Impact of hemoglobin concentration and affinity for oxygen on tissue oxygenation: the case of hemoglobin-based oxygen carriers.

Abstract:

:In patients undergoing exchange-transfusion with hemoglobin (Hb)-based oxygen (O₂) carriers (HBOC), native Hb coexists with newly transfused Hb. The two Hb types share the same arterial and venous PO₂, but their affinities for O₂ vary. A simple spreadsheet model is described aiming at evaluating the contribution of each Hb type to the overall O₂ transport characteristics as a function of the batch Hb concentration and O₂ affinity in the HBOC solution, of the fraction of exchange-transfused blood/HBOC, and of the arterial PO₂. This model helps to yield a quantitative estimate of how tissues with high or low O₂ extraction respond to the changes cited above. The results show that the higher the exchange-transfusion ratio, the O₂ transport to tissues becomes progressively impaired. However, this effect is more critical at low batch Hb concentration and high O₂ affinity of the HBOC, especially for tissues/organs with high O₂ extraction, whereas the arterial PO₂ does not appear as critical.

journal_name

Artif Organs

journal_title

Artificial organs

authors

Samaja M,Terraneo L

doi

10.1111/j.1525-1594.2011.01296.x

subject

Has Abstract

pub_date

2012-02-01 00:00:00

pages

210-5

issue

2

eissn

0160-564X

issn

1525-1594

journal_volume

36

pub_type

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