id sid tid token lemma pos cord-009417-458rrhcm 1 1 key key JJ cord-009417-458rrhcm 1 2 : : : cord-009417-458rrhcm 1 3 cord-009417 cord-009417 NN cord-009417-458rrhcm 1 4 - - HYPH cord-009417-458rrhcm 1 5 458rrhcm 458rrhcm NNP cord-009417-458rrhcm 2 1 authors author NNS cord-009417-458rrhcm 2 2 : : : cord-009417-458rrhcm 2 3 Luce Luce NNP cord-009417-458rrhcm 2 4 , , , cord-009417-458rrhcm 2 5 Judith Judith NNP cord-009417-458rrhcm 2 6 A. a. NN cord-009417-458rrhcm 2 7 title title NN cord-009417-458rrhcm 2 8 : : : cord-009417-458rrhcm 2 9 Use use NN cord-009417-458rrhcm 2 10 of of IN cord-009417-458rrhcm 2 11 Blood blood NN cord-009417-458rrhcm 2 12 Components component NNS cord-009417-458rrhcm 2 13 in in IN cord-009417-458rrhcm 2 14 the the DT cord-009417-458rrhcm 2 15 Intensive Intensive NNP cord-009417-458rrhcm 2 16 Care Care NNP cord-009417-458rrhcm 2 17 Unit Unit NNP cord-009417-458rrhcm 2 18 date date NN cord-009417-458rrhcm 2 19 : : : cord-009417-458rrhcm 2 20 2009 2009 CD cord-009417-458rrhcm 2 21 - - SYM cord-009417-458rrhcm 2 22 05 05 CD cord-009417-458rrhcm 2 23 - - SYM cord-009417-458rrhcm 2 24 15 15 CD cord-009417-458rrhcm 2 25 journal journal NN cord-009417-458rrhcm 2 26 : : : cord-009417-458rrhcm 2 27 Critical Critical NNP cord-009417-458rrhcm 2 28 Care Care NNP cord-009417-458rrhcm 2 29 Medicine medicine NN cord-009417-458rrhcm 2 30 DOI doi NN cord-009417-458rrhcm 2 31 : : : cord-009417-458rrhcm 2 32 10.1016 10.1016 CD cord-009417-458rrhcm 2 33 / / SYM cord-009417-458rrhcm 2 34 b978 b978 NN cord-009417-458rrhcm 2 35 - - HYPH cord-009417-458rrhcm 2 36 032304841 032304841 CD cord-009417-458rrhcm 2 37 - - HYPH cord-009417-458rrhcm 2 38 5.50082 5.50082 CD cord-009417-458rrhcm 2 39 - - SYM cord-009417-458rrhcm 2 40 0 0 CD cord-009417-458rrhcm 2 41 sha sha NN cord-009417-458rrhcm 2 42 : : : cord-009417-458rrhcm 2 43 5589f09fd26e12ead3a4d85c63396f3ba964a437 5589f09fd26e12ead3a4d85c63396f3ba964a437 NNP cord-009417-458rrhcm 2 44 doc_id doc_id CD cord-009417-458rrhcm 2 45 : : : cord-009417-458rrhcm 2 46 9417 9417 CD cord-009417-458rrhcm 2 47 cord_uid cord_uid NNS cord-009417-458rrhcm 2 48 : : : cord-009417-458rrhcm 2 49 458rrhcm 458rrhcm LS cord-009417-458rrhcm 3 1 nan nan NNP cord-009417-458rrhcm 3 2 Most Most JJS cord-009417-458rrhcm 3 3 patients patient NNS cord-009417-458rrhcm 3 4 admitted admit VBD cord-009417-458rrhcm 3 5 to to IN cord-009417-458rrhcm 3 6 an an DT cord-009417-458rrhcm 3 7 intensive intensive JJ cord-009417-458rrhcm 3 8 care care NN cord-009417-458rrhcm 3 9 unit unit NN cord-009417-458rrhcm 3 10 ( ( -LRB- cord-009417-458rrhcm 3 11 ICU ICU NNP cord-009417-458rrhcm 3 12 ) ) -RRB- cord-009417-458rrhcm 3 13 require require VBP cord-009417-458rrhcm 3 14 the the DT cord-009417-458rrhcm 3 15 administration administration NN cord-009417-458rrhcm 3 16 of of IN cord-009417-458rrhcm 3 17 one one CD cord-009417-458rrhcm 3 18 or or CC cord-009417-458rrhcm 3 19 more more JJR cord-009417-458rrhcm 3 20 blood blood NN cord-009417-458rrhcm 3 21 components component NNS cord-009417-458rrhcm 3 22 during during IN cord-009417-458rrhcm 3 23 their -PRON- PRP$ cord-009417-458rrhcm 3 24 stay stay NN cord-009417-458rrhcm 3 25 . . . cord-009417-458rrhcm 4 1 Such such JJ cord-009417-458rrhcm 4 2 patients patient NNS cord-009417-458rrhcm 4 3 exhibit exhibit VBP cord-009417-458rrhcm 4 4 great great JJ cord-009417-458rrhcm 4 5 diversity diversity NN cord-009417-458rrhcm 4 6 in in IN cord-009417-458rrhcm 4 7 conditions condition NNS cord-009417-458rrhcm 4 8 necessitating necessitate VBG cord-009417-458rrhcm 4 9 care care NN cord-009417-458rrhcm 4 10 in in IN cord-009417-458rrhcm 4 11 the the DT cord-009417-458rrhcm 4 12 ICU ICU NNP cord-009417-458rrhcm 4 13 , , , cord-009417-458rrhcm 4 14 age age NN cord-009417-458rrhcm 4 15 , , , cord-009417-458rrhcm 4 16 underlying underlie VBG cord-009417-458rrhcm 4 17 medical medical JJ cord-009417-458rrhcm 4 18 problems problem NNS cord-009417-458rrhcm 4 19 , , , cord-009417-458rrhcm 4 20 and and CC cord-009417-458rrhcm 4 21 integrity integrity NN cord-009417-458rrhcm 4 22 of of IN cord-009417-458rrhcm 4 23 physiologic physiologic JJ cord-009417-458rrhcm 4 24 compensatory compensatory JJ cord-009417-458rrhcm 4 25 mechanisms mechanism NNS cord-009417-458rrhcm 4 26 . . . cord-009417-458rrhcm 5 1 All all PDT cord-009417-458rrhcm 5 2 these these DT cord-009417-458rrhcm 5 3 patients patient NNS cord-009417-458rrhcm 5 4 , , , cord-009417-458rrhcm 5 5 however however RB cord-009417-458rrhcm 5 6 , , , cord-009417-458rrhcm 5 7 share share VB cord-009417-458rrhcm 5 8 the the DT cord-009417-458rrhcm 5 9 need need NN cord-009417-458rrhcm 5 10 for for IN cord-009417-458rrhcm 5 11 optimized optimize VBN cord-009417-458rrhcm 5 12 oxygen oxygen NN cord-009417-458rrhcm 5 13 - - HYPH cord-009417-458rrhcm 5 14 carrying carry VBG cord-009417-458rrhcm 5 15 capacity capacity NN cord-009417-458rrhcm 5 16 and and CC cord-009417-458rrhcm 5 17 tissue tissue NN cord-009417-458rrhcm 5 18 perfusion perfusion NN cord-009417-458rrhcm 5 19 . . . cord-009417-458rrhcm 6 1 Ongoing ongoing JJ cord-009417-458rrhcm 6 2 blood blood NN cord-009417-458rrhcm 6 3 loss loss NN cord-009417-458rrhcm 6 4 resulting result VBG cord-009417-458rrhcm 6 5 from from IN cord-009417-458rrhcm 6 6 injuries injury NNS cord-009417-458rrhcm 6 7 , , , cord-009417-458rrhcm 6 8 surgical surgical JJ cord-009417-458rrhcm 6 9 wounds wound NNS cord-009417-458rrhcm 6 10 , , , cord-009417-458rrhcm 6 11 invasive invasive JJ cord-009417-458rrhcm 6 12 monitoring monitoring NN cord-009417-458rrhcm 6 13 equipment equipment NN cord-009417-458rrhcm 6 14 , , , cord-009417-458rrhcm 6 15 and and CC cord-009417-458rrhcm 6 16 blood blood NN cord-009417-458rrhcm 6 17 sampling sampling NN cord-009417-458rrhcm 6 18 requirements requirement NNS cord-009417-458rrhcm 6 19 , , , cord-009417-458rrhcm 6 20 coupled couple VBN cord-009417-458rrhcm 6 21 with with IN cord-009417-458rrhcm 6 22 inadequate inadequate JJ cord-009417-458rrhcm 6 23 marrow marrow NN cord-009417-458rrhcm 6 24 function function NN cord-009417-458rrhcm 6 25 and and CC cord-009417-458rrhcm 6 26 , , , cord-009417-458rrhcm 6 27 in in IN cord-009417-458rrhcm 6 28 some some DT cord-009417-458rrhcm 6 29 , , , cord-009417-458rrhcm 6 30 red red JJ cord-009417-458rrhcm 6 31 cell cell NN cord-009417-458rrhcm 6 32 destruction destruction NN cord-009417-458rrhcm 6 33 , , , cord-009417-458rrhcm 6 34 makes make VBZ cord-009417-458rrhcm 6 35 red red JJ cord-009417-458rrhcm 6 36 cell cell NN cord-009417-458rrhcm 6 37 transfusion transfusion NN cord-009417-458rrhcm 6 38 a a DT cord-009417-458rrhcm 6 39 necessity necessity NN cord-009417-458rrhcm 6 40 for for IN cord-009417-458rrhcm 6 41 many many JJ cord-009417-458rrhcm 6 42 ICU ICU NNP cord-009417-458rrhcm 6 43 patients patient NNS cord-009417-458rrhcm 6 44 . . . cord-009417-458rrhcm 7 1 Additionally additionally RB cord-009417-458rrhcm 7 2 , , , cord-009417-458rrhcm 7 3 many many JJ cord-009417-458rrhcm 7 4 patients patient NNS cord-009417-458rrhcm 7 5 are be VBP cord-009417-458rrhcm 7 6 susceptible susceptible JJ cord-009417-458rrhcm 7 7 to to IN cord-009417-458rrhcm 7 8 the the DT cord-009417-458rrhcm 7 9 development development NN cord-009417-458rrhcm 7 10 of of IN cord-009417-458rrhcm 7 11 hemostatic hemostatic JJ cord-009417-458rrhcm 7 12 disorders disorder NNS cord-009417-458rrhcm 7 13 requiring require VBG cord-009417-458rrhcm 7 14 the the DT cord-009417-458rrhcm 7 15 administration administration NN cord-009417-458rrhcm 7 16 of of IN cord-009417-458rrhcm 7 17 such such JJ cord-009417-458rrhcm 7 18 blood blood NN cord-009417-458rrhcm 7 19 components component NNS cord-009417-458rrhcm 7 20 as as IN cord-009417-458rrhcm 7 21 plasma plasma NN cord-009417-458rrhcm 7 22 , , , cord-009417-458rrhcm 7 23 cryoprecipitate cryoprecipitate NNP cord-009417-458rrhcm 7 24 , , , cord-009417-458rrhcm 7 25 or or CC cord-009417-458rrhcm 7 26 platelet platelet NN cord-009417-458rrhcm 7 27 concentrates concentrate VBZ cord-009417-458rrhcm 7 28 . . . cord-009417-458rrhcm 8 1 Blood blood NN cord-009417-458rrhcm 8 2 components component NNS cord-009417-458rrhcm 8 3 should should MD cord-009417-458rrhcm 8 4 be be VB cord-009417-458rrhcm 8 5 considered consider VBN cord-009417-458rrhcm 8 6 drugs drug NNS cord-009417-458rrhcm 8 7 because because IN cord-009417-458rrhcm 8 8 they -PRON- PRP cord-009417-458rrhcm 8 9 exert exert VBP cord-009417-458rrhcm 8 10 potent potent JJ cord-009417-458rrhcm 8 11 therapeutic therapeutic JJ cord-009417-458rrhcm 8 12 responses response NNS cord-009417-458rrhcm 8 13 yet yet RB cord-009417-458rrhcm 8 14 are be VBP cord-009417-458rrhcm 8 15 also also RB cord-009417-458rrhcm 8 16 capable capable JJ cord-009417-458rrhcm 8 17 of of IN cord-009417-458rrhcm 8 18 causing cause VBG cord-009417-458rrhcm 8 19 signifi signifi NNP cord-009417-458rrhcm 8 20 ca can MD cord-009417-458rrhcm 8 21 nt not RB cord-009417-458rrhcm 8 22 adverse adverse JJ cord-009417-458rrhcm 8 23 effects effect NNS cord-009417-458rrhcm 8 24 . . . cord-009417-458rrhcm 9 1 The the DT cord-009417-458rrhcm 9 2 Food Food NNP cord-009417-458rrhcm 9 3 and and CC cord-009417-458rrhcm 9 4 Drug Drug NNP cord-009417-458rrhcm 9 5 Administration Administration NNP cord-009417-458rrhcm 9 6 ( ( -LRB- cord-009417-458rrhcm 9 7 FDA FDA NNP cord-009417-458rrhcm 9 8 ) ) -RRB- cord-009417-458rrhcm 9 9 regulates regulate VBZ cord-009417-458rrhcm 9 10 blood blood NN cord-009417-458rrhcm 9 11 component component NN cord-009417-458rrhcm 9 12 preparation preparation NN cord-009417-458rrhcm 9 13 , , , cord-009417-458rrhcm 9 14 testing testing NN cord-009417-458rrhcm 9 15 , , , cord-009417-458rrhcm 9 16 and and CC cord-009417-458rrhcm 9 17 administration administration NN cord-009417-458rrhcm 9 18 . . . cord-009417-458rrhcm 10 1 1 1 LS cord-009417-458rrhcm 11 1 Unlike unlike IN cord-009417-458rrhcm 11 2 pharmaceutical pharmaceutical JJ cord-009417-458rrhcm 11 3 agents agent NNS cord-009417-458rrhcm 11 4 , , , cord-009417-458rrhcm 11 5 however however RB cord-009417-458rrhcm 11 6 , , , cord-009417-458rrhcm 11 7 blood blood NN cord-009417-458rrhcm 11 8 components component NNS cord-009417-458rrhcm 11 9 have have VBP cord-009417-458rrhcm 11 10 fewer few JJR cord-009417-458rrhcm 11 11 objective objective JJ cord-009417-458rrhcm 11 12 indications indication NNS cord-009417-458rrhcm 11 13 for for IN cord-009417-458rrhcm 11 14 use use NN cord-009417-458rrhcm 11 15 and and CC cord-009417-458rrhcm 11 16 no no DT cord-009417-458rrhcm 11 17 therapeutic therapeutic JJ cord-009417-458rrhcm 11 18 index index NN cord-009417-458rrhcm 11 19 relating relate VBG cord-009417-458rrhcm 11 20 dose dose NN cord-009417-458rrhcm 11 21 to to IN cord-009417-458rrhcm 11 22 safety safety NN cord-009417-458rrhcm 11 23 . . . cord-009417-458rrhcm 12 1 It -PRON- PRP cord-009417-458rrhcm 12 2 is be VBZ cord-009417-458rrhcm 12 3 not not RB cord-009417-458rrhcm 12 4 as as RB cord-009417-458rrhcm 12 5 simple simple JJ cord-009417-458rrhcm 12 6 to to TO cord-009417-458rrhcm 12 7 monitor monitor VB cord-009417-458rrhcm 12 8 the the DT cord-009417-458rrhcm 12 9 effi effi NNP cord-009417-458rrhcm 12 10 cacy cacy NNP cord-009417-458rrhcm 12 11 and and CC cord-009417-458rrhcm 12 12 continuing continue VBG cord-009417-458rrhcm 12 13 need need NN cord-009417-458rrhcm 12 14 for for IN cord-009417-458rrhcm 12 15 a a DT cord-009417-458rrhcm 12 16 blood blood NN cord-009417-458rrhcm 12 17 component component NN cord-009417-458rrhcm 12 18 as as IN cord-009417-458rrhcm 12 19 it -PRON- PRP cord-009417-458rrhcm 12 20 is be VBZ cord-009417-458rrhcm 12 21 to to TO cord-009417-458rrhcm 12 22 determine determine VB cord-009417-458rrhcm 12 23 the the DT cord-009417-458rrhcm 12 24 blood blood NN cord-009417-458rrhcm 12 25 level level NN cord-009417-458rrhcm 12 26 of of IN cord-009417-458rrhcm 12 27 a a DT cord-009417-458rrhcm 12 28 drug drug NN cord-009417-458rrhcm 12 29 . . . cord-009417-458rrhcm 13 1 In in IN cord-009417-458rrhcm 13 2 addition addition NN cord-009417-458rrhcm 13 3 , , , cord-009417-458rrhcm 13 4 the the DT cord-009417-458rrhcm 13 5 risks risk NNS cord-009417-458rrhcm 13 6 associated associate VBN cord-009417-458rrhcm 13 7 with with IN cord-009417-458rrhcm 13 8 transfusion transfusion NN cord-009417-458rrhcm 13 9 can can MD cord-009417-458rrhcm 13 10 not not RB cord-009417-458rrhcm 13 11 be be VB cord-009417-458rrhcm 13 12 known know VBN cord-009417-458rrhcm 13 13 in in IN cord-009417-458rrhcm 13 14 advance advance NN cord-009417-458rrhcm 13 15 and and CC cord-009417-458rrhcm 13 16 may may MD cord-009417-458rrhcm 13 17 be be VB cord-009417-458rrhcm 13 18 lethal lethal JJ cord-009417-458rrhcm 13 19 ; ; : cord-009417-458rrhcm 13 20 such such JJ cord-009417-458rrhcm 13 21 risks risk NNS cord-009417-458rrhcm 13 22 include include VBP cord-009417-458rrhcm 13 23 medical medical JJ cord-009417-458rrhcm 13 24 errors error NNS cord-009417-458rrhcm 13 25 , , , cord-009417-458rrhcm 13 26 as as RB cord-009417-458rrhcm 13 27 well well RB cord-009417-458rrhcm 13 28 as as IN cord-009417-458rrhcm 13 29 infectious