CC BY-NC-ND 4.0 · Indian J Plast Surg 2014; 47(02): 242-248
DOI: 10.4103/0970-0358.138961
Original Article
Association of Plastic Surgeons of India

A novel method for blood volume estimation using trivalent chromium in rabbit models

Prathap Moothamadathil Baby
Department of Physiology, Melaka Manipal Medical College, Manipal campus, Manipal University, Karnataka, India
,
Pramod Kumar
1   Department of Plastic Surgery, King Abdul Aziz Specialist Hospital, Al Jouf, Saudi Arabia
,
Rajesh Kumar
2   Department of Nuclear Medicine, Kasturba Medical College, Manipal, Manipal University, Karnataka, India
,
Sanu S. Jacob
3   Department of Physiology, Kasturba Medical College, Manipal, Manipal University, Karnataka, India
,
Dinesh Rawat
4   Department of Nuclear Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India,
,
V. S. Binu
5   Department of Statistics, Manipal Univeristy, Manipal, Karnataka, India
,
Kalesh M. Karun
5   Department of Statistics, Manipal Univeristy, Manipal, Karnataka, India
› Institutsangaben
Weitere Informationen

Address for correspondence:

Mr. Prathap Moothamadathil Baby
Department of Physiology, Melaka Manipal Medical College, Manipal campus, Manipal University
Madhav Nagar, Manipal - 576 104, Karnataka
India   

Publikationsverlauf

Publikationsdatum:
26. August 2019 (online)

 

ABSTRACT

Background: Blood volume measurement though important in management of critically ill-patients is not routinely estimated in clinical practice owing to labour intensive, intricate and time consuming nature of existing methods. Aims: The aim was to compare blood volume estimations using trivalent chromium [51 Cr(III)] and standard Evans blue dye (EBD) method in New Zealand white rabbit models and establish correction-factor (CF). Materials and Methods: Blood volume estimation in 33 rabbits was carried out using EBD method and concentration determined using spectrophotometric assay followed by blood volume estimation using direct injection of 51Cr(III). Twenty out of 33 rabbits were used to find CF by dividing blood volume estimation using EBD with blood volume estimation using 51Cr(III). CF is validated in 13 rabbits by multiplying it with blood volume estimation values obtained using 51Cr(III). Results: The mean circulating blood volume of 33 rabbits using EBD was 142.02 ± 22.77 ml or 65.76 ± 9.31 ml/kg and using 51Cr(III) was estimated to be 195.66 ± 47.30 ml or 89.81 ± 17.88 ml/kg. The CF was found to be 0.77. The mean blood volume of 13 rabbits measured using EBD was 139.54 ± 27.19 ml or 66.33 ± 8.26 ml/kg and using 51Cr(III) with CF was 152.73 ± 46.25 ml or 71.87 ± 13.81 ml/kg (P = 0.11). Conclusions: The estimation of blood volume using 51Cr(III) was comparable to standard EBD method using CF. With further research in this direction, we envisage human blood volume estimation using 51Cr(III) to find its application in acute clinical settings.


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Conflicts of interest

None declared.

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Address for correspondence:

Mr. Prathap Moothamadathil Baby
Department of Physiology, Melaka Manipal Medical College, Manipal campus, Manipal University
Madhav Nagar, Manipal - 576 104, Karnataka
India   

  • REFERENCES

  • 1 Fiddian-Green RG, Haglund U, Gutierrez G, Shoemaker WC. Goals for the resuscitation of shock. Crit Care Med 1993; 21: S25-31
  • 2 Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B. et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 2001; 345: 1368-77
  • 3 Jones JG, Wardrop CA. Measurement of blood volume in surgical and intensive care practice. Br J Anaesth 2000; 84: 226-35
  • 4 Kumar P, Kumar R, Pandit N, Aggrawal A, Baby PM. Estimation of blood volume in burns patients using radioisotope chromium-51: A pilot study. Burns 2007; 33: 1072-3
  • 5 Cook DJ. Clinical assessment of central venous pressure in the critically ill. Am J Med Sci 1990; 299: 175-8
  • 6 McGee S, Abernethy 3rd WB, Simel DL. The rational clinical examination. Is this patient hypovolemic?. JAMA 1999; 281: 1022-9
  • 7 Shippy CR, Appel PL, Shoemaker WC. Reliability of clinical monitoring to assess blood volume in critically ill patients. Crit Care Med 1984; 12: 107-12
  • 8 Singh S, Kuschner WG, Lighthall G. Perioperative intravascular fluid assessment and monitoring: A narrative review of established and emerging techniques. Anesthesiol Res Pract 2011; 2011: 231493
  • 9 Armin J, Grant RT, Pels H, Reeve EB. The plasma, cell and blood volumes of albino rabbits as estimated by the dye (T 1824) and 32P marked cell methods. J Physiol 1952; 116: 59-73
  • 10 Jahr JS, Lurie F, Xi S, Golkaryeh M, Kuznetsova O, Kullar R. et al. A novel approach to measuring circulating blood volume: The use of a hemoglobin-based oxygen carrier in a rabbit model. Anesth Analg 2001; 92: 609-14
  • 11 Noble RP, Gregersen MI, Porter PM, Buckman A. Blood volume in clinical shock. I. Mixing time and disappearance rate of T-1824 in normal subjects and in patients in shock; determination of plasma volume in man from 10-minute sample. J Clin Invest 1946; 25: 158-71
  • 12 Gornall AG, Bardawill CJ, David MM. Determination of serum proteins by means of the biuret reaction. J Biol Chem 1949; 177: 751-66
  • 13 Leeson D, Reeve EB. The plasma in the packed cell column of the haematocrit. J Physiol 1951; 115: 129-42
  • 14 Recommended methods for measurement of red-cell and plasma volume: International Committee for Standardization in Haematology. J Nucl Med 1980; 21: 793-800
  • 15 Liu Y, Xu XH, He P. Remediation of Cr(VI) in solution using vitamin C. J Zhejiang Univ Sci B 2005; 6: 540-2
  • 16 Modi AC, Guilfoyle SM, Morita DA, Glauser TA. Development and reliability of a correction factor for parent-reported adherence to pediatric antiepileptic drug therapy. Epilepsia 2011; 52: 370-6
  • 17 Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986; 1: 307-10
  • 18 Margarson MP, Soni NC. Plasma volume measurement in septic patients using an albumin dilution technique: Comparison with the standard radio-labelled albumin method. Intensive Care Med 2005; 31: 289-95
  • 19 Removal of blood from laboratory mammals and birds. First report of the BVA/FRAME/RSPCA/UFAW Joint Working Group on Refinement. Lab Anim 1993; 27: 1-22
  • 20 Diehl KH, Hull R, Morton D, Pfister R, Rabemampianina Y, Smith D. et al. A good practice guide to the administration of substances and removal of blood, including routes and volumes. J Appl Toxicol 2001; 21: 15-23
  • 21 Gray SJ, Sterling K. The tagging of red cells and plasma proteins with radioactive chromium. J Clin Invest 1950; 29: 1604-13
  • 22 Massey EJ, de Souza P, Findlay G, Smithies M, Shah S, Spark P. et al. Clinically practical blood volume assessment with fluorescein-labeled HES. Transfusion 2004; 44: 151-7