storage lesion


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storage lesion

Transfusion medicine The constellation of changes occurring in a unit of packed red cells during storage. See Red cell preservatives.
Storage lesions
Ammonium to 470 µmol/L–US: 800 µg/dL
Free Hb in plasma from 82 to 6580 mg/L–US: 8.2 to 658 mg/dL
K+ from 4.2 to 78.5 mmol/L–US: 4.2 to 78.5 mEq/L
ATP from 100% to 45%
2,3 DPG to < 10% of original levels–replenished within 24 hours of transfusion
Labile proteins, eg complement, fibronectin and coagulation factors ↓ to negligible
Na+ from 169 to 111 mmol/L–US: 169 to 111 mEq/L
pH from 7.6 to 6.7
Adverse physiologic effects of stored blood is negligible in the absence of a previous compromise of the Pt's–recipient's status

storage lesion

In blood banking and transfusion therapy, the biochemical and structural degradation of blood cells that occurs over time.
See also: lesion
References in periodicals archive ?
9,21,22) Platelet-derived microparticles arising in vitro as a storage lesion may differ qualitatively from PDMPs arising in vivo.
This type of storage lesion continues during the shelf life of banked blood.
These issues have heightened the search for alternatives that reduce or eliminate the need for donor blood in elective surgeries and are not subject to the storage lesion effect.