infectious JJ cord-009417-458rrhcm 13 30 and and CC cord-009417-458rrhcm 13 31 immunologic immunologic JJ cord-009417-458rrhcm 13 32 hazards hazard NNS cord-009417-458rrhcm 13 33 . . . cord-009417-458rrhcm 14 1 Unlike unlike IN cord-009417-458rrhcm 14 2 pharmaceutical pharmaceutical JJ cord-009417-458rrhcm 14 3 agents agent NNS cord-009417-458rrhcm 14 4 , , , cord-009417-458rrhcm 14 5 these these DT cord-009417-458rrhcm 14 6 prescribed prescribed JJ cord-009417-458rrhcm 14 7 products product NNS cord-009417-458rrhcm 14 8 require require VBP cord-009417-458rrhcm 14 9 documentation documentation NN cord-009417-458rrhcm 14 10 of of IN cord-009417-458rrhcm 14 11 patient patient JJ cord-009417-458rrhcm 14 12 consent consent NN cord-009417-458rrhcm 14 13 and and CC cord-009417-458rrhcm 14 14 indication indication NN cord-009417-458rrhcm 14 15 for for IN cord-009417-458rrhcm 14 16 use use NN cord-009417-458rrhcm 14 17 . . . cord-009417-458rrhcm 15 1 Although although IN cord-009417-458rrhcm 15 2 the the DT cord-009417-458rrhcm 15 3 American american JJ cord-009417-458rrhcm 15 4 blood blood NN cord-009417-458rrhcm 15 5 supply supply NN cord-009417-458rrhcm 15 6 is be VBZ cord-009417-458rrhcm 15 7 now now RB cord-009417-458rrhcm 15 8 safer safe JJR cord-009417-458rrhcm 15 9 than than IN cord-009417-458rrhcm 15 10 ever ever RB cord-009417-458rrhcm 15 11 before before RB cord-009417-458rrhcm 15 12 , , , cord-009417-458rrhcm 15 13 zero zero CD cord-009417-458rrhcm 15 14 - - HYPH cord-009417-458rrhcm 15 15 risk risk NN cord-009417-458rrhcm 15 16 transfusion transfusion NN cord-009417-458rrhcm 15 17 is be VBZ cord-009417-458rrhcm 15 18 not not RB cord-009417-458rrhcm 15 19 achievable achievable JJ cord-009417-458rrhcm 15 20 , , , cord-009417-458rrhcm 15 21 even even RB cord-009417-458rrhcm 15 22 if if IN cord-009417-458rrhcm 15 23 blood blood NN cord-009417-458rrhcm 15 24 components component NNS cord-009417-458rrhcm 15 25 could could MD cord-009417-458rrhcm 15 26 be be VB cord-009417-458rrhcm 15 27 sterilized sterilize VBN cord-009417-458rrhcm 15 28 . . . cord-009417-458rrhcm 16 1 The the DT cord-009417-458rrhcm 16 2 process process NN cord-009417-458rrhcm 16 3 of of IN cord-009417-458rrhcm 16 4 donor donor NN cord-009417-458rrhcm 16 5 selection selection NN cord-009417-458rrhcm 16 6 and and CC cord-009417-458rrhcm 16 7 screening screening NN cord-009417-458rrhcm 16 8 has have VBZ cord-009417-458rrhcm 16 9 become become VBN cord-009417-458rrhcm 16 10 increasingly increasingly RB cord-009417-458rrhcm 16 11 stringent stringent JJ cord-009417-458rrhcm 16 12 , , , cord-009417-458rrhcm 16 13 an an DT cord-009417-458rrhcm 16 14 evolution evolution NN cord-009417-458rrhcm 16 15 that that WDT cord-009417-458rrhcm 16 16 began begin VBD cord-009417-458rrhcm 16 17 in in IN cord-009417-458rrhcm 16 18 response response NN cord-009417-458rrhcm 16 19 to to IN cord-009417-458rrhcm 16 20 the the DT cord-009417-458rrhcm 16 21 welldefi welldefi NNP cord-009417-458rrhcm 16 22 ned ned XX cord-009417-458rrhcm 16 23 risks risk NNS cord-009417-458rrhcm 16 24 of of IN cord-009417-458rrhcm 16 25 transfusion transfusion NN cord-009417-458rrhcm 16 26 - - HYPH cord-009417-458rrhcm 16 27 transmitted transmit VBN cord-009417-458rrhcm 16 28 hepatitis hepatitis NN cord-009417-458rrhcm 16 29 and and CC cord-009417-458rrhcm 16 30 human human JJ cord-009417-458rrhcm 16 31 immunodefi immunodefi NNP cord-009417-458rrhcm 16 32 ciency ciency NNP cord-009417-458rrhcm 16 33 virus virus NN cord-009417-458rrhcm 16 34 ( ( -LRB- cord-009417-458rrhcm 16 35 HIV HIV NNP cord-009417-458rrhcm 16 36 ) ) -RRB- cord-009417-458rrhcm 16 37 infection infection NN cord-009417-458rrhcm 16 38 . . . cord-009417-458rrhcm 17 1 Although although IN cord-009417-458rrhcm 17 2 the the DT cord-009417-458rrhcm 17 3 value value NN cord-009417-458rrhcm 17 4 of of IN cord-009417-458rrhcm 17 5 maximizing maximize VBG cord-009417-458rrhcm 17 6 recipient recipient NN cord-009417-458rrhcm 17 7 safety safety NN cord-009417-458rrhcm 17 8 is be VBZ cord-009417-458rrhcm 17 9 unarguable unarguable JJ cord-009417-458rrhcm 17 10 , , , cord-009417-458rrhcm 17 11 increasing increase VBG cord-009417-458rrhcm 17 12 donor donor NN cord-009417-458rrhcm 17 13 selectivity selectivity NN cord-009417-458rrhcm 17 14 has have VBZ cord-009417-458rrhcm 17 15 its -PRON- PRP$ cord-009417-458rrhcm 17 16 price price NN cord-009417-458rrhcm 17 17 . . . cord-009417-458rrhcm 18 1 As as IN cord-009417-458rrhcm 18 2 more more JJR cord-009417-458rrhcm 18 3 tests test NNS cord-009417-458rrhcm 18 4 are be VBP cord-009417-458rrhcm 18 5 added add VBN cord-009417-458rrhcm 18 6 and and CC cord-009417-458rrhcm 18 7 more more JJR cord-009417-458rrhcm 18 8 conditions condition NNS cord-009417-458rrhcm 18 9 placed place VBN cord-009417-458rrhcm 18 10 on on IN cord-009417-458rrhcm 18 11 the the DT cord-009417-458rrhcm 18 12 donor donor NN cord-009417-458rrhcm 18 13 , , , cord-009417-458rrhcm 18 14 the the DT cord-009417-458rrhcm 18 15 number number NN cord-009417-458rrhcm 18 16 of of IN cord-009417-458rrhcm 18 17 usable usable JJ cord-009417-458rrhcm 18 18 donations donation NNS cord-009417-458rrhcm 18 19 has have VBZ cord-009417-458rrhcm 18 20 declined decline VBN cord-009417-458rrhcm 18 21 . . . cord-009417-458rrhcm 19 1 This this DT cord-009417-458rrhcm 19 2 trend trend NN cord-009417-458rrhcm 19 3 has have VBZ cord-009417-458rrhcm 19 4 led lead VBN cord-009417-458rrhcm 19 5 to to IN cord-009417-458rrhcm 19 6 occasional occasional JJ cord-009417-458rrhcm 19 7 regional regional JJ cord-009417-458rrhcm 19 8 and and CC cord-009417-458rrhcm 19 9 seasonal seasonal JJ cord-009417-458rrhcm 19 10 blood blood NN cord-009417-458rrhcm 19 11 shortages shortage NNS cord-009417-458rrhcm 19 12 and and CC cord-009417-458rrhcm 19 13 , , , cord-009417-458rrhcm 19 14 rarely rarely RB cord-009417-458rrhcm 19 15 , , , cord-009417-458rrhcm 19 16 outright outright JJ cord-009417-458rrhcm 19 17 inability inability NN cord-009417-458rrhcm 19 18 to to TO cord-009417-458rrhcm 19 19 provide provide VB cord-009417-458rrhcm 19 20 certain certain JJ cord-009417-458rrhcm 19 21 blood blood NN cord-009417-458rrhcm 19 22 components component NNS cord-009417-458rrhcm 19 23 . . . cord-009417-458rrhcm 20 1 Clinicians clinician NNS cord-009417-458rrhcm 20 2 who who WP cord-009417-458rrhcm 20 3 prescribe prescribe VBP cord-009417-458rrhcm 20 4 blood blood NN cord-009417-458rrhcm 20 5 components component NNS cord-009417-458rrhcm 20 6 must must MD cord-009417-458rrhcm 20 7 be be VB cord-009417-458rrhcm 20 8 aware aware JJ cord-009417-458rrhcm 20 9 of of IN cord-009417-458rrhcm 20 10 these these DT cord-009417-458rrhcm 20 11 uncertainties uncertainty NNS cord-009417-458rrhcm 20 12 in in IN cord-009417-458rrhcm 20 13 availability availability NN cord-009417-458rrhcm 20 14 and and CC cord-009417-458rrhcm 20 15 contribute contribute VB cord-009417-458rrhcm 20 16 by by IN cord-009417-458rrhcm 20 17 using use VBG cord-009417-458rrhcm 20 18 blood blood NN cord-009417-458rrhcm 20 19 products product NNS cord-009417-458rrhcm 20 20 appropriately appropriately RB cord-009417-458rrhcm 20 21 while while IN cord-009417-458rrhcm 20 22 the the DT cord-009417-458rrhcm 20 23 national national JJ cord-009417-458rrhcm 20 24 blood blood NN cord-009417-458rrhcm 20 25 banking banking NN cord-009417-458rrhcm 20 26 system system NN cord-009417-458rrhcm 20 27 seeks seek VBZ cord-009417-458rrhcm 20 28 strategies strategy NNS cord-009417-458rrhcm 20 29 to to TO cord-009417-458rrhcm 20 30 ensure ensure VB cord-009417-458rrhcm 20 31 an an DT cord-009417-458rrhcm 20 32 adequate adequate JJ cord-009417-458rrhcm 20 33 , , , cord-009417-458rrhcm 20 34 safe safe JJ cord-009417-458rrhcm 20 35 blood blood NN cord-009417-458rrhcm 20 36 supply supply NN cord-009417-458rrhcm 20 37 . . . cord-009417-458rrhcm 21 1 Donor donor NN cord-009417-458rrhcm 21 2 screening screening NN cord-009417-458rrhcm 21 3 strategies strategy NNS cord-009417-458rrhcm 21 4 to to TO cord-009417-458rrhcm 21 5 ensure ensure VB cord-009417-458rrhcm 21 6 recipient recipient NN cord-009417-458rrhcm 21 7 safety safety NN cord-009417-458rrhcm 21 8 take take VBP cord-009417-458rrhcm 21 9 several several JJ cord-009417-458rrhcm 21 10 forms form NNS cord-009417-458rrhcm 21 11 . . . cord-009417-458rrhcm 22 1 1 1 CD cord-009417-458rrhcm 22 2 , , , cord-009417-458rrhcm 22 3 2 2 CD cord-009417-458rrhcm 22 4 American american JJ cord-009417-458rrhcm 22 5 blood blood NN cord-009417-458rrhcm 22 6 donors donor NNS cord-009417-458rrhcm 22 7 are be VBP cord-009417-458rrhcm 22 8 voluntary voluntary JJ cord-009417-458rrhcm 22 9 donors donor NNS cord-009417-458rrhcm 22 10 ; ; : cord-009417-458rrhcm 22 11 cash cash NN cord-009417-458rrhcm 22 12 payment payment NN cord-009417-458rrhcm 22 13 was be VBD cord-009417-458rrhcm 22 14 eliminated eliminate VBN cord-009417-458rrhcm 22 15 in in IN cord-009417-458rrhcm 22 16 the the DT cord-009417-458rrhcm 22 17 1970s 1970 NNS cord-009417-458rrhcm 22 18 after after IN cord-009417-458rrhcm 22 19 studies study NNS cord-009417-458rrhcm 22 20 linked link VBD cord-009417-458rrhcm 22 21 professional professional JJ cord-009417-458rrhcm 22 22 donors donor NNS cord-009417-458rrhcm 22 23 with with IN cord-009417-458rrhcm 22 24 transmission transmission NN cord-009417-458rrhcm 22 25 of of IN cord-009417-458rrhcm 22 26 hepatitis hepatitis NN cord-009417-458rrhcm 22 27 . . . cord-009417-458rrhcm 23 1 Confi Confi NNP cord-009417-458rrhcm 23 2 dential dential JJ cord-009417-458rrhcm 23 3 questionnaires questionnaire NNS cord-009417-458rrhcm 23 4 were be VBD cord-009417-458rrhcm 23 5 initiated initiate VBN cord-009417-458rrhcm 23 6 to to TO cord-009417-458rrhcm 23 7 limit limit VB cord-009417-458rrhcm 23 8 transmission transmission NN cord-009417-458rrhcm 23 9 of of IN cord-009417-458rrhcm 23 10 HIV HIV NNP cord-009417-458rrhcm 23 11 and and CC cord-009417-458rrhcm 23 12 hepatitis hepatitis NNP cord-009417-458rrhcm 23 13 and and CC cord-009417-458rrhcm 23 14 to to TO cord-009417-458rrhcm 23 15 allow allow VB cord-009417-458rrhcm 23 16 voluntary voluntary JJ cord-009417-458rrhcm 23 17 self self NN cord-009417-458rrhcm 23 18 - - HYPH cord-009417-458rrhcm 23 19 exclusion exclusion NN cord-009417-458rrhcm 23 20 and and CC cord-009417-458rrhcm 23 21 involuntary involuntary JJ cord-009417-458rrhcm 23 22 exclusion exclusion NN cord-009417-458rrhcm 23 23 of of IN cord-009417-458rrhcm 23 24 donors donor NNS cord-009417-458rrhcm 23 25 who who WP cord-009417-458rrhcm 23 26 pose pose VBP cord-009417-458rrhcm 23 27 an an DT cord-009417-458rrhcm 23 28 increased increase VBN cord-009417-458rrhcm 23 29 risk risk NN cord-009417-458rrhcm 23 30 of of IN cord-009417-458rrhcm 23 31 transmitting transmit VBG cord-009417-458rrhcm 23 32 infectious infectious JJ cord-009417-458rrhcm 23 33 agents agent NNS cord-009417-458rrhcm 23 34 . . . cord-009417-458rrhcm 24 1 Multiple multiple JJ cord-009417-458rrhcm 24 2 specifi specifi NN cord-009417-458rrhcm 24 3 c c NN cord-009417-458rrhcm 24 4 serologic serologic NN cord-009417-458rrhcm 24 5 and and CC cord-009417-458rrhcm 24 6 biochemical biochemical JJ cord-009417-458rrhcm 24 7 tests test NNS cord-009417-458rrhcm 24 8 are be VBP cord-009417-458rrhcm 24 9 performed perform VBN cord-009417-458rrhcm 24 10 to to TO cord-009417-458rrhcm 24 11 detect detect VB cord-009417-458rrhcm 24 12 the the DT cord-009417-458rrhcm 24 13 potential potential NN cord-009417-458rrhcm 24 14 for for IN cord-009417-458rrhcm 24 15 transmission transmission NN cord-009417-458rrhcm 24 16 of of IN cord-009417-458rrhcm 24 17 HIV HIV NNP cord-009417-458rrhcm 24 18 and and CC cord-009417-458rrhcm 24 19 other other JJ cord-009417-458rrhcm 24 20 retroviruses retrovirus NNS cord-009417-458rrhcm 24 21 , , , cord-009417-458rrhcm 24 22 hepatitis hepatitis NN cord-009417-458rrhcm 24 23 , , , cord-009417-458rrhcm 24 24 and and CC cord-009417-458rrhcm 24 25 syphilis syphili NNS cord-009417-458rrhcm 24 26 . . . cord-009417-458rrhcm 25 1 Any any DT cord-009417-458rrhcm 25 2 donor donor NN cord-009417-458rrhcm 25 3 who who WP cord-009417-458rrhcm 25 4 indicates indicate VBZ cord-009417-458rrhcm 25 5 high high JJ cord-009417-458rrhcm 25 6 - - HYPH cord-009417-458rrhcm 25 7 risk risk NN cord-009417-458rrhcm 25 8 behavior behavior NN cord-009417-458rrhcm 25 9 or or CC cord-009417-458rrhcm 25 10 who who WP cord-009417-458rrhcm 25 11 tests test VBZ cord-009417-458rrhcm 25 12 repeatedly repeatedly RB cord-009417-458rrhcm 25 13 positive positive JJ cord-009417-458rrhcm 25 14 is be VBZ cord-009417-458rrhcm 25 15 placed place VBN cord-009417-458rrhcm 25 16 on on IN cord-009417-458rrhcm 25 17 a a DT cord-009417-458rrhcm 25 18 permanent permanent JJ cord-009417-458rrhcm 25 19 deferral deferral NN cord-009417-458rrhcm 25 20 list list NN cord-009417-458rrhcm 25 21 . . . cord-009417-458rrhcm 26 1 Some some DT cord-009417-458rrhcm 26 2 patients patient NNS cord-009417-458rrhcm 26 3 may may MD cord-009417-458rrhcm 26 4 insist insist VB cord-009417-458rrhcm 26 5 on on IN cord-009417-458rrhcm 26 6 blood blood NN