{"id":3816,"date":"2021-08-30T16:13:02","date_gmt":"2021-08-30T08:13:02","guid":{"rendered":"https:\/\/www.cosmomed.com.tw\/?p=3816"},"modified":"2021-08-31T14:55:07","modified_gmt":"2021-08-31T06:55:07","slug":"ri-2-compatible-blood-product","status":"publish","type":"post","link":"https:\/\/www.cosmomed.com.tw\/en\/ri-2-compatible-blood-product\/","title":{"rendered":"Which blood products be used with rapid infuser?"},"content":{"rendered":"\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"689\" height=\"639\" src=\"https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/ri-2-compatible-blood-v3.jpg\" alt=\"\" class=\"wp-image-3849\" srcset=\"https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/ri-2-compatible-blood-v3.jpg 689w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/ri-2-compatible-blood-v3-400x371.jpg 400w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/ri-2-compatible-blood-v3-300x278.jpg 300w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/ri-2-compatible-blood-v3-13x12.jpg 13w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/ri-2-compatible-blood-v3-600x556.jpg 600w\" sizes=\"(max-width: 689px) 100vw, 689px\" \/><\/figure><\/div>\n\n\n\n<p><strong><strong>\u8c9d\u723e\u66fc\u7279\u8f38\u6db2\u7ba1\u7406\u7cfb\u7d71<\/strong>\u53ef\u4ee5\u8f38\u6ce8<span style=\"text-decoration: underline;\">\u8840\u5c0f\u677f<\/span>\u55ce\uff1fNO!!<\/strong><\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"641\" height=\"150\" src=\"https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/RI-2-Platelets-transfision-warning.png\" alt=\"\" class=\"wp-image-3820\" srcset=\"https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/RI-2-Platelets-transfision-warning.png 641w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/RI-2-Platelets-transfision-warning-400x94.png 400w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/RI-2-Platelets-transfision-warning-300x70.png 300w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/RI-2-Platelets-transfision-warning-18x4.png 18w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/RI-2-Platelets-transfision-warning-600x140.png 600w\" sizes=\"(max-width: 641px) 100vw, 641px\" \/><\/figure><\/div>\n\n\n\n<p>\u6240\u6709\u8f38\u6db2\u52a0\u6eab\u5668(Fluid Warmer)\u6216\u5feb\u901f\u8f38\u6db2\u7cfb\u7d71(Rapid Infuser)\u90fd\u6703\u6709\u985e\u4f3c\u201c\u4e0d\u5f97\u7528\u65bc\u8840\u5c0f\u677f\u8f38\u6ce8\u201d\u7684\u8b66\u8a9e\uff0c\u6700\u4e3b\u8981\u53c3\u7167\u7684\u662f\u7f8e\u570b\u8840\u5eab\u5354\u6703AABB\u767c\u884c\u7684\u8f38\u8840\u52a0\u6eab\u5668\u4f7f\u7528\u6307\u5357[4]\uff0c\u7576\u4e2d\u6307\u793a<span style=\"text-decoration: underline;\">\u4e0d\u5efa\u8b70<\/span>\u7d93\u7531\u52a0\u6eab\u5668\u8f38\u6ce8\u8840\u5c0f\u677f\uff0c\u56e0\u52a0\u71b1\u5f8c\u53ef\u80fd\u5c0e\u81f4\u5176\u6548\u679c\u964d\u4f4e[4]\u3002<\/p>\n\n\n\n<p>\u5176\u6b21\u5247\u662f\u8840\u5c0f\u677f\u5bb9\u6613\u9644\u8457\u5728\u8f38\u6db2\u52a0\u6eab\u5668\u3001\u5feb\u901f\u8f38\u6db2\u7cfb\u7d71\u7684\u7ba1\u58c1\u4e0a\uff0c\u5c0e\u81f4\u50c5\u6709\u5c11\u91cf\u7684\u8840\u5c0f\u677f\u5be6\u969b\u9032\u5230\u75c5\u4eba\u5faa\u74b0[3]\u3002\u56e0\u6b64\uff0c\u8840\u5c0f\u677f\u4e00\u822c\u5728\u8f38\u6ce8\u6642\u6703\u4f7f\u7528\u55ae\u7368\u7684\u8f38\u6ce8\u7ba1\u8def\u3002\u7576\u7136\u6211\u5011\u4e5f\u8981\u6f84\u6e05\u7981\u7528\u8840\u5c0f\u677f\u4e26\u4e0d\u9650\u65bc\u8c9d\u723e\u66fc\u7279\u7684\u6a5f\u5668\uff0c\u4e00\u822c\u52a0\u6eab\u5668\u6216\u5feb\u901f\u8f38\u6db2\u88dd\u7f6e\u90fd\u6703\u6709\u985e\u4f3c\u7684\u8840\u5c0f\u677f\u7981\u7528\u9650\u5236\u3002<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p>Guidelines