Table 4.
Patient Population | Control Dosage | HBOC Dosage | Physiologic Effects | Treatment Effect |
---|---|---|---|---|
Surgical Patients38 | Allogeneic PRBC transfusion (n=24), PRN | (n=40), 60g, option of 3 more doses of 30g | ↑ MAP, serum urea [N2], Bicarbonate, BE, plasma [Hb]
↓ Hct |
↓ PRBC use in 27% of patients |
Surgical Patients39 | Allogeneic PRBC transfusion (n=48), PRN | (n=50), 60g, option of 3 more doses of 30g | ↑ MAP, Mean PAP, arterial O2 ↓ CI, SpO2 |
↑ O2 extraction* ↓ PRBC use |
Surgical Patients40 | LR (n=26), 849 mL | (n=55), 0.6g/kg - 2.5g/kg | ↑ plasma Hb | Intraoperative use of HBOC well tolerated |
Surgical Patients42 | Allogeneic PRBC transfusion (n=338), PRN | (n=350), 65g, up to 325g | ↑ total [Hb], Hct |
↑ cardiac adverse effects* ↓ PRBC use* |
= p<0.05; all physiologic effects reported as statistically significant per the authors’ criteria, LR= lactated Ringer’s solution, RBC= red blood cells, PRBC= packed red blood cells, MAP= mean arterial pressure, BE= base excess, Hb= hemoglobin, Hct= hematocrit, PAP= pulmonary arterial pressure, CI= cardiac index