cord-009417-458rrhcm 26 7 obtained obtain VBN cord-009417-458rrhcm 26 8 from from IN cord-009417-458rrhcm 26 9 relatives relative NNS cord-009417-458rrhcm 26 10 or or CC cord-009417-458rrhcm 26 11 friends friend NNS cord-009417-458rrhcm 26 12 . . . cord-009417-458rrhcm 27 1 This this DT cord-009417-458rrhcm 27 2 practice practice NN cord-009417-458rrhcm 27 3 is be VBZ cord-009417-458rrhcm 27 4 termed term VBN cord-009417-458rrhcm 27 5 directed direct VBN cord-009417-458rrhcm 27 6 or or CC cord-009417-458rrhcm 27 7 designated designate VBN cord-009417-458rrhcm 27 8 donation donation NN cord-009417-458rrhcm 27 9 . . . cord-009417-458rrhcm 28 1 These these DT cord-009417-458rrhcm 28 2 selected select VBN cord-009417-458rrhcm 28 3 donors donor NNS cord-009417-458rrhcm 28 4 must must MD cord-009417-458rrhcm 28 5 undergo undergo VB cord-009417-458rrhcm 28 6 the the DT cord-009417-458rrhcm 28 7 same same JJ cord-009417-458rrhcm 28 8 rigorous rigorous JJ cord-009417-458rrhcm 28 9 questioning questioning NN cord-009417-458rrhcm 28 10 and and CC cord-009417-458rrhcm 28 11 testing testing NN cord-009417-458rrhcm 28 12 as as IN cord-009417-458rrhcm 28 13 volunteer volunteer NN cord-009417-458rrhcm 28 14 donors donor NNS cord-009417-458rrhcm 28 15 . . . cord-009417-458rrhcm 29 1 Some some DT cord-009417-458rrhcm 29 2 studies study NNS cord-009417-458rrhcm 29 3 have have VBP cord-009417-458rrhcm 29 4 found find VBN cord-009417-458rrhcm 29 5 an an DT cord-009417-458rrhcm 29 6 increased increase VBN cord-009417-458rrhcm 29 7 frequency frequency NN cord-009417-458rrhcm 29 8 of of IN cord-009417-458rrhcm 29 9 hepatitis hepatitis NN cord-009417-458rrhcm 29 10 markers marker NNS cord-009417-458rrhcm 29 11 in in IN cord-009417-458rrhcm 29 12 the the DT cord-009417-458rrhcm 29 13 blood blood NN cord-009417-458rrhcm 29 14 of of IN cord-009417-458rrhcm 29 15 directed direct VBN cord-009417-458rrhcm 29 16 donors donor NNS cord-009417-458rrhcm 29 17 when when WRB cord-009417-458rrhcm 29 18 compared compare VBN cord-009417-458rrhcm 29 19 with with IN cord-009417-458rrhcm 29 20 blood blood NN cord-009417-458rrhcm 29 21 drawn draw VBN cord-009417-458rrhcm 29 22 from from IN cord-009417-458rrhcm 29 23 unselected unselected JJ cord-009417-458rrhcm 29 24 volunteers volunteer NNS cord-009417-458rrhcm 29 25 , , , cord-009417-458rrhcm 29 26 but but CC cord-009417-458rrhcm 29 27 others other NNS cord-009417-458rrhcm 29 28 suggest suggest VBP cord-009417-458rrhcm 29 29 that that IN cord-009417-458rrhcm 29 30 designated designate VBN cord-009417-458rrhcm 29 31 donors donor NNS cord-009417-458rrhcm 29 32 may may MD cord-009417-458rrhcm 29 33 be be VB cord-009417-458rrhcm 29 34 no no RB cord-009417-458rrhcm 29 35 different different JJ cord-009417-458rrhcm 29 36 from from IN cord-009417-458rrhcm 29 37 new new JJ cord-009417-458rrhcm 29 38 volunteers volunteer NNS cord-009417-458rrhcm 29 39 . . . cord-009417-458rrhcm 30 1 3 3 CD cord-009417-458rrhcm 30 2 , , , cord-009417-458rrhcm 30 3 4 4 CD cord-009417-458rrhcm 30 4 There there EX cord-009417-458rrhcm 30 5 continues continue VBZ cord-009417-458rrhcm 30 6 to to TO cord-009417-458rrhcm 30 7 be be VB cord-009417-458rrhcm 30 8 no no DT cord-009417-458rrhcm 30 9 consensus consensus NN cord-009417-458rrhcm 30 10 about about IN cord-009417-458rrhcm 30 11 whether whether IN cord-009417-458rrhcm 30 12 directed direct VBN cord-009417-458rrhcm 30 13 donors donor NNS cord-009417-458rrhcm 30 14 are be VBP cord-009417-458rrhcm 30 15 , , , cord-009417-458rrhcm 30 16 as as IN cord-009417-458rrhcm 30 17 a a DT cord-009417-458rrhcm 30 18 group group NN cord-009417-458rrhcm 30 19 , , , cord-009417-458rrhcm 30 20 as as RB cord-009417-458rrhcm 30 21 safe safe JJ cord-009417-458rrhcm 30 22 as as IN cord-009417-458rrhcm 30 23 volunteer volunteer NN cord-009417-458rrhcm 30 24 donors donor NNS cord-009417-458rrhcm 30 25 . . . cord-009417-458rrhcm 31 1 5 5 LS cord-009417-458rrhcm 31 2 , , , cord-009417-458rrhcm 31 3 6 6 CD cord-009417-458rrhcm 31 4 Institutional institutional JJ cord-009417-458rrhcm 31 5 policies policy NNS cord-009417-458rrhcm 31 6 about about IN cord-009417-458rrhcm 31 7 the the DT cord-009417-458rrhcm 31 8 acceptability acceptability NN cord-009417-458rrhcm 31 9 and and CC cord-009417-458rrhcm 31 10 processing processing NN cord-009417-458rrhcm 31 11 of of IN cord-009417-458rrhcm 31 12 directed direct VBN cord-009417-458rrhcm 31 13 donations donation NNS cord-009417-458rrhcm 31 14 vary vary VBP cord-009417-458rrhcm 31 15 widely widely RB cord-009417-458rrhcm 31 16 . . . cord-009417-458rrhcm 32 1 In in IN cord-009417-458rrhcm 32 2 any any DT cord-009417-458rrhcm 32 3 case case NN cord-009417-458rrhcm 32 4 , , , cord-009417-458rrhcm 32 5 supporting support VBG cord-009417-458rrhcm 32 6 ICU ICU NNP cord-009417-458rrhcm 32 7 patients patient NNS cord-009417-458rrhcm 32 8 who who WP cord-009417-458rrhcm 32 9 require require VBP cord-009417-458rrhcm 32 10 large large JJ cord-009417-458rrhcm 32 11 - - HYPH cord-009417-458rrhcm 32 12 volume volume NN cord-009417-458rrhcm 32 13 transfusion transfusion NN cord-009417-458rrhcm 32 14 with with IN cord-009417-458rrhcm 32 15 directed direct VBN cord-009417-458rrhcm 32 16 donations donation NNS cord-009417-458rrhcm 32 17 is be VBZ cord-009417-458rrhcm 32 18 unlikely unlikely JJ cord-009417-458rrhcm 32 19 to to TO cord-009417-458rrhcm 32 20 be be VB cord-009417-458rrhcm 32 21 advantageous advantageous JJ cord-009417-458rrhcm 32 22 or or CC cord-009417-458rrhcm 32 23 practical practical JJ cord-009417-458rrhcm 32 24 . . . cord-009417-458rrhcm 33 1 The the DT cord-009417-458rrhcm 33 2 basic basic JJ cord-009417-458rrhcm 33 3 principle principle NN cord-009417-458rrhcm 33 4 of of IN cord-009417-458rrhcm 33 5 blood blood NN cord-009417-458rrhcm 33 6 component component NN cord-009417-458rrhcm 33 7 therapy therapy NN cord-009417-458rrhcm 33 8 is be VBZ cord-009417-458rrhcm 33 9 prescription prescription NN cord-009417-458rrhcm 33 10 of of IN cord-009417-458rrhcm 33 11 the the DT cord-009417-458rrhcm 33 12 specifi specifi NN cord-009417-458rrhcm 33 13 c c SYM cord-009417-458rrhcm 33 14 blood blood NN cord-009417-458rrhcm 33 15 product product NN cord-009417-458rrhcm 33 16 needed need VBN cord-009417-458rrhcm 33 17 to to TO cord-009417-458rrhcm 33 18 meet meet VB cord-009417-458rrhcm 33 19 the the DT cord-009417-458rrhcm 33 20 patient patient NN cord-009417-458rrhcm 33 21 's 's POS cord-009417-458rrhcm 33 22 requirement requirement NN cord-009417-458rrhcm 33 23 . . . cord-009417-458rrhcm 34 1 A a DT cord-009417-458rrhcm 34 2 single single JJ cord-009417-458rrhcm 34 3 whole whole JJ cord-009417-458rrhcm 34 4 blood blood NN cord-009417-458rrhcm 34 5 ( ( -LRB- cord-009417-458rrhcm 34 6 WB WB NNP cord-009417-458rrhcm 34 7 ) ) -RRB- cord-009417-458rrhcm 34 8 donation donation NN cord-009417-458rrhcm 34 9 can can MD cord-009417-458rrhcm 34 10 be be VB cord-009417-458rrhcm 34 11 separated separate VBN cord-009417-458rrhcm 34 12 into into IN cord-009417-458rrhcm 34 13 its -PRON- PRP$ cord-009417-458rrhcm 34 14 composite composite JJ cord-009417-458rrhcm 34 15 parts part NNS cord-009417-458rrhcm 34 16 , , , cord-009417-458rrhcm 34 17 or or CC cord-009417-458rrhcm 34 18 components component NNS cord-009417-458rrhcm 34 19 , , , cord-009417-458rrhcm 34 20 which which WDT cord-009417-458rrhcm 34 21 can can MD cord-009417-458rrhcm 34 22 be be VB cord-009417-458rrhcm 34 23 distributed distribute VBN cord-009417-458rrhcm 34 24 to to IN cord-009417-458rrhcm 34 25 several several JJ cord-009417-458rrhcm 34 26 recipients recipient NNS cord-009417-458rrhcm 34 27 with with IN cord-009417-458rrhcm 34 28 differing differ VBG cord-009417-458rrhcm 34 29 physiologic physiologic JJ cord-009417-458rrhcm 34 30 needs need NNS cord-009417-458rrhcm 34 31 . . . cord-009417-458rrhcm 35 1 Component component NN cord-009417-458rrhcm 35 2 therapy therapy NN cord-009417-458rrhcm 35 3 thus thus RB cord-009417-458rrhcm 35 4 meets meet VBZ cord-009417-458rrhcm 35 5 the the DT cord-009417-458rrhcm 35 6 clinical clinical JJ cord-009417-458rrhcm 35 7 requirements requirement NNS cord-009417-458rrhcm 35 8 of of IN cord-009417-458rrhcm 35 9 increased increase VBN cord-009417-458rrhcm 35 10 safety safety NN cord-009417-458rrhcm 35 11 , , , cord-009417-458rrhcm 35 12 efficacy efficacy NN cord-009417-458rrhcm 35 13 , , , cord-009417-458rrhcm 35 14 and and CC cord-009417-458rrhcm 35 15 conservation conservation NN cord-009417-458rrhcm 35 16 of of IN cord-009417-458rrhcm 35 17 limited limited JJ cord-009417-458rrhcm 35 18 resources resource NNS cord-009417-458rrhcm 35 19 . . . cord-009417-458rrhcm 36 1 As as IN cord-009417-458rrhcm 36 2 the the DT cord-009417-458rrhcm 36 3 variety variety NN cord-009417-458rrhcm 36 4 of of IN cord-009417-458rrhcm 36 5 blood blood NN cord-009417-458rrhcm 36 6 product product NN cord-009417-458rrhcm 36 7 components component NNS cord-009417-458rrhcm 36 8 increases increase NNS cord-009417-458rrhcm 36 9 , , , cord-009417-458rrhcm 36 10 however however RB cord-009417-458rrhcm 36 11 , , , cord-009417-458rrhcm 36 12 the the DT cord-009417-458rrhcm 36 13 complexity complexity NN cord-009417-458rrhcm 36 14 of of IN cord-009417-458rrhcm 36 15 transfusion transfusion NN cord-009417-458rrhcm 36 16 medicine medicine NN cord-009417-458rrhcm 36 17 also also RB cord-009417-458rrhcm 36 18 increases increase VBZ cord-009417-458rrhcm 36 19 . . . cord-009417-458rrhcm 37 1 A a DT cord-009417-458rrhcm 37 2 WB WB NNP cord-009417-458rrhcm 37 3 donation donation NN cord-009417-458rrhcm 37 4 is be VBZ cord-009417-458rrhcm 37 5 typically typically RB cord-009417-458rrhcm 37 6 separated separate VBN cord-009417-458rrhcm 37 7 into into IN cord-009417-458rrhcm 37 8 red red JJ cord-009417-458rrhcm 37 9 blood blood NN cord-009417-458rrhcm 37 10 cells cell NNS cord-009417-458rrhcm 37 11 ( ( -LRB- cord-009417-458rrhcm 37 12 RBCs rbc NNS cord-009417-458rrhcm 37 13 ) ) -RRB- cord-009417-458rrhcm 37 14 , , , cord-009417-458rrhcm 37 15 a a DT cord-009417-458rrhcm 37 16 platelet platelet NN cord-009417-458rrhcm 37 17 concentrate concentrate NN cord-009417-458rrhcm 37 18 , , , cord-009417-458rrhcm 37 19 and and CC cord-009417-458rrhcm 37 20 fresh fresh JJ cord-009417-458rrhcm 37 21 frozen frozen JJ cord-009417-458rrhcm 37 22 plasma plasma NN cord-009417-458rrhcm 37 23 ( ( -LRB- cord-009417-458rrhcm 37 24 FFP FFP NNP cord-009417-458rrhcm 37 25 ) ) -RRB- cord-009417-458rrhcm 37 26 within within IN cord-009417-458rrhcm 37 27 hours hour NNS cord-009417-458rrhcm 37 28 of of IN cord-009417-458rrhcm 37 29 its -PRON- PRP$ cord-009417-458rrhcm 37 30 collection collection NN cord-009417-458rrhcm 37 31 . . . cord-009417-458rrhcm 38 1 The the DT cord-009417-458rrhcm 38 2 plasma plasma NN cord-009417-458rrhcm 38 3 may may MD cord-009417-458rrhcm 38 4 be be VB cord-009417-458rrhcm 38 5 further further RB cord-009417-458rrhcm 38 6 processed process VBN cord-009417-458rrhcm 38 7 into into IN cord-009417-458rrhcm 38 8 cryoprecipitate cryoprecipitate NN cord-009417-458rrhcm 38 9 and and CC cord-009417-458rrhcm 38 10 supernatant supernatant JJ cord-009417-458rrhcm 38 11 ( ( -LRB- cord-009417-458rrhcm 38 12 cryopoor cryopoor NNP cord-009417-458rrhcm 38 13 ) ) -RRB- cord-009417-458rrhcm 38 14 plasma plasma NN cord-009417-458rrhcm 38 15 . . . cord-009417-458rrhcm 39 1 One one CD cord-009417-458rrhcm 39 2 unit unit NN cord-009417-458rrhcm 39 3 of of IN cord-009417-458rrhcm 39 4 WB WB NNP cord-009417-458rrhcm 39 5 measures measure NNS cord-009417-458rrhcm 39 6 approximately approximately RB cord-009417-458rrhcm 39 7 500 500 CD cord-009417-458rrhcm 39 8 mL ml NN cord-009417-458rrhcm 39 9 , , , cord-009417-458rrhcm 39 10 including include VBG cord-009417-458rrhcm 39 11 63 63 CD cord-009417-458rrhcm 39 12 mL mL NNS cord-009417-458rrhcm 39 13 of of IN cord-009417-458rrhcm 39 14 citrate citrate NN cord-009417-458rrhcm 39 15 anticoagulant anticoagulant NN cord-009417-458rrhcm 39 16 / / SYM cord-009417-458rrhcm 39 17 preservative preservative NN cord-009417-458rrhcm 39 18 solution solution NN cord-009417-458rrhcm 39 19 . . . cord-009417-458rrhcm 40 1 Each each DT cord-009417-458rrhcm 40 2 unit unit NN cord-009417-458rrhcm 40 3 of of IN cord-009417-458rrhcm 40 4 WB WB NNP cord-009417-458rrhcm 40 5 supplies supply VBZ cord-009417-458rrhcm 40 6 about about RB cord-009417-458rrhcm 40 7 200 200 CD cord-009417-458rrhcm 40 8 mL ml NN cord-009417-458rrhcm 40 9 of of IN cord-009417-458rrhcm 40 10 RBCs rbc NNS cord-009417-458rrhcm 40 11 and and CC cord-009417-458rrhcm 40 12 300 300 CD cord-009417-458rrhcm 40 13 mL ml NN cord-009417-458rrhcm 40 14 of of IN cord-009417-458rrhcm 40 15 plasma plasma NN cord-009417-458rrhcm 40 16 for for IN cord-009417-458rrhcm 40 17 volume volume NN cord-009417-458rrhcm 40 18 replacement replacement NN cord-009417-458rrhcm 40 19 . . . cord-009417-458rrhcm 41 1 WB WB NNP cord-009417-458rrhcm 41 2 is be VBZ cord-009417-458rrhcm 41 3 refrigerated refrigerate VBN cord-009417-458rrhcm 41 4 for for IN cord-009417-458rrhcm 41 5 21 21 CD cord-009417-458rrhcm 41 6 to to TO cord-009417-458rrhcm 41 7 35 