Skip to main content
Annals of Surgery logoLink to Annals of Surgery
. 1990 Apr;211(4):394–398. doi: 10.1097/00000658-199004000-00003

The efficacy of polymerized pyridoxylated hemoglobin solution as an O2 carrier.

S A Gould 1, L R Sehgal 1, A L Rosen 1, H L Sehgal 1, G S Moss 1
PMCID: PMC1358023  PMID: 2322034

Abstract

A polymerized pyridoxylated hemoglobin solution (Poly SFH-P) has been prepared with a normal [Hb] of 14 g/dL, a normal COP of 20 to 25 torr, a P50 of 16 to 20 torr, and a plasma T1/2 of 40 to 46 hours. Animals underwent a total exchange transfusion with Poly SFH-P to assess its ability to support hemodynamics and oxygen transport in the absence of red cells. All animals survived the exchange transfusion. Mean arterial pressure (MAP), heart rate (HR), cardiac output (CO), and oxygen consumption (VO2) remained at baseline values at zero hematocrit after the exchange. The final plasma [Hb] at Hct less than 1% was 9.7 +/- 0.4 g/dL. These results are significantly better than previous data with unmodified tetrameric hemoglobin solution (SFH). Poly SFH-P supports life in the absence of red cells. In contrast to SFH, Poly SFH-P achieves a nearly normal [Hb], a longer T1/2, and maintains baseline hemodynamics and oxygen consumption at zero hematocrit. These results document that Poly SFH-P is an effective oxygen carrier that offers greater potential than previous products as a clinically useful red cell substitute.

Full text

PDF
394

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Gould S. A., Rosen A. L., Sehgal L. R., Sehgal H. L., Moss G. S. Polymerized pyridoxylated hemoglobin: efficacy as an O2 carrier. J Trauma. 1986 Oct;26(10):903–908. doi: 10.1097/00005373-198610000-00007. [DOI] [PubMed] [Google Scholar]
  2. Gould S. A., Rosen A., Sehgal L., Noud G., Sehgal H., DeWoskin R., Levine H., Kerstein M., Rice C., Moss G. S. The effect of altered hemoglobin-oxygen affinity on oxygen transport by hemoglobin solution. J Surg Res. 1980 Mar;28(3):246–251. doi: 10.1016/0022-4804(80)90123-7. [DOI] [PubMed] [Google Scholar]
  3. Gould S. A., Sehgal L. R., Rosen A. L., Sehgal H. L., Levine H. D., Rice C. L., Moss G. S. Hemoglobin solution: is a normal [Hb] or P50 more important? J Surg Res. 1982 Sep;33(3):189–193. doi: 10.1016/0022-4804(82)90028-2. [DOI] [PubMed] [Google Scholar]
  4. Kaplan H. R., Murthy V. S. Hemoglobin solution: a potential oxygen transporting plasma volume expander. Fed Proc. 1975 May;34(6):1461–1465. [PubMed] [Google Scholar]
  5. Messmer K., Jesch F., Peters W., Schoenberg M. Oxygen affinity of stroma free hemoglobin and its effect on tissue oxygenation. Bibl Anat. 1977;(15 Pt 1):375–379. [PubMed] [Google Scholar]
  6. Moss G. S., DeWoskin R., Rosen A. L., Levine H., Palani C. K. Transport of oxygen and carbon dioxide by hemoglobin-saline solution in the red cell-free primate. Surg Gynecol Obstet. 1976 Mar;142(3):357–362. [PubMed] [Google Scholar]
  7. Moss G. S., Gould S. A., Sehgal L. R., Sehgal H. L., Rosen A. L. Hemoglobin solution--from tetramer to polymer. Surgery. 1984 Mar;95(3):249–255. [PubMed] [Google Scholar]
  8. Rosen A. L., Sehgal L. R., Gould S. A., Sehgal H. L., Moss G. S. Methodology to assess the oxygen concentration of red cells and stroma-free hemoglobin solutions. Crit Care Med. 1986 Feb;14(2):147–150. doi: 10.1097/00003246-198602000-00016. [DOI] [PubMed] [Google Scholar]
  9. Sehgal H. L., Sehgal L. R., Rosen A. L., DeWoskin R., Gould S., Moss G. S. Sensitivity of the IL 282 Co-oximeter to low hemoglobin concentration and high proportions of methemoglobin. Clin Chem. 1980 Feb;26(2):362–363. [PubMed] [Google Scholar]
  10. Sehgal L. R., Gould S. A., Rosen A. L., Sehgal H. L., Moss G. S. Polymerized pyridoxylated hemoglobin: a red cell substitute with normal oxygen capacity. Surgery. 1984 Apr;95(4):433–438. [PubMed] [Google Scholar]
  11. Sehgal L. R., Rosen A. L., Noud G., Sehgal H. L., Gould S. A., DeWoskin R., Rice C. L., Moss G. S. Large-volume preparation of pyridoxylated hemoglobin with high P50. J Surg Res. 1981 Feb;30(1):14–20. doi: 10.1016/0022-4804(81)90065-2. [DOI] [PubMed] [Google Scholar]

Articles from Annals of Surgery are provided here courtesy of Lippincott, Williams, and Wilkins

RESOURCES