packed Red Blood Cells (PRBC) must be transfused within 30 minutes upon removal from blood refrigerator and the PRBC should not be hold in the ward where the storage temperature is not controlled. Untransfused blood which returned to the blood bank shall be discarded unless it is kept in an appropri...

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Main Author: Hassan, Noor Hamizah Mohd
Format: Thesis
Language:English
Published: 2019
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Online Access:http://eprints.usm.my/48143/1/NOOR%20HAMIZAH_hj.pdf
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spelling my-usm-ep.481432021-01-20T07:09:24Z Effects Of Repetitive Uncontrolled Temperature Exposure On The Quality Of Packed Red Blood Cells 2019 Hassan, Noor Hamizah Mohd AC801-895 Inaugural and program dissertations Packed Red Blood Cells (PRBC) must be transfused within 30 minutes upon removal from blood refrigerator and the PRBC should not be hold in the ward where the storage temperature is not controlled. Untransfused blood which returned to the blood bank shall be discarded unless it is kept in an appropriate condition and temperature. Intermittent storage outside allowable temperature range often leads to destruction of the PRBC unit. This was a cross sectional study performed to determine the PRBC warming rates and the quality of PRBC upon repetitive exposure to uncontrolled temperature after 30 minutes and 4 hours. In this study four PRBC units (228 mL ± 37mL) collected from eligible volunteer subjects were equivalently split into two units, producing eight smaller units PRBC (±130mL) which then assigned into two groups; control and experimental group. Eight units of PRBC from both control and experimental group were tested on day 1, day 7, day 14 and day 35 of storage for haemoglobin level, haematocrit, haemolysis rate, potassium, lactate dehydrogenase (LDH), pH and sterility. The PRBC warming rate upon exposure to uncontrolled temperature were monitored and recorded. All PRBCs achieved desired quality requirement from national guideline from day 1 to day 35 for haematocrit, haemolysis rate, and sterility. However, none of the PRBC units met the standard requirement (>45g/unit) for haemoglobin starting day 14 to day 35. No significant changes observed for all PRBC’s quality over repetitive exposure to uncontrolled temperature in 35 days in experimental group (P<0.05). There was also no evidence of bacterial contamination in PRBC at the end of their shelf life. 2019 Thesis http://eprints.usm.my/48143/ http://eprints.usm.my/48143/1/NOOR%20HAMIZAH_hj.pdf application/pdf en public masters Universiti Sains Malaysia Institut Perubatan & Pergigian Termaju
institution Universiti Sains Malaysia
collection USM Institutional Repository
language English
topic AC801-895 Inaugural and program dissertations
spellingShingle AC801-895 Inaugural and program dissertations
Hassan, Noor Hamizah Mohd
Effects Of Repetitive Uncontrolled Temperature Exposure On The Quality Of Packed Red Blood Cells
description Packed Red Blood Cells (PRBC) must be transfused within 30 minutes upon removal from blood refrigerator and the PRBC should not be hold in the ward where the storage temperature is not controlled. Untransfused blood which returned to the blood bank shall be discarded unless it is kept in an appropriate condition and temperature. Intermittent storage outside allowable temperature range often leads to destruction of the PRBC unit. This was a cross sectional study performed to determine the PRBC warming rates and the quality of PRBC upon repetitive exposure to uncontrolled temperature after 30 minutes and 4 hours. In this study four PRBC units (228 mL ± 37mL) collected from eligible volunteer subjects were equivalently split into two units, producing eight smaller units PRBC (±130mL) which then assigned into two groups; control and experimental group. Eight units of PRBC from both control and experimental group were tested on day 1, day 7, day 14 and day 35 of storage for haemoglobin level, haematocrit, haemolysis rate, potassium, lactate dehydrogenase (LDH), pH and sterility. The PRBC warming rate upon exposure to uncontrolled temperature were monitored and recorded. All PRBCs achieved desired quality requirement from national guideline from day 1 to day 35 for haematocrit, haemolysis rate, and sterility. However, none of the PRBC units met the standard requirement (>45g/unit) for haemoglobin starting day 14 to day 35. No significant changes observed for all PRBC’s quality over repetitive exposure to uncontrolled temperature in 35 days in experimental group (P<0.05). There was also no evidence of bacterial contamination in PRBC at the end of their shelf life.
format Thesis
qualification_level Master's degree
author Hassan, Noor Hamizah Mohd
author_facet Hassan, Noor Hamizah Mohd
author_sort Hassan, Noor Hamizah Mohd
title Effects Of Repetitive Uncontrolled Temperature Exposure On The Quality Of Packed Red Blood Cells
title_short Effects Of Repetitive Uncontrolled Temperature Exposure On The Quality Of Packed Red Blood Cells
title_full Effects Of Repetitive Uncontrolled Temperature Exposure On The Quality Of Packed Red Blood Cells
title_fullStr Effects Of Repetitive Uncontrolled Temperature Exposure On The Quality Of Packed Red Blood Cells
title_full_unstemmed Effects Of Repetitive Uncontrolled Temperature Exposure On The Quality Of Packed Red Blood Cells
title_sort effects of repetitive uncontrolled temperature exposure on the quality of packed red blood cells
granting_institution Universiti Sains Malaysia
granting_department Institut Perubatan & Pergigian Termaju
publishDate 2019
url http://eprints.usm.my/48143/1/NOOR%20HAMIZAH_hj.pdf
_version_ 1747821887610683392