35 CD cord-009417-458rrhcm 41 8 days day NNS cord-009417-458rrhcm 41 9 , , , cord-009417-458rrhcm 41 10 depending depend VBG cord-009417-458rrhcm 41 11 on on IN cord-009417-458rrhcm 41 12 the the DT cord-009417-458rrhcm 41 13 preservative preservative NN cord-009417-458rrhcm 41 14 used use VBN cord-009417-458rrhcm 41 15 . . . cord-009417-458rrhcm 42 1 After after IN cord-009417-458rrhcm 42 2 less less JJR cord-009417-458rrhcm 42 3 than than IN cord-009417-458rrhcm 42 4 24 24 CD cord-009417-458rrhcm 42 5 hours hour NNS cord-009417-458rrhcm 42 6 of of IN cord-009417-458rrhcm 42 7 refrigerated refrigerated JJ cord-009417-458rrhcm 42 8 storage storage NN cord-009417-458rrhcm 42 9 in in IN cord-009417-458rrhcm 42 10 this this DT cord-009417-458rrhcm 42 11 preservative preservative NN cord-009417-458rrhcm 42 12 and and CC cord-009417-458rrhcm 42 13 bag bag NN cord-009417-458rrhcm 42 14 system system NN cord-009417-458rrhcm 42 15 , , , cord-009417-458rrhcm 42 16 platelet platelet NN cord-009417-458rrhcm 42 17 and and CC cord-009417-458rrhcm 42 18 granulocyte granulocyte NN cord-009417-458rrhcm 42 19 function function NN cord-009417-458rrhcm 42 20 is be VBZ cord-009417-458rrhcm 42 21 lost lose VBN cord-009417-458rrhcm 42 22 . . . cord-009417-458rrhcm 43 1 With with IN cord-009417-458rrhcm 43 2 further further JJ cord-009417-458rrhcm 43 3 storage storage NN cord-009417-458rrhcm 43 4 , , , cord-009417-458rrhcm 43 5 levels level NNS cord-009417-458rrhcm 43 6 of of IN cord-009417-458rrhcm 43 7 the the DT cord-009417-458rrhcm 43 8 " " `` cord-009417-458rrhcm 43 9 labile labile JJ cord-009417-458rrhcm 43 10 " " '' cord-009417-458rrhcm 43 11 coagulation coagulation NN cord-009417-458rrhcm 43 12 factors factor NNS cord-009417-458rrhcm 43 13 V v NN cord-009417-458rrhcm 43 14 and and CC cord-009417-458rrhcm 43 15 VIII VIII NNP cord-009417-458rrhcm 43 16 decrease decrease NN cord-009417-458rrhcm 43 17 . . . cord-009417-458rrhcm 44 1 7 7 CD cord-009417-458rrhcm 45 1 Some some DT cord-009417-458rrhcm 45 2 blood blood NN cord-009417-458rrhcm 45 3 centers center NNS cord-009417-458rrhcm 45 4 offer offer VBP cord-009417-458rrhcm 45 5 modifi modifi RB cord-009417-458rrhcm 45 6 ed ed NNP cord-009417-458rrhcm 45 7 WB WB NNP cord-009417-458rrhcm 45 8 , , , cord-009417-458rrhcm 45 9 which which WDT cord-009417-458rrhcm 45 10 is be VBZ cord-009417-458rrhcm 45 11 produced produce VBN cord-009417-458rrhcm 45 12 by by IN cord-009417-458rrhcm 45 13 removal removal NN cord-009417-458rrhcm 45 14 of of IN cord-009417-458rrhcm 45 15 the the DT cord-009417-458rrhcm 45 16 platelet platelet NN cord-009417-458rrhcm 45 17 or or CC cord-009417-458rrhcm 45 18 cryoprecipitate cryoprecipitate JJ cord-009417-458rrhcm 45 19 fraction fraction NN cord-009417-458rrhcm 45 20 and and CC cord-009417-458rrhcm 45 21 return return NN cord-009417-458rrhcm 45 22 of of IN cord-009417-458rrhcm 45 23 the the DT cord-009417-458rrhcm 45 24 supernatant supernatant JJ cord-009417-458rrhcm 45 25 plasma plasma NN cord-009417-458rrhcm 45 26 to to IN cord-009417-458rrhcm 45 27 the the DT cord-009417-458rrhcm 45 28 red red JJ cord-009417-458rrhcm 45 29 cells cell NNS cord-009417-458rrhcm 45 30 . . . cord-009417-458rrhcm 46 1 This this DT cord-009417-458rrhcm 46 2 permits permit VBZ cord-009417-458rrhcm 46 3 provision provision NN cord-009417-458rrhcm 46 4 of of IN cord-009417-458rrhcm 46 5 the the DT cord-009417-458rrhcm 46 6 more more RBR cord-009417-458rrhcm 46 7 labile labile JJ cord-009417-458rrhcm 46 8 components component NNS cord-009417-458rrhcm 46 9 to to IN cord-009417-458rrhcm 46 10 patients patient NNS cord-009417-458rrhcm 46 11 with with IN cord-009417-458rrhcm 46 12 specifi specifi NNP cord-009417-458rrhcm 46 13 c c NN cord-009417-458rrhcm 46 14 needs need NNS cord-009417-458rrhcm 46 15 , , , cord-009417-458rrhcm 46 16 with with IN cord-009417-458rrhcm 46 17 the the DT cord-009417-458rrhcm 46 18 remainder remainder NN cord-009417-458rrhcm 46 19 forming form VBG cord-009417-458rrhcm 46 20 a a DT cord-009417-458rrhcm 46 21 product product NN cord-009417-458rrhcm 46 22 having have VBG cord-009417-458rrhcm 46 23 a a DT cord-009417-458rrhcm 46 24 composition composition NN cord-009417-458rrhcm 46 25 essentially essentially RB cord-009417-458rrhcm 46 26 the the DT cord-009417-458rrhcm 46 27 same same JJ cord-009417-458rrhcm 46 28 as as IN cord-009417-458rrhcm 46 29 cold cold RB cord-009417-458rrhcm 46 30 - - HYPH cord-009417-458rrhcm 46 31 stored store VBN cord-009417-458rrhcm 46 32 WB WB NNP cord-009417-458rrhcm 46 33 . . . cord-009417-458rrhcm 47 1 However however RB cord-009417-458rrhcm 47 2 , , , cord-009417-458rrhcm 47 3 the the DT cord-009417-458rrhcm 47 4 growing grow VBG cord-009417-458rrhcm 47 5 need need NN cord-009417-458rrhcm 47 6 for for IN cord-009417-458rrhcm 47 7 specialized specialized JJ cord-009417-458rrhcm 47 8 blood blood NN cord-009417-458rrhcm 47 9 components component NNS cord-009417-458rrhcm 47 10 has have VBZ cord-009417-458rrhcm 47 11 resulted result VBN cord-009417-458rrhcm 47 12 in in IN cord-009417-458rrhcm 47 13 processing process VBG cord-009417-458rrhcm 47 14 the the DT cord-009417-458rrhcm 47 15 majority majority NN cord-009417-458rrhcm 47 16 of of IN cord-009417-458rrhcm 47 17 blood blood NN cord-009417-458rrhcm 47 18 donations donation NNS cord-009417-458rrhcm 47 19 into into IN cord-009417-458rrhcm 47 20 components component NNS cord-009417-458rrhcm 47 21 , , , cord-009417-458rrhcm 47 22 thus thus RB cord-009417-458rrhcm 47 23 limiting limit VBG cord-009417-458rrhcm 47 24 the the DT cord-009417-458rrhcm 47 25 availability availability NN cord-009417-458rrhcm 47 26 of of IN cord-009417-458rrhcm 47 27 WB WB NNP cord-009417-458rrhcm 47 28 and and CC cord-009417-458rrhcm 47 29 modifi modifi NNP cord-009417-458rrhcm 47 30 ed ed NNP cord-009417-458rrhcm 47 31 WB WB NNP cord-009417-458rrhcm 47 32 . . . cord-009417-458rrhcm 48 1 RBCs rbc NNS cord-009417-458rrhcm 48 2 , , , cord-009417-458rrhcm 48 3 or or CC cord-009417-458rrhcm 48 4 in in IN cord-009417-458rrhcm 48 5 common common JJ cord-009417-458rrhcm 48 6 usage usage NN cord-009417-458rrhcm 48 7 , , , cord-009417-458rrhcm 48 8 " " `` cord-009417-458rrhcm 48 9 packed packed JJ cord-009417-458rrhcm 48 10 " " '' cord-009417-458rrhcm 48 11 red red JJ cord-009417-458rrhcm 48 12 cells cell NNS cord-009417-458rrhcm 48 13 ( ( -LRB- cord-009417-458rrhcm 48 14 PRBCs prbc NNS cord-009417-458rrhcm 48 15 ) ) -RRB- cord-009417-458rrhcm 48 16 , , , cord-009417-458rrhcm 48 17 are be VBP cord-009417-458rrhcm 48 18 the the DT cord-009417-458rrhcm 48 19 blood blood NN cord-009417-458rrhcm 48 20 component component NN cord-009417-458rrhcm 48 21 most most RBS cord-009417-458rrhcm 48 22 commonly commonly RB cord-009417-458rrhcm 48 23 transfused transfuse VBN cord-009417-458rrhcm 48 24 to to TO cord-009417-458rrhcm 48 25 increase increase VB cord-009417-458rrhcm 48 26 red red JJ cord-009417-458rrhcm 48 27 cell cell NN cord-009417-458rrhcm 48 28 mass mass NN cord-009417-458rrhcm 48 29 . . . cord-009417-458rrhcm 49 1 PRBCs prbc NNS cord-009417-458rrhcm 49 2 are be VBP cord-009417-458rrhcm 49 3 derived derive VBN cord-009417-458rrhcm 49 4 from from IN cord-009417-458rrhcm 49 5 the the DT cord-009417-458rrhcm 49 6 centrifugation centrifugation NN cord-009417-458rrhcm 49 7 or or CC cord-009417-458rrhcm 49 8 sedimentation sedimentation NN cord-009417-458rrhcm 49 9 of of IN cord-009417-458rrhcm 49 10 WB WB NNP cord-009417-458rrhcm 49 11 and and CC cord-009417-458rrhcm 49 12 removal removal NN cord-009417-458rrhcm 49 13 of of IN cord-009417-458rrhcm 49 14 most most JJS cord-009417-458rrhcm 49 15 of of IN cord-009417-458rrhcm 49 16 the the DT cord-009417-458rrhcm 49 17 plasma plasma NN cord-009417-458rrhcm 49 18 / / SYM cord-009417-458rrhcm 49 19 anticoagulant anticoagulant NN cord-009417-458rrhcm 49 20 solution solution NN cord-009417-458rrhcm 49 21 . . . cord-009417-458rrhcm 50 1 If if IN cord-009417-458rrhcm 50 2 collected collect VBN cord-009417-458rrhcm 50 3 into into IN cord-009417-458rrhcm 50 4 citrate citrate NN cord-009417-458rrhcm 50 5 - - HYPH cord-009417-458rrhcm 50 6 phosphate phosphate NN cord-009417-458rrhcm 50 7 - - HYPH cord-009417-458rrhcm 50 8 dextrose dextrose NN cord-009417-458rrhcm 50 9 - - HYPH cord-009417-458rrhcm 50 10 adenine adenine NN cord-009417-458rrhcm 50 11 solution solution NN cord-009417-458rrhcm 50 12 , , , cord-009417-458rrhcm 50 13 the the DT cord-009417-458rrhcm 50 14 volume volume NN cord-009417-458rrhcm 50 15 is be VBZ cord-009417-458rrhcm 50 16 approximately approximately RB cord-009417-458rrhcm 50 17 250 250 CD cord-009417-458rrhcm 50 18 mL ml NN cord-009417-458rrhcm 50 19 , , , cord-009417-458rrhcm 50 20 the the DT cord-009417-458rrhcm 50 21 hematocrit hematocrit NN cord-009417-458rrhcm 50 22 ( ( -LRB- cord-009417-458rrhcm 50 23 Hct Hct NNP cord-009417-458rrhcm 50 24 ) ) -RRB- cord-009417-458rrhcm 50 25 is be VBZ cord-009417-458rrhcm 50 26 70 70 CD cord-009417-458rrhcm 50 27 % % NN cord-009417-458rrhcm 50 28 to to TO cord-009417-458rrhcm 50 29 80 80 CD cord-009417-458rrhcm 50 30 % % NN cord-009417-458rrhcm 50 31 , , , cord-009417-458rrhcm 50 32 and and CC cord-009417-458rrhcm 50 33 the the DT cord-009417-458rrhcm 50 34 storage storage NN cord-009417-458rrhcm 50 35 life life NN cord-009417-458rrhcm 50 36 is be VBZ cord-009417-458rrhcm 50 37 35 35 CD cord-009417-458rrhcm 50 38 days day NNS cord-009417-458rrhcm 50 39 . . . cord-009417-458rrhcm 51 1 Extended extended JJ cord-009417-458rrhcm 51 2 additive additive NN cord-009417-458rrhcm 51 3 solutions solution NNS cord-009417-458rrhcm 51 4 permit permit NN cord-009417-458rrhcm 51 5 storage storage NN cord-009417-458rrhcm 51 6 up up IN cord-009417-458rrhcm 51 7 to to TO cord-009417-458rrhcm 51 8 42 42 CD cord-009417-458rrhcm 51 9 days day NNS cord-009417-458rrhcm 51 10 but but CC cord-009417-458rrhcm 51 11 increase increase VB cord-009417-458rrhcm 51 12 the the DT cord-009417-458rrhcm 51 13 volume volume NN cord-009417-458rrhcm 51 14 to to IN cord-009417-458rrhcm 51 15 300 300 CD cord-009417-458rrhcm 51 16 mL ml NN cord-009417-458rrhcm 51 17 and and CC cord-009417-458rrhcm 51 18 decrease decrease VB cord-009417-458rrhcm 51 19 the the DT cord-009417-458rrhcm 51 20 Hct Hct NNP cord-009417-458rrhcm 51 21 to to TO cord-009417-458rrhcm 51 22 60 60 CD cord-009417-458rrhcm 51 23 % % NN cord-009417-458rrhcm 51 24 . . . cord-009417-458rrhcm 52 1 These these DT cord-009417-458rrhcm 52 2 extended extend VBN cord-009417-458rrhcm 52 3 storage storage NN cord-009417-458rrhcm 52 4 units unit NNS cord-009417-458rrhcm 52 5 are be VBP cord-009417-458rrhcm 52 6 commonly commonly RB cord-009417-458rrhcm 52 7 used use VBN cord-009417-458rrhcm 52 8 and and CC cord-009417-458rrhcm 52 9 easier easy JJR cord-009417-458rrhcm 52 10 to to TO cord-009417-458rrhcm 52 11 transfuse transfuse VB cord-009417-458rrhcm 52 12 because because IN cord-009417-458rrhcm 52 13 of of IN cord-009417-458rrhcm 52 14 lower low JJR cord-009417-458rrhcm 52 15 viscosity viscosity NN cord-009417-458rrhcm 52 16 , , , cord-009417-458rrhcm 52 17 but but CC cord-009417-458rrhcm 52 18 they -PRON- PRP cord-009417-458rrhcm 52 19 may may MD cord-009417-458rrhcm 52 20 pose pose VB cord-009417-458rrhcm 52 21 a a DT cord-009417-458rrhcm 52 22 problem problem NN cord-009417-458rrhcm 52 23 because because IN cord-009417-458rrhcm 52 24 of of IN cord-009417-458rrhcm 52 25 their -PRON- PRP$ cord-009417-458rrhcm 52 26 larger large JJR cord-009417-458rrhcm 52 27 volume volume NN cord-009417-458rrhcm 52 28 . . . cord-009417-458rrhcm 53 1 The the DT cord-009417-458rrhcm 53 2 transfusion transfusion NN cord-009417-458rrhcm 53 3 of of IN cord-009417-458rrhcm 53 4 leukocyte leukocyte NN cord-009417-458rrhcm 53 5 - - HYPH cord-009417-458rrhcm 53 6 reduced reduce VBN cord-009417-458rrhcm 53 7 RBCs rbc NNS cord-009417-458rrhcm 53 8 may may MD cord-009417-458rrhcm 53 9 benefi benefi VB cord-009417-458rrhcm 53 10 t t NNP cord-009417-458rrhcm 53 11 certain certain JJ cord-009417-458rrhcm 53 12 patients patient NNS cord-009417-458rrhcm 53 13 . . . cord-009417-458rrhcm 54 1 Transfusion transfusion NN cord-009417-458rrhcm 54 2 of of IN cord-009417-458rrhcm 54 3 blood blood NN cord-009417-458rrhcm 54 4 components component NNS cord-009417-458rrhcm 54 5 containing contain VBG cord-009417-458rrhcm 54 6 leukocytes leukocyte NNS cord-009417-458rrhcm 54 7 may may MD cord-009417-458rrhcm 54 8 lead lead VB cord-009417-458rrhcm 54 9 to to IN cord-009417-458rrhcm 54 10 febrile febrile JJ cord-009417-458rrhcm 54 11 reactions reaction NNS cord-009417-458rrhcm 54 12 , , , cord-009417-458rrhcm 54 13 a a DT cord-009417-458rrhcm 54 14 greater great JJR cord-009417-458rrhcm 54 15 propensity propensity NN cord-009417-458rrhcm 54 16 for for IN cord-009417-458rrhcm 54 17 alloimmunization alloimmunization NN cord-009417-458rrhcm 54 18 , , , cord-009417-458rrhcm 54 19 platelet platelet NN cord-009417-458rrhcm 54 20 alloimmunization alloimmunization NN cord-009417-458rrhcm 54 21 , , , cord-009417-458rrhcm 54 22 and and CC cord-009417-458rrhcm 54 23 transmission transmission NN