for the use of blood warming devices<\/p><p>Warming to body temperature does not harm the contents of most components. Therefore, there are few absolute contraindication to use of a blood warming device. However, blood warmers are not usually needed or provide no clinical advantage in situations such as:<\/p><p>&#8230;&#8230;<br><span style=\"text-decoration: underline;\">Administration of Platelets, Cryoprecipitate, or Granulocyte suspensions (Warming may render these products less effective.)<\/span><\/p><cite>Hrovat, Teresa M.&nbsp;<em>Guidelines for the use of blood warming devices<\/em>. AABB, 2002.<\/cite><\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p>Miller&#8217;s Anesthesia<br><br>Platelets should not be administered through filters, warmers, or rapid infusion systems because they will bond to the inner surfaces of these devices, thereby reducing the quantity of platelets actually reaching the circulation.<\/p><cite>Gropper, Michael A., et al.&nbsp;<em>Miller&#8217;s Anesthesia, 2-Volume Set E-Book<\/em>. Elsevier Health Sciences, 2019. <\/cite><\/blockquote>\n\n\n\n<p><strong>\u8c9d\u723e\u66fc\u7279\u8f38\u6db2\u7ba1\u7406\u7cfb\u7d71\u53ef\u4ee5\u8f38\u6ce8<span style=\"text-decoration: underline;\">\u5168\u8840<\/span>\u55ce<\/strong>\uff1f<strong>YES!!<\/strong><\/p>\n\n\n\n<p>\u6709\u6297\u51dd\u8655\u7406(anti-coagulated)\u7684Packed RBC\u3001FFP\u3001\u5168\u8840\u4ee5\u53ca\u7d93Cell Saver\u6d17\u6ecc\u7684\u81ea\u9ad4\u56de\u6536\u8840\u90fd\u9069\u7528\u65bc<a rel=\"noreferrer noopener\" href=\"https:\/\/www.cosmomed.com.tw\/product\/belmont\/belmont-rapid-infuser-ri-2\/\" data-type=\"product\" data-id=\"85\" target=\"_blank\">\u8c9d\u723e\u66fc\u7279\u8f38\u6db2\u7ba1\u7406\u7cfb\u7d71<\/a>\u3002\u4f7f\u7528\u8005\u8981\u7279\u5225\u6ce8\u610f\u8f38\u6ce8\u8840\u54c1\u524d\u3001\u5f8c\uff0c\u4e0d\u8981\u6709\u4fc3\u51dd\u5291\u9032\u5165\u8017\u6750\u7ba1\u8def\u5982\u4e73\u9178\u6797\u683c\u6c0f\u6db2(Lacteted Ringer&#8217;s)\u3001\u4efb\u4f55\u542b\u9223\u6eb6\u6db2\u6216\u662f\u8461\u8404\u7cd6\u6eb6\u6db2\uff0c\u5426\u5247\u53ef\u80fd\u5c0e\u81f4\u8840\u6db2\u5728\u8017\u6750\u4e2d\u51dd\u56fa\u3002<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-full\"><a href=\"https:\/\/www.facebook.com\/255567481124478\/photos\/a.902663696414850\/4339407486073770\/\"><img decoding=\"async\" width=\"482\" height=\"515\" src=\"https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/cse_and_fms2000v2.jpg\" alt=\"\" class=\"wp-image-3840\" srcset=\"https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/cse_and_fms2000v2.jpg 482w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/cse_and_fms2000v2-374x400.jpg 374w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/cse_and_fms2000v2-281x300.jpg 281w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/cse_and_fms2000v2-11x12.jpg 11w\" sizes=\"(max-width: 482px) 100vw, 482px\" \/><\/a><figcaption>Cell Saver\u8207Rapid Infuser\u642d\u914d\u4f7f\u7528<\/figcaption><\/figure><\/div>\n\n\n\n<p><strong>\u4f46\u5168\u8840\u4e2d\u4e5f\u6709\u8840\u5c0f\u677f\u5462\uff1f<\/strong><\/p>\n\n\n\n<p>\u5728\u8f38\u6ce8\u5168\u8840\u6642\uff0c\u4e0d\u53ef\u907f\u514d\u5730\u6703\u6709\u8840\u5c0f\u677f\u901a\u904e\u7cfb\u7d71\u7ba1\u8def\uff0c\u4f46\u5c11\u6709\u7814\u7a76\u8aaa\u660e\u5f71\u97ff\u6027\u3002\u8fd1\u671f\u4f5b\u7f85\u91cc\u9054\u5927\u5b78\u91ab\u5b78\u9662\u9ebb\u9189\u79d1(Anesthesiology, University