Assessment of a downsized potassium adsorption filter designed to transfuse neonates.

Kei Ogasawara, Hitoshi Ohto, Nozomi Takano, Kenneth E Nollet, Hayato Go, Maki Sato, Nobuo Momoi, Mitsuaki Hosoya

Journal: Transfusion 2021;60(11):2494-2499

PMID: 33217022

Abstract

BACKGROUND

During storage, the potassium level of red blood cell (RBC) components increases, especially after irradiation. Neonates are prone to hyperkalemia, for example, non-oliguric hyperkalemia, so using potassium adsorption filters during transfusion may be helpful. To overcome dilution of RBC components caused by saline priming of existing potassium adsorption filters, a downsized potassium adsorption filter for neonates (PAF-n, Kawasumi Laboratories Inc., Tokyo, Japan) was developed.

STUDY DESIGN AND METHODS

To assess the performance of PAF-n, its adsorption efficiency and RBC recovery rate were evaluated by testing pre-filtration and serial post-filtration (0-30 mL, 30-60 mL, 60-90 mL, and 90-120 mL) samples from 8 RBC components.

RESULTS

The average potassium adsorption rate of the PAF-n was 90.5% ± 0.78%, and never less than 89.0% in any of 8 RBC components. RBC recovery rates were 99.3% ± 1.12%.

CONCLUSION

The PAF-n showed an effective potassium ability with negligible RBC dilution.

© 2020 AABB.

Address: Department of Pediatrics, Fukushima Medical University School of Medicine, Fukushima, Japan.; Department of Blood Transfusion and Transplantation Immunology, Fukushima Medical University School of Medicine, Fukushima, Japan.
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