cord-009417-458rrhcm 54 24 of of IN cord-009417-458rrhcm 54 25 pathogens pathogen NNS cord-009417-458rrhcm 54 26 carried carry VBN cord-009417-458rrhcm 54 27 by by IN cord-009417-458rrhcm 54 28 leukocytes leukocyte NNS cord-009417-458rrhcm 54 29 , , , cord-009417-458rrhcm 54 30 such such JJ cord-009417-458rrhcm 54 31 as as IN cord-009417-458rrhcm 54 32 cytomegalovirus cytomegalovirus NNP cord-009417-458rrhcm 54 33 ( ( -LRB- cord-009417-458rrhcm 54 34 CMV CMV NNP cord-009417-458rrhcm 54 35 ) ) -RRB- cord-009417-458rrhcm 54 36 . . . cord-009417-458rrhcm 55 1 Leukocyte Leukocyte NNP cord-009417-458rrhcm 55 2 reduction reduction NN cord-009417-458rrhcm 55 3 , , , cord-009417-458rrhcm 55 4 as as IN cord-009417-458rrhcm 55 5 defi defi NNP cord-009417-458rrhcm 55 6 ned ned NNP cord-009417-458rrhcm 55 7 by by IN cord-009417-458rrhcm 55 8 the the DT cord-009417-458rrhcm 55 9 FDA FDA NNP cord-009417-458rrhcm 55 10 , , , cord-009417-458rrhcm 55 11 requires require VBZ cord-009417-458rrhcm 55 12 fi fi IN cord-009417-458rrhcm 55 13 ltration ltration NN cord-009417-458rrhcm 55 14 of of IN cord-009417-458rrhcm 55 15 the the DT cord-009417-458rrhcm 55 16 blood blood NN cord-009417-458rrhcm 55 17 component component NN cord-009417-458rrhcm 55 18 by by IN cord-009417-458rrhcm 55 19 a a DT cord-009417-458rrhcm 55 20 special special JJ cord-009417-458rrhcm 55 21 fi fi NN cord-009417-458rrhcm 55 22 lter lter NN cord-009417-458rrhcm 55 23 . . . cord-009417-458rrhcm 56 1 1 1 CD cord-009417-458rrhcm 56 2 Filtration Filtration NNP cord-009417-458rrhcm 56 3 may may MD cord-009417-458rrhcm 56 4 be be VB cord-009417-458rrhcm 56 5 performed perform VBN cord-009417-458rrhcm 56 6 either either CC cord-009417-458rrhcm 56 7 at at IN cord-009417-458rrhcm 56 8 the the DT cord-009417-458rrhcm 56 9 time time NN cord-009417-458rrhcm 56 10 of of IN cord-009417-458rrhcm 56 11 blood blood NN cord-009417-458rrhcm 56 12 donation donation NN cord-009417-458rrhcm 56 13 and and CC cord-009417-458rrhcm 56 14 processing processing NN cord-009417-458rrhcm 56 15 or or CC cord-009417-458rrhcm 56 16 later later RB cord-009417-458rrhcm 56 17 at at IN cord-009417-458rrhcm 56 18 the the DT cord-009417-458rrhcm 56 19 time time NN cord-009417-458rrhcm 56 20 of of IN cord-009417-458rrhcm 56 21 transfusion transfusion NN cord-009417-458rrhcm 56 22 ( ( -LRB- cord-009417-458rrhcm 56 23 " " `` cord-009417-458rrhcm 56 24 bedside bedside NN cord-009417-458rrhcm 56 25 fi fi NN cord-009417-458rrhcm 56 26 ltration ltration NN cord-009417-458rrhcm 56 27 " " '' cord-009417-458rrhcm 56 28 ) ) -RRB- cord-009417-458rrhcm 56 29 . . . cord-009417-458rrhcm 57 1 Filtration filtration NN cord-009417-458rrhcm 57 2 before before IN cord-009417-458rrhcm 57 3 storage storage NN cord-009417-458rrhcm 57 4 conveys convey VBZ cord-009417-458rrhcm 57 5 the the DT cord-009417-458rrhcm 57 6 benefi benefi NNP cord-009417-458rrhcm 57 7 t t NN cord-009417-458rrhcm 57 8 of of IN cord-009417-458rrhcm 57 9 removing remove VBG cord-009417-458rrhcm 57 10 white white JJ cord-009417-458rrhcm 57 11 blood blood NN cord-009417-458rrhcm 57 12 cells cell NNS cord-009417-458rrhcm 57 13 ( ( -LRB- cord-009417-458rrhcm 57 14 WBCs wbc NNS cord-009417-458rrhcm 57 15 ) ) -RRB- cord-009417-458rrhcm 57 16 before before IN cord-009417-458rrhcm 57 17 they -PRON- PRP cord-009417-458rrhcm 57 18 can can MD cord-009417-458rrhcm 57 19 deteriorate deteriorate VB cord-009417-458rrhcm 57 20 and and CC cord-009417-458rrhcm 57 21 elaborate elaborate VB cord-009417-458rrhcm 57 22 cytokines cytokine NNS cord-009417-458rrhcm 57 23 and and CC cord-009417-458rrhcm 57 24 other other JJ cord-009417-458rrhcm 57 25 unwanted unwanted JJ cord-009417-458rrhcm 57 26 substances substance NNS cord-009417-458rrhcm 57 27 during during IN cord-009417-458rrhcm 57 28 storage storage NN cord-009417-458rrhcm 57 29 . . . cord-009417-458rrhcm 58 1 8 8 CD cord-009417-458rrhcm 59 1 Because because IN cord-009417-458rrhcm 59 2 of of IN cord-009417-458rrhcm 59 3 proven prove VBN cord-009417-458rrhcm 59 4 and and CC cord-009417-458rrhcm 59 5 theoretical theoretical JJ cord-009417-458rrhcm 59 6 benefi benefi JJ cord-009417-458rrhcm 59 7 ts ts NN cord-009417-458rrhcm 59 8 of of IN cord-009417-458rrhcm 59 9 leukocyte leukocyte NN cord-009417-458rrhcm 59 10 reduction reduction NN cord-009417-458rrhcm 59 11 of of IN cord-009417-458rrhcm 59 12 blood blood NN cord-009417-458rrhcm 59 13 components component NNS cord-009417-458rrhcm 59 14 ( ( -LRB- cord-009417-458rrhcm 59 15 discussed discuss VBN cord-009417-458rrhcm 59 16 later later RB cord-009417-458rrhcm 59 17 in in IN cord-009417-458rrhcm 59 18 the the DT cord-009417-458rrhcm 59 19 section section NN cord-009417-458rrhcm 59 20 covering cover VBG cord-009417-458rrhcm 59 21 the the DT cord-009417-458rrhcm 59 22 adverse adverse JJ cord-009417-458rrhcm 59 23 effects effect NNS cord-009417-458rrhcm 59 24 of of IN cord-009417-458rrhcm 59 25 transfusion transfusion NN cord-009417-458rrhcm 59 26 ) ) -RRB- cord-009417-458rrhcm 59 27 , , , cord-009417-458rrhcm 59 28 many many JJ cord-009417-458rrhcm 59 29 European european JJ cord-009417-458rrhcm 59 30 countries country NNS cord-009417-458rrhcm 59 31 and and CC cord-009417-458rrhcm 59 32 Canada Canada NNP cord-009417-458rrhcm 59 33 require require VBP cord-009417-458rrhcm 59 34 that that IN cord-009417-458rrhcm 59 35 all all DT cord-009417-458rrhcm 59 36 transfusions transfusion NNS cord-009417-458rrhcm 59 37 be be VBP cord-009417-458rrhcm 59 38 leukocyte leukocyte NN cord-009417-458rrhcm 59 39 reduced reduce VBN cord-009417-458rrhcm 59 40 , , , cord-009417-458rrhcm 59 41 a a DT cord-009417-458rrhcm 59 42 process process NN cord-009417-458rrhcm 59 43 called call VBN cord-009417-458rrhcm 59 44 universal universal JJ cord-009417-458rrhcm 59 45 leukoreduction leukoreduction NN cord-009417-458rrhcm 59 46 ( ( -LRB- cord-009417-458rrhcm 59 47 ULR ULR NNP cord-009417-458rrhcm 59 48 ) ) -RRB- cord-009417-458rrhcm 59 49 . . . cord-009417-458rrhcm 60 1 Some some DT cord-009417-458rrhcm 60 2 institutions institution NNS cord-009417-458rrhcm 60 3 in in IN cord-009417-458rrhcm 60 4 the the DT cord-009417-458rrhcm 60 5 United United NNP cord-009417-458rrhcm 60 6 States States NNP cord-009417-458rrhcm 60 7 have have VBP cord-009417-458rrhcm 60 8 also also RB cord-009417-458rrhcm 60 9 made make VBN cord-009417-458rrhcm 60 10 that that DT cord-009417-458rrhcm 60 11 decision decision NN cord-009417-458rrhcm 60 12 , , , cord-009417-458rrhcm 60 13 but but CC cord-009417-458rrhcm 60 14 either either DT cord-009417-458rrhcm 60 15 method method NN cord-009417-458rrhcm 60 16 of of IN cord-009417-458rrhcm 60 17 leukocyte leukocyte NN cord-009417-458rrhcm 60 18 reduction reduction NN cord-009417-458rrhcm 60 19 adds add VBZ cord-009417-458rrhcm 60 20 signifi signifi NNP cord-009417-458rrhcm 60 21 cantly cantly RB cord-009417-458rrhcm 60 22 to to IN cord-009417-458rrhcm 60 23 the the DT cord-009417-458rrhcm 60 24 cost cost NN cord-009417-458rrhcm 60 25 of of IN cord-009417-458rrhcm 60 26 each each DT cord-009417-458rrhcm 60 27 transfusion transfusion NN cord-009417-458rrhcm 60 28 ( ( -LRB- cord-009417-458rrhcm 60 29 $ $ $ cord-009417-458rrhcm 60 30 25 25 CD cord-009417-458rrhcm 60 31 to to TO cord-009417-458rrhcm 60 32 $ $ $ cord-009417-458rrhcm 60 33 30 30 CD cord-009417-458rrhcm 60 34 ) ) -RRB- cord-009417-458rrhcm 60 35 , , , cord-009417-458rrhcm 60 36 and and CC cord-009417-458rrhcm 60 37 the the DT cord-009417-458rrhcm 60 38 benefi benefi JJ cord-009417-458rrhcm 60 39 ts ts NN cord-009417-458rrhcm 60 40 of of IN cord-009417-458rrhcm 60 41 this this DT cord-009417-458rrhcm 60 42 measure measure NN cord-009417-458rrhcm 60 43 when when WRB cord-009417-458rrhcm 60 44 applied apply VBN cord-009417-458rrhcm 60 45 globally globally RB cord-009417-458rrhcm 60 46 have have VBP cord-009417-458rrhcm 60 47 yet yet RB cord-009417-458rrhcm 60 48 to to TO cord-009417-458rrhcm 60 49 be be VB cord-009417-458rrhcm 60 50 quantifi quantifi NNP cord-009417-458rrhcm 60 51 ed ed NNP cord-009417-458rrhcm 60 52 . . NNP cord-009417-458rrhcm 60 53 9 9 CD cord-009417-458rrhcm 61 1 Washing washing NN cord-009417-458rrhcm 61 2 PRBCs prbc NNS cord-009417-458rrhcm 61 3 involves involve VBZ cord-009417-458rrhcm 61 4 recentrifuging recentrifuge VBG cord-009417-458rrhcm 61 5 to to TO cord-009417-458rrhcm 61 6 remove remove VB cord-009417-458rrhcm 61 7 the the DT cord-009417-458rrhcm 61 8 plasma plasma NN cord-009417-458rrhcm 61 9 / / SYM cord-009417-458rrhcm 61 10 preservative preservative NN cord-009417-458rrhcm 61 11 solution solution NN cord-009417-458rrhcm 61 12 from from IN cord-009417-458rrhcm 61 13 the the DT cord-009417-458rrhcm 61 14 unit unit NN cord-009417-458rrhcm 61 15 . . . cord-009417-458rrhcm 62 1 However however RB cord-009417-458rrhcm 62 2 , , , cord-009417-458rrhcm 62 3 washing washing NN cord-009417-458rrhcm 62 4 may may MD cord-009417-458rrhcm 62 5 take take VB cord-009417-458rrhcm 62 6 an an DT cord-009417-458rrhcm 62 7 hour hour NN cord-009417-458rrhcm 62 8 or or CC cord-009417-458rrhcm 62 9 more more JJR cord-009417-458rrhcm 62 10 , , , cord-009417-458rrhcm 62 11 limits limit VBZ cord-009417-458rrhcm 62 12 subsequent subsequent JJ cord-009417-458rrhcm 62 13 storage storage NN cord-009417-458rrhcm 62 14 time time NN cord-009417-458rrhcm 62 15 , , , cord-009417-458rrhcm 62 16 and and CC cord-009417-458rrhcm 62 17 causes cause VBZ cord-009417-458rrhcm 62 18 some some DT cord-009417-458rrhcm 62 19 loss loss NN cord-009417-458rrhcm 62 20 of of IN cord-009417-458rrhcm 62 21 RBCs rbc NNS cord-009417-458rrhcm 62 22 . . . cord-009417-458rrhcm 63 1 Washing washing NN cord-009417-458rrhcm 63 2 is be VBZ cord-009417-458rrhcm 63 3 also also RB cord-009417-458rrhcm 63 4 not not RB cord-009417-458rrhcm 63 5 an an DT cord-009417-458rrhcm 63 6 effective effective JJ cord-009417-458rrhcm 63 7 method method NN cord-009417-458rrhcm 63 8 of of IN cord-009417-458rrhcm 63 9 leukoreduction leukoreduction NN cord-009417-458rrhcm 63 10 . . . cord-009417-458rrhcm 64 1 There there EX cord-009417-458rrhcm 64 2 are be VBP cord-009417-458rrhcm 64 3 very very RB cord-009417-458rrhcm 64 4 few few JJ cord-009417-458rrhcm 64 5 indications indication NNS cord-009417-458rrhcm 64 6 for for IN cord-009417-458rrhcm 64 7 the the DT cord-009417-458rrhcm 64 8 use use NN cord-009417-458rrhcm 64 9 of of IN cord-009417-458rrhcm 64 10 washed washed JJ cord-009417-458rrhcm 64 11 RBCs rbc NNS cord-009417-458rrhcm 64 12 , , , cord-009417-458rrhcm 64 13 although although IN cord-009417-458rrhcm 64 14 some some DT cord-009417-458rrhcm 64 15 recipients recipient NNS cord-009417-458rrhcm 64 16 with with IN cord-009417-458rrhcm 64 17 plasma plasma NN cord-009417-458rrhcm 64 18 reactions reaction NNS cord-009417-458rrhcm 64 19 may may MD cord-009417-458rrhcm 64 20 benefi benefi VB cord-009417-458rrhcm 64 21 t. t. NNP cord-009417-458rrhcm 64 22 PRBCs prbc NNS cord-009417-458rrhcm 64 23 can can MD cord-009417-458rrhcm 64 24 be be VB cord-009417-458rrhcm 64 25 frozen freeze VBN cord-009417-458rrhcm 64 26 in in IN cord-009417-458rrhcm 64 27 cryoprotective cryoprotective JJ cord-009417-458rrhcm 64 28 solution solution NN cord-009417-458rrhcm 64 29 and and CC cord-009417-458rrhcm 64 30 stored store VBN cord-009417-458rrhcm 64 31 for for IN cord-009417-458rrhcm 64 32 extended extended JJ cord-009417-458rrhcm 64 33 periods period NNS cord-009417-458rrhcm 64 34 . . . cord-009417-458rrhcm 65 1 Frozen frozen JJ cord-009417-458rrhcm 65 2 RBCs rbc NNS cord-009417-458rrhcm 65 3 are be VBP cord-009417-458rrhcm 65 4 generally generally RB cord-009417-458rrhcm 65 5 limited limit VBN cord-009417-458rrhcm 65 6 to to IN cord-009417-458rrhcm 65 7 units unit NNS cord-009417-458rrhcm 65 8 of of IN cord-009417-458rrhcm 65 9 special special JJ cord-009417-458rrhcm 65 10 value value NN cord-009417-458rrhcm 65 11 , , , cord-009417-458rrhcm 65 12 such such JJ cord-009417-458rrhcm 65 13 as as IN cord-009417-458rrhcm 65 14 those those DT cord-009417-458rrhcm 65 15 with with IN cord-009417-458rrhcm 65 16 a a DT cord-009417-458rrhcm 65 17 rare rare JJ cord-009417-458rrhcm 65 18 RBC RBC NNP cord-009417-458rrhcm 65 19 antigen antigen NN cord-009417-458rrhcm 65 20 profi profi NNP cord-009417-458rrhcm 65 21 le le NNP cord-009417-458rrhcm 65 22 or or CC cord-009417-458rrhcm 65 23 autologous autologous JJ cord-009417-458rrhcm 65 24 blood blood NN cord-009417-458rrhcm 65 25 donations donation NNS cord-009417-458rrhcm 65 26 that that WDT cord-009417-458rrhcm 65 27 need need VBP cord-009417-458rrhcm 65 28 to to TO cord-009417-458rrhcm 65 29 be be VB cord-009417-458rrhcm 65 30 stored store VBN cord-009417-458rrhcm 65 31 for for IN cord-009417-458rrhcm 65 32 future future JJ cord-009417-458rrhcm 65 33 use use NN cord-009417-458rrhcm 65 34 . . . cord-009417-458rrhcm 66 1 A a DT cord-009417-458rrhcm 66 2 rare rare JJ cord-009417-458rrhcm 66 3 - - HYPH cord-009417-458rrhcm 66 4 donor donor NN cord-009417-458rrhcm 66 5 registry registry NN cord-009417-458rrhcm 66 6 of of IN cord-009417-458rrhcm 66 7 frozen frozen JJ cord-009417-458rrhcm 66 8 PRBCs prbc