of Florida College of Medicine)\u5373\u5c0d\u6b64\u767c\u8868\u7814\u7a76[1]\uff0c\u5b83\u5011\u89c0\u5bdf<a rel=\"noreferrer noopener\" href=\"https:\/\/www.cosmomed.com.tw\/product\/belmont\/belmont-rapid-infuser-ri-2\/\" data-type=\"product\" data-id=\"85\" target=\"_blank\">\u8c9d\u723e\u66fc\u7279\u8f38\u6db2\u7ba1\u7406\u7cfb\u7d71<\/a>\u5728\u8f38\u6ce8\u5168\u8840\u6642\u7576\u4e2d\u7684\u8840\u5c0f\u677f\u6709\u54ea\u4e9b\u8ca0\u9762\u6548\u679c\u3002\u7d50\u679c\u767c\u73fe\u8840\u5c0f\u677f\u6578(Platelet Count)\u3001\u8840\u5c0f\u677f\u5e73\u5747\u9ad4\u7a4d(Mean platelet volume, MPV)\u5728\u7d93\u904e\u8f38\u6db2\u7cfb\u7d71\u4e4b\u5f8c\u6703\u6e1b\u5c11\uff0c\u8840\u6813\u5f48\u529b\u5206\u6790\u7684\u8840\u51dd\u584a\u6700\u5927\u9707\u5e45(Maximum amplitude)\u4e5f\u964d\u4f4e\u3002\u63db\u8a00\u4e4b\uff0c\u8840\u5c0f\u677f\u6578\u91cf\u3001\u8840\u6813\u5f48\u6027\u5f37\u5ea6\u5728\u901a\u904e\u7cfb\u7d71\u5f8c\u90fd\u6703\u6e1b\u5c11\uff0c\u4e0d\u904e\u4f5c\u8005\u8aaa\u660e<span style=\"text-decoration: underline;\">\u9020\u6210\u7684\u5dee\u7570\u5f88\u4e9b\u5fae\uff0c\u5feb\u901f\u8f38\u6db2\u7cfb\u7d71\u80fd\u5920\u63d0\u4f9b\u66f4\u5feb\u3001\u66f4\u5373\u6642\u7684\u8840\u54c1\u8f38\u6ce8\u901f\u5ea6\uff0c\u76f8\u8f03\u4e4b\u4e0b\u7684\u6548\u76ca\u8f03\u5927<\/span>\u3002<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"621\" height=\"800\" src=\"https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/platelet-function-621x800.jpg\" alt=\"\" class=\"wp-image-3863\" srcset=\"https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/platelet-function-621x800.jpg 621w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/platelet-function-311x400.jpg 311w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/platelet-function-233x300.jpg 233w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/platelet-function-9x12.jpg 9w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/platelet-function-600x772.jpg 600w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/platelet-function.jpg 651w\" sizes=\"(max-width: 621px) 100vw, 621px\" \/><figcaption>\u5168\u8840\u8f38\u6ce8\u524d\u3001\u5f8c\u7684\u8840\u5c0f\u677f\u8b8a\u5316[1]<\/figcaption><\/figure><\/div>\n\n\n\n<p><strong>\u53c3\u8003\u8cc7\u6599\uff1a<\/strong><br>[1].Sappenfield, Joshua W., et al. &#8220;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8376140\/\" target=\"_blank\" rel=\"noreferrer noopener\">Effects of a Single Rapid Infusion System on Platelet Function in Stored Whole Blood: An Ex Vivo Study.<\/a>&#8221;&nbsp;<em>Cureus<\/em>&nbsp;13.7 (2021).<br>[2].Hess, Aaron Stansbury, et al. &#8220;<a href=\"https:\/\/aabb.confex.com\/aabb\/2018\/meetingapp.cgi\/Paper\/4582\" target=\"_blank\" rel=\"noreferrer noopener\">Administering Platelets through a Fluid Warmer or Rapid Blood Infusion System Does Not Impair Their Function.<\/a>&#8221;&nbsp;<em>2018 Annual Meeting<\/em>. AABB, 2018.<br>[3].Gropper, Michael A., et al.&nbsp;<em>Miller&#8217;s Anesthesia, 2-Volume Set E-Book<\/em>. Elsevier Health Sciences, 2019. <br>[4].Hrovat, Teresa M.&nbsp;<em>Guidelines for the use of blood warming devices<\/em>. AABB, 2002.