NNS cord-009417-458rrhcm 66 9 exists exist VBZ cord-009417-458rrhcm 66 10 to to TO cord-009417-458rrhcm 66 11 assist assist VB cord-009417-458rrhcm 66 12 in in IN cord-009417-458rrhcm 66 13 providing provide VBG cord-009417-458rrhcm 66 14 blood blood NN cord-009417-458rrhcm 66 15 to to IN cord-009417-458rrhcm 66 16 patients patient NNS cord-009417-458rrhcm 66 17 with with IN cord-009417-458rrhcm 66 18 complex complex JJ cord-009417-458rrhcm 66 19 or or CC cord-009417-458rrhcm 66 20 multiple multiple JJ cord-009417-458rrhcm 66 21 alloantibodies alloantibody NNS cord-009417-458rrhcm 66 22 to to IN cord-009417-458rrhcm 66 23 red red JJ cord-009417-458rrhcm 66 24 cell cell NN cord-009417-458rrhcm 66 25 antigens antigen NNS cord-009417-458rrhcm 66 26 . . . cord-009417-458rrhcm 67 1 Signifi Signifi NNP cord-009417-458rrhcm 67 2 ca can MD cord-009417-458rrhcm 67 3 nt not RB cord-009417-458rrhcm 67 4 advanced advanced JJ cord-009417-458rrhcm 67 5 planning planning NN cord-009417-458rrhcm 67 6 is be VBZ cord-009417-458rrhcm 67 7 necessary necessary JJ cord-009417-458rrhcm 67 8 to to TO cord-009417-458rrhcm 67 9 acquire acquire VB cord-009417-458rrhcm 67 10 and and CC cord-009417-458rrhcm 67 11 thaw thaw VB cord-009417-458rrhcm 67 12 frozen frozen JJ cord-009417-458rrhcm 67 13 PRBCs prbc NNS cord-009417-458rrhcm 67 14 for for IN cord-009417-458rrhcm 67 15 transfusion transfusion NN cord-009417-458rrhcm 67 16 , , , cord-009417-458rrhcm 67 17 thus thus RB cord-009417-458rrhcm 67 18 limiting limit VBG cord-009417-458rrhcm 67 19 their -PRON- PRP$ cord-009417-458rrhcm 67 20 use use NN cord-009417-458rrhcm 67 21 in in IN cord-009417-458rrhcm 67 22 acute acute JJ cord-009417-458rrhcm 67 23 situations situation NNS cord-009417-458rrhcm 67 24 . . . cord-009417-458rrhcm 68 1 WB WB NNP cord-009417-458rrhcm 68 2 and and CC cord-009417-458rrhcm 68 3 PRBCs prbc NNS cord-009417-458rrhcm 68 4 suffer suffer VBP cord-009417-458rrhcm 68 5 some some DT cord-009417-458rrhcm 68 6 cell cell NN cord-009417-458rrhcm 68 7 loss loss NN cord-009417-458rrhcm 68 8 during during IN cord-009417-458rrhcm 68 9 storage storage NN cord-009417-458rrhcm 68 10 . . . cord-009417-458rrhcm 69 1 The the DT cord-009417-458rrhcm 69 2 current current JJ cord-009417-458rrhcm 69 3 technology technology NN cord-009417-458rrhcm 69 4 of of IN cord-009417-458rrhcm 69 5 bag bag NN cord-009417-458rrhcm 69 6 and and CC cord-009417-458rrhcm 69 7 preservative preservative NN cord-009417-458rrhcm 69 8 solutions solution NNS cord-009417-458rrhcm 69 9 attempts attempt NNS cord-009417-458rrhcm 69 10 to to TO cord-009417-458rrhcm 69 11 optimize optimize VB cord-009417-458rrhcm 69 12 cell cell NN cord-009417-458rrhcm 69 13 quality quality NN cord-009417-458rrhcm 69 14 and and CC cord-009417-458rrhcm 69 15 quantity quantity NN cord-009417-458rrhcm 69 16 by by IN cord-009417-458rrhcm 69 17 using use VBG cord-009417-458rrhcm 69 18 strict strict JJ cord-009417-458rrhcm 69 19 criteria criterion NNS cord-009417-458rrhcm 69 20 to to TO cord-009417-458rrhcm 69 21 determine determine VB cord-009417-458rrhcm 69 22 the the DT cord-009417-458rrhcm 69 23 length length NN cord-009417-458rrhcm 69 24 of of IN cord-009417-458rrhcm 69 25 allowable allowable JJ cord-009417-458rrhcm 69 26 storage storage NN cord-009417-458rrhcm 69 27 time time NN cord-009417-458rrhcm 69 28 . . . cord-009417-458rrhcm 70 1 Nonetheless nonetheless RB cord-009417-458rrhcm 70 2 , , , cord-009417-458rrhcm 70 3 as as IN cord-009417-458rrhcm 70 4 red red JJ cord-009417-458rrhcm 70 5 cell cell NN cord-009417-458rrhcm 70 6 metabolism metabolism NN cord-009417-458rrhcm 70 7 decreases decrease VBZ cord-009417-458rrhcm 70 8 progressively progressively RB cord-009417-458rrhcm 70 9 , , , cord-009417-458rrhcm 70 10 a a DT cord-009417-458rrhcm 70 11 " " `` cord-009417-458rrhcm 70 12 storage storage NN cord-009417-458rrhcm 70 13 lesion lesion NN cord-009417-458rrhcm 70 14 " " '' cord-009417-458rrhcm 70 15 results result NNS cord-009417-458rrhcm 70 16 , , , cord-009417-458rrhcm 70 17 10 10 CD cord-009417-458rrhcm 70 18 with with IN cord-009417-458rrhcm 70 19 accumulation accumulation NN cord-009417-458rrhcm 70 20 of of IN cord-009417-458rrhcm 70 21 a a DT cord-009417-458rrhcm 70 22 variety variety NN cord-009417-458rrhcm 70 23 of of IN cord-009417-458rrhcm 70 24 undesirable undesirable JJ cord-009417-458rrhcm 70 25 substances substance NNS cord-009417-458rrhcm 70 26 and and CC cord-009417-458rrhcm 70 27 loss loss NN cord-009417-458rrhcm 70 28 of of IN cord-009417-458rrhcm 70 29 cellular cellular JJ cord-009417-458rrhcm 70 30 function function NN cord-009417-458rrhcm 70 31 . . . cord-009417-458rrhcm 71 1 Over over IN cord-009417-458rrhcm 71 2 time time NN cord-009417-458rrhcm 71 3 in in IN cord-009417-458rrhcm 71 4 storage storage NN cord-009417-458rrhcm 71 5 , , , cord-009417-458rrhcm 71 6 a a DT cord-009417-458rrhcm 71 7 slow slow JJ cord-009417-458rrhcm 71 8 rise rise NN cord-009417-458rrhcm 71 9 in in IN cord-009417-458rrhcm 71 10 the the DT cord-009417-458rrhcm 71 11 concentration concentration NN cord-009417-458rrhcm 71 12 of of IN cord-009417-458rrhcm 71 13 potassium potassium NN cord-009417-458rrhcm 71 14 , , , cord-009417-458rrhcm 71 15 lactate lactate NN cord-009417-458rrhcm 71 16 , , , cord-009417-458rrhcm 71 17 aspartate aspartate NN cord-009417-458rrhcm 71 18 aminotransferase aminotransferase NN cord-009417-458rrhcm 71 19 , , , cord-009417-458rrhcm 71 20 lactate lactate NN cord-009417-458rrhcm 71 21 dehydrogenase dehydrogenase NN cord-009417-458rrhcm 71 22 , , , cord-009417-458rrhcm 71 23 ammonia ammonia NN cord-009417-458rrhcm 71 24 , , , cord-009417-458rrhcm 71 25 phosphate phosphate NN cord-009417-458rrhcm 71 26 , , , cord-009417-458rrhcm 71 27 and and CC cord-009417-458rrhcm 71 28 free free JJ cord-009417-458rrhcm 71 29 hemoglobin hemoglobin NN cord-009417-458rrhcm 71 30 and and CC cord-009417-458rrhcm 71 31 a a DT cord-009417-458rrhcm 71 32 slow slow JJ cord-009417-458rrhcm 71 33 decrease decrease NN cord-009417-458rrhcm 71 34 in in IN cord-009417-458rrhcm 71 35 pH ph NN cord-009417-458rrhcm 71 36 and and CC cord-009417-458rrhcm 71 37 bicarbonate bicarbonate NN cord-009417-458rrhcm 71 38 concentration concentration NN cord-009417-458rrhcm 71 39 occur occur VBP cord-009417-458rrhcm 71 40 . . . cord-009417-458rrhcm 72 1 Cytokines cytokine NNS cord-009417-458rrhcm 72 2 and and CC cord-009417-458rrhcm 72 3 infl infl NNP cord-009417-458rrhcm 72 4 ammatory ammatory NNP cord-009417-458rrhcm 72 5 mediators mediator NNS cord-009417-458rrhcm 72 6 such such JJ cord-009417-458rrhcm 72 7 as as IN cord-009417-458rrhcm 72 8 interleukin-1 interleukin-1 NN cord-009417-458rrhcm 72 9 , , , cord-009417-458rrhcm 72 10 interleukin-6 interleukin-6 NN cord-009417-458rrhcm 72 11 and and CC cord-009417-458rrhcm 72 12 tumor tumor NN cord-009417-458rrhcm 72 13 necrosis necrosis NN cord-009417-458rrhcm 72 14 factor factor NN cord-009417-458rrhcm 72 15 also also RB cord-009417-458rrhcm 72 16 accumulate accumulate VBP cord-009417-458rrhcm 72 17 . . . cord-009417-458rrhcm 73 1 The the DT cord-009417-458rrhcm 73 2 pH ph NN cord-009417-458rrhcm 73 3 of of IN cord-009417-458rrhcm 73 4 freshly freshly RB cord-009417-458rrhcm 73 5 stored store VBN cord-009417-458rrhcm 73 6 blood blood NN cord-009417-458rrhcm 73 7 in in IN cord-009417-458rrhcm 73 8 citrate citrate NN cord-009417-458rrhcm 73 9 solution solution NN cord-009417-458rrhcm 73 10 is be VBZ cord-009417-458rrhcm 73 11 7.16 7.16 CD cord-009417-458rrhcm 73 12 , , , cord-009417-458rrhcm 73 13 which which WDT cord-009417-458rrhcm 73 14 declines decline VBZ cord-009417-458rrhcm 73 15 to to IN cord-009417-458rrhcm 73 16 approximately approximately RB cord-009417-458rrhcm 73 17 6.73 6.73 CD cord-009417-458rrhcm 73 18 at at IN cord-009417-458rrhcm 73 19 the the DT cord-009417-458rrhcm 73 20 end end NN cord-009417-458rrhcm 73 21 of of IN cord-009417-458rrhcm 73 22 the the DT cord-009417-458rrhcm 73 23 unit unit NN cord-009417-458rrhcm 73 24 's 's POS cord-009417-458rrhcm 73 25 shelf shelf NN cord-009417-458rrhcm 73 26 life life NN cord-009417-458rrhcm 73 27 . . . cord-009417-458rrhcm 74 1 As as IN cord-009417-458rrhcm 74 2 potassium potassium NN cord-009417-458rrhcm 74 3 leaks leak NNS cord-009417-458rrhcm 74 4 from from IN cord-009417-458rrhcm 74 5 red red JJ cord-009417-458rrhcm 74 6 cells cell NNS cord-009417-458rrhcm 74 7 during during IN cord-009417-458rrhcm 74 8 storage storage NN cord-009417-458rrhcm 74 9 , , , cord-009417-458rrhcm 74 10 levels level NNS cord-009417-458rrhcm 74 11 as as RB cord-009417-458rrhcm 74 12 high high JJ cord-009417-458rrhcm 74 13 as as IN cord-009417-458rrhcm 75 1 25 25 CD cord-009417-458rrhcm 75 2 mEq mEq NNS cord-009417-458rrhcm 75 3 / / SYM cord-009417-458rrhcm 75 4 L L NNP cord-009417-458rrhcm 75 5 may may MD cord-009417-458rrhcm 75 6 result result VB cord-009417-458rrhcm 75 7 . . . cord-009417-458rrhcm 76 1 However however RB cord-009417-458rrhcm 76 2 , , , cord-009417-458rrhcm 76 3 each each DT cord-009417-458rrhcm 76 4 unit unit NN cord-009417-458rrhcm 76 5 transfused transfuse VBD cord-009417-458rrhcm 76 6 supplies supply NNS cord-009417-458rrhcm 76 7 at at IN cord-009417-458rrhcm 76 8 most most JJS cord-009417-458rrhcm 76 9 7 7 CD cord-009417-458rrhcm 76 10 mEq mEq NNS cord-009417-458rrhcm 76 11 of of IN cord-009417-458rrhcm 76 12 potassium potassium NN cord-009417-458rrhcm 76 13 , , , cord-009417-458rrhcm 76 14 which which WDT cord-009417-458rrhcm 76 15 is be VBZ cord-009417-458rrhcm 76 16 well well RB cord-009417-458rrhcm 76 17 tolerated tolerate VBN cord-009417-458rrhcm 76 18 under under IN cord-009417-458rrhcm 76 19 most most JJS cord-009417-458rrhcm 76 20 circumstances circumstance NNS cord-009417-458rrhcm 76 21 . . . cord-009417-458rrhcm 77 1 During during IN cord-009417-458rrhcm 77 2 the the DT cord-009417-458rrhcm 77 3 storage storage NN cord-009417-458rrhcm 77 4 period period NN cord-009417-458rrhcm 77 5 there there EX cord-009417-458rrhcm 77 6 is be VBZ cord-009417-458rrhcm 77 7 also also RB cord-009417-458rrhcm 77 8 a a DT cord-009417-458rrhcm 77 9 progressive progressive JJ cord-009417-458rrhcm 77 10 decrease decrease NN cord-009417-458rrhcm 77 11 in in IN cord-009417-458rrhcm 77 12 RBC RBC NNP cord-009417-458rrhcm 77 13 - - HYPH cord-009417-458rrhcm 77 14 associated associate VBN cord-009417-458rrhcm 77 15 2,3-diphosphoglycerate 2,3-diphosphoglycerate CD cord-009417-458rrhcm 77 16 ( ( -LRB- cord-009417-458rrhcm 77 17 2,3-DPG 2,3-dpg CD cord-009417-458rrhcm 77 18 ) ) -RRB- cord-009417-458rrhcm 77 19 and and CC cord-009417-458rrhcm 77 20 adenosine adenosine NN cord-009417-458rrhcm 77 21 triphosphate triphosphate NN cord-009417-458rrhcm 77 22 ( ( -LRB- cord-009417-458rrhcm 77 23 ATP ATP NNP cord-009417-458rrhcm 77 24 ) ) -RRB- cord-009417-458rrhcm 77 25 . . . cord-009417-458rrhcm 78 1 10 10 CD cord-009417-458rrhcm 79 1 A a DT cord-009417-458rrhcm 79 2 decrease decrease NN cord-009417-458rrhcm 79 3 in in IN cord-009417-458rrhcm 79 4 2,3-DPG 2,3-dpg CD cord-009417-458rrhcm 79 5 increases increase NNS cord-009417-458rrhcm 79 6 the the DT cord-009417-458rrhcm 79 7 affi affi JJ cord-009417-458rrhcm 79 8 nity nity NN cord-009417-458rrhcm 79 9 of of IN cord-009417-458rrhcm 79 10 hemoglobin hemoglobin NN cord-009417-458rrhcm 79 11 for for IN cord-009417-458rrhcm 79 12 oxygen oxygen NN cord-009417-458rrhcm 79 13 , , , cord-009417-458rrhcm 79 14 which which WDT cord-009417-458rrhcm 79 15 shifts shift VBZ cord-009417-458rrhcm 79 16 the the DT cord-009417-458rrhcm 79 17 oxygen oxygen NN cord-009417-458rrhcm 79 18 dissociation dissociation NN cord-009417-458rrhcm 79 19 curve curve NN cord-009417-458rrhcm 79 20 to to IN cord-009417-458rrhcm 79 21 the the DT cord-009417-458rrhcm 79 22 left left NN cord-009417-458rrhcm 79 23 and and CC cord-009417-458rrhcm 79 24 decreases decrease VBZ cord-009417-458rrhcm 79 25 oxygen oxygen NN cord-009417-458rrhcm 79 26 delivery delivery NN cord-009417-458rrhcm 79 27 to to IN cord-009417-458rrhcm 79 28 tissues tissue NNS cord-009417-458rrhcm 79 29 . . . cord-009417-458rrhcm 80 1 There there EX cord-009417-458rrhcm 80 2 is be VBZ cord-009417-458rrhcm 80 3 little little JJ cord-009417-458rrhcm 80 4 evidence evidence NN cord-009417-458rrhcm 80 5 , , , cord-009417-458rrhcm 80 6 however however RB cord-009417-458rrhcm 80 7 , , , cord-009417-458rrhcm 80 8 that that IN cord-009417-458rrhcm 80 9 this this DT cord-009417-458rrhcm 80 10 transient transient JJ cord-009417-458rrhcm 80 11 increase increase NN cord-009417-458rrhcm 80 12 in in IN cord-009417-458rrhcm 80 13 oxygen oxygen NN cord-009417-458rrhcm 80 14 affi affi NNP cord-009417-458rrhcm 80 15 nity nity NNP cord-009417-458rrhcm 80 16 has have VBZ cord-009417-458rrhcm 80 17 clinical clinical JJ cord-009417-458rrhcm 80 18 importance importance NN cord-009417-458rrhcm 80 19 . . . cord-009417-458rrhcm 81 1 After after IN cord-009417-458rrhcm 81 2 infusion infusion NN cord-009417-458rrhcm 81 3 , , , cord-009417-458rrhcm 81 4 2,3-DPG 2,3-dpg CD cord-009417-458rrhcm 81 5 gradually gradually RB cord-009417-458rrhcm 81 6 increases increase