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Packed RBC\u3001FFP\u3001\u5168\u8840\u3001\u8840\u5c0f\u677f\u3001Cryo\u54ea\u4e9b\u53ef\u4ee5\u8f38\u6db2\u52a0\u6eab\u3001\u5feb\u901f\u8f38\u6db2\uff0c\u54ea\u4e9b\u662f\u7981\u5fcc\uff1f<\/p>","protected":false},"author":1,"featured_media":3849,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[65],"tags":[66,127,222,94,102,101,67,354,111,110,96],"class_list":["post-3816","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-info","tag-belmont-rapid-infuser","tag-cosmo-medical","tag-fms2000","tag-ri-2","tag-102","tag-101","tag-67","tag-354","tag-111","tag-110","tag-96"],"jetpack_featured_media_url":"https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/ri-2-compatible-blood-v3.jpg","jetpack_shortlink":"https:\/\/wp.me\/paJTt6-Zy","rttpg_featured_image_url":{"full":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/ri-2-compatible-blood-v3.jpg",689,639,false],"landscape":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/ri-2-compatible-blood-v3.jpg",689,639,false],"portraits":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/ri-2-compatible-blood-v3.jpg",689,639,false],"thumbnail":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/ri-2-compatible-blood-v3-300x278.jpg",300,278,true],"medium":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/ri-2-compatible-blood-v3-400x371.jpg",400,371,true],"large":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/ri-2-compatible-blood-v3.jpg",689,639,false],"1536x1536":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/ri-2-compatible-blood-v3.jpg",689,639,false],"2048x2048":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/ri-2-compatible-blood-v3.jpg",689,639,false],"trp-custom-language-flag":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/ri-2-compatible-blood-v3-13x12.jpg",13,12,true],"hestia-blog":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/ri-2-compatible-blood-v3-360x240.jpg",360,240,true],"woocommerce_thumbnail_2x":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/ri-2-compatible-blood-v3-460x460.jpg",460,460,true],"woocommerce_thumbnail":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/ri-2-compatible-blood-v3-230x230.jpg",230,230,true],"woocommerce_single":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/ri-2-compatible-blood-v3-600x556.jpg",600,556,true],"woocommerce_gallery_thumbnail":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2021\/08\/ri-2-compatible-blood-v3-160x160.jpg",160,160,true]},"rttpg_author":{"display_name":"pohsun","author_link":"https:\/\/www.cosmomed.com.tw\/en\/author\/pohsun\/"},"rttpg_comment":0,"rttpg_category":"<a href=\"https:\/\/www.cosmomed.com.tw\/en\/category\/info\/\" rel=\"category tag\">\u8cc7\u8a0a<\/a>","rttpg_excerpt":"Packed RBC\u3001FFP\u3001\u5168\u8840\u3001\u8840\u5c0f\u677f\u3001Cryo\u54ea\u4e9b\u53ef\u4ee5\u8f38\u6db2\u52a0\u6eab\u3001\u5feb\u901f\u8f38\u6db2\uff0c\u54ea\u4e9b\u662f\u7981\u5fcc\uff1f","_links":{"self":[{"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/posts\/3816","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/comments?post=3816"}],"version-history":[{"count":0,"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/posts\/3816\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/media\/3849"}],"wp:attachment":[{"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/media?parent=3816"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/categories?post=3816"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/tags?post=3816"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}