VBZ cord-009417-458rrhcm 81 7 as as IN cord-009417-458rrhcm 81 8 the the DT cord-009417-458rrhcm 81 9 transfused transfuse VBN cord-009417-458rrhcm 81 10 red red JJ cord-009417-458rrhcm 81 11 cells cell NNS cord-009417-458rrhcm 81 12 circulate circulate VBP cord-009417-458rrhcm 81 13 , , , cord-009417-458rrhcm 81 14 with with IN cord-009417-458rrhcm 81 15 25 25 CD cord-009417-458rrhcm 81 16 % % NN cord-009417-458rrhcm 81 17 recovery recovery NN cord-009417-458rrhcm 81 18 in in IN cord-009417-458rrhcm 81 19 8 8 CD cord-009417-458rrhcm 81 20 hours hour NNS cord-009417-458rrhcm 81 21 and and CC cord-009417-458rrhcm 81 22 full full JJ cord-009417-458rrhcm 81 23 replacement replacement NN cord-009417-458rrhcm 81 24 by by IN cord-009417-458rrhcm 81 25 24 24 CD cord-009417-458rrhcm 81 26 hours hour NNS cord-009417-458rrhcm 81 27 . . . cord-009417-458rrhcm 82 1 11 11 CD cord-009417-458rrhcm 82 2 Decreased decrease VBD cord-009417-458rrhcm 82 3 ATP ATP NNP cord-009417-458rrhcm 82 4 during during IN cord-009417-458rrhcm 82 5 storage storage NN cord-009417-458rrhcm 82 6 diminishes diminish VBZ cord-009417-458rrhcm 82 7 the the DT cord-009417-458rrhcm 82 8 viability viability NN cord-009417-458rrhcm 82 9 of of IN cord-009417-458rrhcm 82 10 red red JJ cord-009417-458rrhcm 82 11 cells cell NNS cord-009417-458rrhcm 82 12 after after IN cord-009417-458rrhcm 82 13 transfusion transfusion NN cord-009417-458rrhcm 82 14 and and CC cord-009417-458rrhcm 82 15 is be VBZ cord-009417-458rrhcm 82 16 one one CD cord-009417-458rrhcm 82 17 of of IN cord-009417-458rrhcm 82 18 the the DT cord-009417-458rrhcm 82 19 chief chief JJ cord-009417-458rrhcm 82 20 factors factor NNS cord-009417-458rrhcm 82 21 limiting limit VBG cord-009417-458rrhcm 82 22 storage storage NN cord-009417-458rrhcm 82 23 time time NN cord-009417-458rrhcm 82 24 . . . cord-009417-458rrhcm 83 1 There there EX cord-009417-458rrhcm 83 2 is be VBZ cord-009417-458rrhcm 83 3 no no DT cord-009417-458rrhcm 83 4 currently currently RB cord-009417-458rrhcm 83 5 available available JJ cord-009417-458rrhcm 83 6 storage storage NN cord-009417-458rrhcm 83 7 or or CC cord-009417-458rrhcm 83 8 rejuvenation rejuvenation NN cord-009417-458rrhcm 83 9 solution solution NN cord-009417-458rrhcm 83 10 that that WDT cord-009417-458rrhcm 83 11 optimizes optimize VBZ cord-009417-458rrhcm 83 12 these these DT cord-009417-458rrhcm 83 13 cellular cellular JJ cord-009417-458rrhcm 83 14 constituents constituent NNS cord-009417-458rrhcm 83 15 . . . cord-009417-458rrhcm 84 1 The the DT cord-009417-458rrhcm 84 2 majority majority NN cord-009417-458rrhcm 84 3 of of IN cord-009417-458rrhcm 84 4 blood blood NN cord-009417-458rrhcm 84 5 transfusions transfusion NNS cord-009417-458rrhcm 84 6 are be VBP cord-009417-458rrhcm 84 7 in in IN cord-009417-458rrhcm 84 8 the the DT cord-009417-458rrhcm 84 9 form form NN cord-009417-458rrhcm 84 10 of of IN cord-009417-458rrhcm 84 11 PRBCs prbc NNS cord-009417-458rrhcm 84 12 , , , cord-009417-458rrhcm 84 13 the the DT cord-009417-458rrhcm 84 14 component component NN cord-009417-458rrhcm 84 15 indicated indicate VBD cord-009417-458rrhcm 84 16 for for IN cord-009417-458rrhcm 84 17 normovolemic normovolemic JJ cord-009417-458rrhcm 84 18 patients patient NNS cord-009417-458rrhcm 84 19 or or CC cord-009417-458rrhcm 84 20 those those DT cord-009417-458rrhcm 84 21 for for IN cord-009417-458rrhcm 84 22 whom whom WP cord-009417-458rrhcm 84 23 intravascular intravascular JJ cord-009417-458rrhcm 84 24 volume volume NN cord-009417-458rrhcm 84 25 constraints constraint NNS cord-009417-458rrhcm 84 26 are be VBP cord-009417-458rrhcm 84 27 necessary necessary JJ cord-009417-458rrhcm 84 28 . . . cord-009417-458rrhcm 85 1 The the DT cord-009417-458rrhcm 85 2 use use NN cord-009417-458rrhcm 85 3 of of IN cord-009417-458rrhcm 85 4 WB WB NNP cord-009417-458rrhcm 85 5 may may MD cord-009417-458rrhcm 85 6 be be VB cord-009417-458rrhcm 85 7 desirable desirable JJ cord-009417-458rrhcm 85 8 for for IN cord-009417-458rrhcm 85 9 patients patient NNS cord-009417-458rrhcm 85 10 who who WP cord-009417-458rrhcm 85 11 require require VBP cord-009417-458rrhcm 85 12 both both DT cord-009417-458rrhcm 85 13 increased increase VBN cord-009417-458rrhcm 85 14 oxygen oxygen NN cord-009417-458rrhcm 85 15 - - HYPH cord-009417-458rrhcm 85 16 carrying carry VBG cord-009417-458rrhcm 85 17 capacity capacity NN cord-009417-458rrhcm 85 18 and and CC cord-009417-458rrhcm 85 19 volume volume NN cord-009417-458rrhcm 85 20 resuscitation resuscitation NN cord-009417-458rrhcm 85 21 because because IN cord-009417-458rrhcm 85 22 of of IN cord-009417-458rrhcm 85 23 a a DT cord-009417-458rrhcm 85 24 large large JJ cord-009417-458rrhcm 85 25 and and CC cord-009417-458rrhcm 85 26 ongoing ongoing JJ cord-009417-458rrhcm 85 27 hemorrhage hemorrhage NN cord-009417-458rrhcm 85 28 ; ; : cord-009417-458rrhcm 85 29 however however RB cord-009417-458rrhcm 85 30 , , , cord-009417-458rrhcm 85 31 the the DT cord-009417-458rrhcm 85 32 availability availability NN cord-009417-458rrhcm 85 33 of of IN cord-009417-458rrhcm 85 34 WB WB NNP cord-009417-458rrhcm 85 35 is be VBZ cord-009417-458rrhcm 85 36 generally generally RB cord-009417-458rrhcm 85 37 limited limited JJ cord-009417-458rrhcm 85 38 . . . cord-009417-458rrhcm 86 1 Resuscitation resuscitation NN cord-009417-458rrhcm 86 2 is be VBZ cord-009417-458rrhcm 86 3 effectively effectively RB cord-009417-458rrhcm 86 4 achieved achieve VBN cord-009417-458rrhcm 86 5 with with IN cord-009417-458rrhcm 86 6 the the DT cord-009417-458rrhcm 86 7 use use NN cord-009417-458rrhcm 86 8 of of IN cord-009417-458rrhcm 86 9 PRBCs prbc NNS cord-009417-458rrhcm 86 10 and and CC cord-009417-458rrhcm 86 11 crystalloid crystalloid NN cord-009417-458rrhcm 86 12 solutions solution NNS cord-009417-458rrhcm 86 13 . . . cord-009417-458rrhcm 87 1 Each each DT cord-009417-458rrhcm 87 2 unit unit NN cord-009417-458rrhcm 87 3 of of IN cord-009417-458rrhcm 87 4 PRBCs PRBCs NNPS cord-009417-458rrhcm 87 5 or or CC cord-009417-458rrhcm 87 6 WB WB NNP cord-009417-458rrhcm 87 7 is be VBZ cord-009417-458rrhcm 87 8 expected expect VBN cord-009417-458rrhcm 87 9 to to TO cord-009417-458rrhcm 87 10 raise raise VB cord-009417-458rrhcm 87 11 the the DT cord-009417-458rrhcm 87 12 hemoglobin hemoglobin NN cord-009417-458rrhcm 87 13 level level NN cord-009417-458rrhcm 87 14 by by IN cord-009417-458rrhcm 87 15 1 1 CD cord-009417-458rrhcm 87 16 g g NN cord-009417-458rrhcm 87 17 / / SYM cord-009417-458rrhcm 87 18 dL dl NN cord-009417-458rrhcm 87 19 and and CC cord-009417-458rrhcm 87 20 the the DT cord-009417-458rrhcm 87 21 Hct Hct NNP cord-009417-458rrhcm 87 22 by by IN cord-009417-458rrhcm 87 23 3 3 CD cord-009417-458rrhcm 87 24 % % NN cord-009417-458rrhcm 87 25 in in IN cord-009417-458rrhcm 87 26 stable stable JJ cord-009417-458rrhcm 87 27 , , , cord-009417-458rrhcm 87 28 nonbleeding nonbleeding NN cord-009417-458rrhcm 87 29 , , , cord-009417-458rrhcm 87 30 average average JJ cord-009417-458rrhcm 87 31 - - HYPH cord-009417-458rrhcm 87 32 sized sized JJ cord-009417-458rrhcm 87 33 adults adult NNS cord-009417-458rrhcm 87 34 . . . cord-009417-458rrhcm 88 1 Although although IN cord-009417-458rrhcm 88 2 some some DT cord-009417-458rrhcm 88 3 studies study NNS cord-009417-458rrhcm 88 4 have have VBP cord-009417-458rrhcm 88 5 demonstrated demonstrate VBN cord-009417-458rrhcm 88 6 a a DT cord-009417-458rrhcm 88 7 slight slight JJ cord-009417-458rrhcm 88 8 superiority superiority NN cord-009417-458rrhcm 88 9 of of IN cord-009417-458rrhcm 88 10 fresh fresh JJ cord-009417-458rrhcm 88 11 WB WB NNP cord-009417-458rrhcm 88 12 over over IN cord-009417-458rrhcm 88 13 components component NNS cord-009417-458rrhcm 88 14 when when WRB cord-009417-458rrhcm 88 15 used use VBN cord-009417-458rrhcm 88 16 during during IN cord-009417-458rrhcm 88 17 cardiac cardiac JJ cord-009417-458rrhcm 88 18 surgery surgery NN cord-009417-458rrhcm 88 19 in in IN cord-009417-458rrhcm 88 20 selected select VBN cord-009417-458rrhcm 88 21 patients patient NNS cord-009417-458rrhcm 88 22 , , , cord-009417-458rrhcm 88 23 12 12 CD cord-009417-458rrhcm 88 24 the the DT cord-009417-458rrhcm 88 25 benefi benefi JJ cord-009417-458rrhcm 88 26 ts ts NN cord-009417-458rrhcm 88 27 of of IN cord-009417-458rrhcm 88 28 fresh fresh JJ cord-009417-458rrhcm 88 29 blood blood NN cord-009417-458rrhcm 88 30 remain remain VBP cord-009417-458rrhcm 88 31 controversial controversial JJ cord-009417-458rrhcm 88 32 , , , cord-009417-458rrhcm 88 33 and and CC cord-009417-458rrhcm 88 34 current current JJ cord-009417-458rrhcm 88 35 testing testing NN cord-009417-458rrhcm 88 36 and and CC cord-009417-458rrhcm 88 37 processing processing NN cord-009417-458rrhcm 88 38 requirements requirement NNS cord-009417-458rrhcm 88 39 limit limit VBP cord-009417-458rrhcm 88 40 general general JJ cord-009417-458rrhcm 88 41 availability availability NN cord-009417-458rrhcm 88 42 . . . cord-009417-458rrhcm 89 1 Despite despite IN cord-009417-458rrhcm 89 2 a a DT cord-009417-458rrhcm 89 3 long long JJ cord-009417-458rrhcm 89 4 tradition tradition NN cord-009417-458rrhcm 89 5 of of IN cord-009417-458rrhcm 89 6 transfusion transfusion NN cord-009417-458rrhcm 89 7 of of IN cord-009417-458rrhcm 89 8 RBCs rbc NNS cord-009417-458rrhcm 89 9 in in IN cord-009417-458rrhcm 89 10 critically critically RB cord-009417-458rrhcm 89 11 ill ill JJ cord-009417-458rrhcm 89 12 patients patient NNS cord-009417-458rrhcm 89 13 , , , cord-009417-458rrhcm 89 14 the the DT cord-009417-458rrhcm 89 15 precise precise JJ cord-009417-458rrhcm 89 16 indications indication NNS cord-009417-458rrhcm 89 17 for for IN cord-009417-458rrhcm 89 18 transfusion transfusion NN cord-009417-458rrhcm 89 19 remain remain VBP cord-009417-458rrhcm 89 20 a a DT cord-009417-458rrhcm 89 21 source source NN cord-009417-458rrhcm 89 22 of of IN cord-009417-458rrhcm 89 23 controversy controversy NN cord-009417-458rrhcm 89 24 , , , cord-009417-458rrhcm 89 25 and and CC cord-009417-458rrhcm 89 26 specifi specifi NNP cord-009417-458rrhcm 89 27 c c NNP cord-009417-458rrhcm 89 28 transfusion transfusion NN cord-009417-458rrhcm 89 29 practices practice NNS cord-009417-458rrhcm 89 30 may may MD cord-009417-458rrhcm 89 31 vary vary VB cord-009417-458rrhcm 89 32 widely widely RB cord-009417-458rrhcm 89 33 among among IN cord-009417-458rrhcm 89 34 clinicians clinician NNS cord-009417-458rrhcm 89 35 . . . cord-009417-458rrhcm 90 1 Before before IN cord-009417-458rrhcm 90 2 the the DT cord-009417-458rrhcm 90 3 major major JJ cord-009417-458rrhcm 90 4 randomized randomized JJ cord-009417-458rrhcm 90 5 studies study NNS cord-009417-458rrhcm 90 6 of of IN cord-009417-458rrhcm 90 7 RBC RBC NNP cord-009417-458rrhcm 90 8 transfusion transfusion NN cord-009417-458rrhcm 90 9 policies policy NNS cord-009417-458rrhcm 90 10 , , , cord-009417-458rrhcm 90 11 a a DT cord-009417-458rrhcm 90 12 survey survey NN cord-009417-458rrhcm 90 13 of of IN cord-009417-458rrhcm 90 14 transfusion transfusion NN cord-009417-458rrhcm 90 15 practice practice NN cord-009417-458rrhcm 90 16 showed show VBD cord-009417-458rrhcm 90 17 that that IN cord-009417-458rrhcm 90 18 about about IN cord-009417-458rrhcm 90 19 half half NN cord-009417-458rrhcm 90 20 of of IN cord-009417-458rrhcm 90 21 ICU ICU NNP cord-009417-458rrhcm 90 22 patients patient NNS cord-009417-458rrhcm 90 23 were be VBD cord-009417-458rrhcm 90 24 receiving receive VBG cord-009417-458rrhcm 90 25 red red JJ cord-009417-458rrhcm 90 26 cell cell NN cord-009417-458rrhcm 90 27 transfusions transfusion NNS cord-009417-458rrhcm 90 28 , , , cord-009417-458rrhcm 90 29 13 13 CD cord-009417-458rrhcm 90 30 and and CC cord-009417-458rrhcm 90 31 another another DT cord-009417-458rrhcm 90 32 showed show VBD cord-009417-458rrhcm 90 33 that that IN cord-009417-458rrhcm 90 34 if if IN cord-009417-458rrhcm 90 35 the the DT cord-009417-458rrhcm 90 36 ICU ICU NNP cord-009417-458rrhcm 90 37 stay stay NN cord-009417-458rrhcm 90 38 was be VBD cord-009417-458rrhcm 90 39 longer long JJR cord-009417-458rrhcm 90 40 than than IN cord-009417-458rrhcm 90 41 a a DT cord-009417-458rrhcm 90 42 week week NN cord-009417-458rrhcm 90 43 , , , cord-009417-458rrhcm 90 44 the the DT cord-009417-458rrhcm 90 45 rate rate NN cord-009417-458rrhcm 90 46 of of IN cord-009417-458rrhcm 90 47 transfusion transfusion NN cord-009417-458rrhcm 90 48 was be VBD cord-009417-458rrhcm 90 49 85 85 CD cord-009417-458rrhcm 90 50 % % NN cord-009417-458rrhcm 90 51 . . . cord-009417-458rrhcm 91 1 14 14 CD cord-009417-458rrhcm 92 1 The the DT cord-009417-458rrhcm 92 2 total total JJ cord-009417-458rrhcm 92 3 number number NN cord-009417-458rrhcm 92 4 of of IN cord-009417-458rrhcm 92 5 transfusions transfusion NNS cord-009417-458rrhcm 92 6 was be VBD cord-009417-458rrhcm 92 7 high high JJ cord-009417-458rrhcm 92 8 , , , cord-009417-458rrhcm 92 9 and and CC cord-009417-458rrhcm 92 10 ICU ICU NNP cord-009417-458rrhcm 92 11 practice practice NN cord-009417-458rrhcm 92 12 was be VBD cord-009417-458rrhcm 92 13 characterized characterize VBN cord-009417-458rrhcm 92 14 by by IN cord-009417-458rrhcm 92 15 high high JJ cord-009417-458rrhcm 92 16 rates rate NNS cord-009417-458rrhcm 92 17 of of IN cord-009417-458rrhcm 92 18 transfusion transfusion NN cord-009417-458rrhcm 92 19 . . . cord-009417-458rrhcm 93 1 15 15 CD cord-009417-458rrhcm 94 1 The the DT cord-009417-458rrhcm 94 2 reasons reason NNS cord-009417-458rrhcm 94 3 for for IN cord-009417-458rrhcm 94 4 the the DT cord-009417-458rrhcm 94 5 controversies controversy NNS cord-009417-458rrhcm 94 6 are be VBP cord-009417-458rrhcm 94 7 clear clear JJ cord-009417-458rrhcm 94 8 : : : cord-009417-458rrhcm 94 9 RBCs rbc NNS cord-009417-458rrhcm 94 10 should should MD cord-009417-458rrhcm 94 11 be be VB cord-009417-458rrhcm 94 12 transfused transfuse VBN cord-009417-458rrhcm 94 13 only only RB cord-009417-458rrhcm 94 14 to to TO cord-009417-458rrhcm 94 15 enhance enhance VB cord-009417-458rrhcm 94 16 tissue tissue NN cord-009417-458rrhcm 94 17 oxygen oxygen NN cord-009417-458rrhcm 94 18 delivery delivery NN cord-009417-458rrhcm 94 19 , , , cord-009417-458rrhcm 94 20 but but CC cord-009417-458rrhcm 94 21 the the DT cord-009417-458rrhcm 94 22 underlying underlying JJ cord-009417-458rrhcm 94 23 physiology physiology NN cord-009417-458rrhcm 94 24 of of IN cord-009417-458rrhcm 94 25 anemia anemia NN cord-009417-458rrhcm 94 26 , , , cord-009417-458rrhcm 94 27 the the DT cord-009417-458rrhcm 94 28 complex complex JJ cord-009417-458rrhcm 94 29 adaptations adaptation NNS cord-009417-458rrhcm 94 30 to to IN cord-009417-458rrhcm 94 31 anemia anemia NN cord-009417-458rrhcm 94 32 , , , cord-009417-458rrhcm 94 33 and and CC cord-009417-458rrhcm 94 34 the the DT cord-009417-458rrhcm 94 35 potential potential JJ cord-009417-458rrhcm 94 36 advantages advantage NNS cord-009417-458rrhcm 94 37 and and CC cord-009417-458rrhcm 94 38 disadvantages disadvantage NNS cord-009417-458rrhcm 94 39 to to IN cord-009417-458rrhcm 94 40 particular particular JJ cord-009417-458rrhcm 94 41 groups group NNS cord-009417-458rrhcm 94 42 of of IN cord-009417-458rrhcm 94 43 patients patient NNS cord-009417-458rrhcm 94 44 are be VBP cord-009417-458rrhcm 94 45 not not RB cord-009417-458rrhcm 94 46 as as RB cord-009417-458rrhcm 94 47 well well RB cord-009417-458rrhcm 94 48 understood understand VBN cord-009417-458rrhcm 94 49 . . . cord-009417-458rrhcm 95 1 Compensatory compensatory JJ cord-009417-458rrhcm 95 2 mechanisms mechanism NNS cord-009417-458rrhcm 95 3 for for IN cord-009417-458rrhcm 95 4 acute acute JJ cord-009417-458rrhcm 95 5 and and CC cord-009417-458rrhcm 95 6 chronic chronic JJ cord-009417-458rrhcm 95 7 anemia anemia NN cord-009417-458rrhcm 95 8 are be VBP cord-009417-458rrhcm 95 9 diverse diverse JJ cord-009417-458rrhcm 95 10 and and CC cord-009417-458rrhcm 95 11 complex complex JJ cord-009417-458rrhcm 95 12 . . . cord-009417-458rrhcm 96 1 16 16 CD cord-009417-458rrhcm 96 2 , , , cord-009417-458rrhcm 96 3 17 17 CD cord-009417-458rrhcm 97 1 All all DT cord-009417-458rrhcm 97 2 work work NN cord-009417-458rrhcm 97 3 in in IN cord-009417-458rrhcm 97 4 concert concert NN cord-009417-458rrhcm 97 5 to to TO cord-009417-458rrhcm 97 6 maintain maintain VB cord-009417-458rrhcm 97 7 oxygenation oxygenation NN cord-009417-458rrhcm 97 8 within within IN cord-009417-458rrhcm 97 9 the the DT cord-009417-458rrhcm 97 10 microcirculation microcirculation NN cord-009417-458rrhcm 97 11 . . . cord-009417-458rrhcm 98 1 Cardiovascular cardiovascular JJ cord-009417-458rrhcm 98 2 adjustments adjustment NNS cord-009417-458rrhcm 98 3 leading lead VBG cord-009417-458rrhcm 98 4 to to IN cord-009417-458rrhcm 98 5 increased increase VBN cord-009417-458rrhcm 98 6 cardiac cardiac JJ cord-009417-458rrhcm 98 7 output output NN cord-009417-458rrhcm 98 8 include include VBP cord-009417-458rrhcm 98 9 decreased decrease VBN cord-009417-458rrhcm 98 10 afterload afterload NN cord-009417-458rrhcm 98 11 and and CC cord-009417-458rrhcm 98 12 increased increase VBN cord-009417-458rrhcm 98 13 preload preload NN cord-009417-458rrhcm 98 14 resulting result VBG cord-009417-458rrhcm 98 15 from from IN cord-009417-458rrhcm 98 16 changes change NNS cord-009417-458rrhcm 98 17 in in IN cord-009417-458rrhcm 98 18 vascular vascular JJ cord-009417-458rrhcm 98 19 tone tone NN cord-009417-458rrhcm 98 20 , , , cord-009417-458rrhcm 98 21 increased increase VBN cord-009417-458rrhcm 98 22 myocardial myocardial JJ cord-009417-458rrhcm 98 23 contractility contractility NN cord-009417-458rrhcm 98 24 , , , cord-009417-458rrhcm 98 25 and and CC cord-009417-458rrhcm 98 26 elevated elevated JJ cord-009417-458rrhcm 98 27 heart heart NN cord-009417-458rrhcm 98 28 rate rate NN cord-009417-458rrhcm 98 29 . . . cord-009417-458rrhcm 99 1 Lowered lower VBN cord-009417-458rrhcm 99 2 blood blood NN cord-009417-458rrhcm 99 3 viscosity viscosity NN cord-009417-458rrhcm 99 4 permits permit NNS cord-009417-458rrhcm 99 5 improved improve VBN cord-009417-458rrhcm 99 6 fl fl NNP cord-009417-458rrhcm 99 7 ow ow NN cord-009417-458rrhcm 99 8 of of IN cord-009417-458rrhcm 99 9 erythrocytes erythrocyte NNS cord-009417-458rrhcm 99 10 within within IN cord-009417-458rrhcm 99 11 capillaries capillary NNS cord-009417-458rrhcm 99 12 . . . cord-009417-458rrhcm 100 1 Blood blood NN cord-009417-458rrhcm 100 2 fl fl NNP cord-009417-458rrhcm 100 3 ow ow NN cord-009417-458rrhcm 100 4 is be VBZ cord-009417-458rrhcm 100 5 redistributed redistribute VBN cord-009417-458rrhcm 100 6 to to TO cord-009417-458rrhcm 100 7 favor favor VB cord-009417-458rrhcm 100 8 critical critical JJ cord-009417-458rrhcm 100 9 organs organ NNS cord-009417-458rrhcm 100 10 with with IN cord-009417-458rrhcm 100 11 higher high JJR cord-009417-458rrhcm 100 12 oxygen oxygen NN cord-009417-458rrhcm 100 13 extraction extraction NN cord-009417-458rrhcm 100 14 . . . cord-009417-458rrhcm 101 1 Pulmonary pulmonary JJ cord-009417-458rrhcm 101 2 mechanisms mechanism NNS cord-009417-458rrhcm 101 3 , , , cord-009417-458rrhcm 101 4 though though IN cord-009417-458rrhcm 101 5 contributing contribute VBG cord-009417-458rrhcm 101 6 relatively relatively RB cord-009417-458rrhcm 101 7 little little JJ cord-009417-458rrhcm 101 8 to to IN cord-009417-458rrhcm 101 9 shortterm shortterm JJ cord-009417-458rrhcm 101 10 oxygenation oxygenation NN cord-009417-458rrhcm 101 11 demands demand NNS cord-009417-458rrhcm 101 12 , , , cord-009417-458rrhcm 101 13 exert exert VB cord-009417-458rrhcm 101 14 potent potent JJ cord-009417-458rrhcm 101 15 effects effect NNS cord-009417-458rrhcm 101 16 on on IN cord-009417-458rrhcm 101 17 related relate VBN cord-009417-458rrhcm 101 18 metabolic metabolic JJ cord-009417-458rrhcm 101 19 variables variable NNS cord-009417-458rrhcm 101 20 . . . cord-009417-458rrhcm 102 1 Finally finally RB cord-009417-458rrhcm 102 2 , , , cord-009417-458rrhcm 102 3 the the DT cord-009417-458rrhcm 102 4 hemoglobin hemoglobin NN cord-009417-458rrhcm 102 5 molecule molecule NN cord-009417-458rrhcm 102 6 can can MD cord-009417-458rrhcm 102 7 undergo undergo VB cord-009417-458rrhcm 102 8 biochemical biochemical JJ cord-009417-458rrhcm 102 9 and and CC cord-009417-458rrhcm 102 10 conformational conformational JJ cord-009417-458rrhcm 102 11 changes change NNS cord-009417-458rrhcm 102 12 to to TO cord-009417-458rrhcm 102 13 enhance enhance VB cord-009417-458rrhcm 102 14 unloading unloading NN cord-009417-458rrhcm 102 15 of of IN cord-009417-458rrhcm 102 16 oxygen oxygen NN cord-009417-458rrhcm 102 17 at at IN cord-009417-458rrhcm 102 18 the the DT cord-009417-458rrhcm 102 19 capillary capillary JJ cord-009417-458rrhcm 102 20 level level NN cord-009417-458rrhcm 102 21 . . . cord-009417-458rrhcm 103 1 All all PDT cord-009417-458rrhcm 103 2 these these DT cord-009417-458rrhcm 103 3 mechanisms mechanism NNS cord-009417-458rrhcm 103 4 contribute contribute VBP cord-009417-458rrhcm 103 5 to to IN cord-009417-458rrhcm 103 6 an an DT cord-009417-458rrhcm 103 7 " " `` cord-009417-458rrhcm 103 8 oxygen oxygen NN cord-009417-458rrhcm 103 9 reserve reserve NN cord-009417-458rrhcm 103 10 " " '' cord-009417-458rrhcm 103 11 capacity capacity NN cord-009417-458rrhcm 103 12 that that WDT cord-009417-458rrhcm 103 13 exceeds exceed VBZ cord-009417-458rrhcm 103 14 baseline baseline JJ cord-009417-458rrhcm 103 15 requirements requirement NNS cord-009417-458rrhcm 103 16 by by IN cord-009417-458rrhcm 103 17 approximately approximately RB cord-009417-458rrhcm 103 18 fourfold fourfold JJ cord-009417-458rrhcm 103 19 . . . cord-009417-458rrhcm 104 1 16 16 CD cord-009417-458rrhcm 105 1 No no DT cord-009417-458rrhcm 105 2 experimental experimental JJ cord-009417-458rrhcm 105 3 model model NN cord-009417-458rrhcm 105 4 exists exist VBZ cord-009417-458rrhcm 105 5 that that WDT cord-009417-458rrhcm 105 6 encompasses encompass VBZ cord-009417-458rrhcm 105 7 the the DT cord-009417-458rrhcm 105 8 diversity diversity NN cord-009417-458rrhcm 105 9 of of IN cord-009417-458rrhcm 105 10 physiologic physiologic JJ cord-009417-458rrhcm 105 11 compensations compensation NNS cord-009417-458rrhcm 105 12 for for IN cord-009417-458rrhcm 105 13 hypoxia hypoxia NN cord-009417-458rrhcm 105 14 . . . cord-009417-458rrhcm 106 1 Experiments experiment NNS cord-009417-458rrhcm 106 2 carried carry VBD cord-009417-458rrhcm 106 3 out out RP cord-009417-458rrhcm 106 4 in in IN cord-009417-458rrhcm 106 5 animals animal NNS cord-009417-458rrhcm 106 6 and and CC cord-009417-458rrhcm 106 7 case case NN cord-009417-458rrhcm 106 8 reports report NNS cord-009417-458rrhcm 106 9 in in IN cord-009417-458rrhcm 106 10 patients patient NNS cord-009417-458rrhcm 106 11 refusing refuse VBG cord-009417-458rrhcm 106 12 transfusion transfusion NN cord-009417-458rrhcm 106 13 indicate indicate VBP cord-009417-458rrhcm 106 14 that that IN cord-009417-458rrhcm 106 15 an an DT cord-009417-458rrhcm 106 16 extremely extremely RB cord-009417-458rrhcm 106 17 low low JJ cord-009417-458rrhcm 106 18 Hct Hct NNP cord-009417-458rrhcm 106 19 is be VBZ cord-009417-458rrhcm 106 20 tolerated tolerate VBN cord-009417-458rrhcm 106 21 if if IN cord-009417-458rrhcm 106 22 tissue tissue NN cord-009417-458rrhcm 106 23 perfusion perfusion NN cord-009417-458rrhcm 106 24 is be VBZ cord-009417-458rrhcm 106 25 adequate adequate JJ cord-009417-458rrhcm 106 26 . . . cord-009417-458rrhcm 107 1 [ [ -LRB- cord-009417-458rrhcm 107 2 18 18 CD cord-009417-458rrhcm 107 3 ] ] -RRB- cord-009417-458rrhcm 107 4 [ [ -LRB- cord-009417-458rrhcm 107 5 19 19 CD cord-009417-458rrhcm 107 6 ] ] -RRB- cord-009417-458rrhcm 107 7 [ [ -LRB- cord-009417-458rrhcm 107 8 20 20 CD cord-009417-458rrhcm 107 9 ] ] -RRB- cord-009417-458rrhcm 108 1 Certain certain JJ cord-009417-458rrhcm 108 2 objective objective NN cord-009417-458rrhcm 108 3 , , , cord-009417-458rrhcm 108 4 though though IN cord-009417-458rrhcm 108 5 indirect indirect JJ cord-009417-458rrhcm 108 6 , , , cord-009417-458rrhcm 108 7 measurements measurement NNS cord-009417-458rrhcm 108 8 of of IN cord-009417-458rrhcm 108 9 tissue tissue NN cord-009417-458rrhcm 108 10 oxygenation oxygenation NN cord-009417-458rrhcm 108 11 exist exist VBP cord-009417-458rrhcm 108 12 and and CC cord-009417-458rrhcm 108 13 are be VBP cord-009417-458rrhcm 108 14 available available JJ cord-009417-458rrhcm 108 15 to to IN cord-009417-458rrhcm 108 16 clinicians clinician NNS cord-009417-458rrhcm 108 17 caring care VBG cord-009417-458rrhcm 108 18 for for IN cord-009417-458rrhcm 108 19 patients patient NNS cord-009417-458rrhcm 108 20 monitored monitor VBN cord-009417-458rrhcm 108 21 invasively invasively RB cord-009417-458rrhcm 108 22 in in IN cord-009417-458rrhcm 108 23 the the DT cord-009417-458rrhcm 108 24 ICU ICU NNP cord-009417-458rrhcm 108 25 . . . cord-009417-458rrhcm 109 1 Mixed mixed JJ cord-009417-458rrhcm 109 2 venous venous JJ cord-009417-458rrhcm 109 3 oxygen oxygen NN cord-009417-458rrhcm 109 4 content content NN cord-009417-458rrhcm 109 5 ( ( -LRB- cord-009417-458rrhcm 109 6 Pv Pv NNP cord-009417-458rrhcm 109 7 O O NNP cord-009417-458rrhcm 109 8 2 2 CD cord-009417-458rrhcm 109 9 ) ) -RRB- cord-009417-458rrhcm 109 10 and and CC cord-009417-458rrhcm 110 1 cardiac cardiac JJ cord-009417-458rrhcm 110 2 output output NN cord-009417-458rrhcm 110 3 can can MD cord-009417-458rrhcm 110 4 be be VB cord-009417-458rrhcm 110 5 measured measure VBN cord-009417-458rrhcm 110 6 in in IN cord-009417-458rrhcm 110 7 patients patient NNS cord-009417-458rrhcm 110 8 undergoing undergo VBG cord-009417-458rrhcm 110 9 pulmonary pulmonary JJ cord-009417-458rrhcm 110 10 artery artery NN cord-009417-458rrhcm 110 11 catheterization catheterization NN cord-009417-458rrhcm 110 12 ; ; : cord-009417-458rrhcm 110 13 arterial arterial JJ cord-009417-458rrhcm 110 14 oxygen oxygen NN cord-009417-458rrhcm 110 15 content content NN cord-009417-458rrhcm 110 16 can can MD cord-009417-458rrhcm 110 17 also also RB cord-009417-458rrhcm 110 18 be be VB cord-009417-458rrhcm 110 19 measured measure VBN cord-009417-458rrhcm 110 20 directly directly RB cord-009417-458rrhcm 110 21 . . . cord-009417-458rrhcm 111 1 The the DT cord-009417-458rrhcm 111 2 oxygen oxygen NN cord-009417-458rrhcm 111 3 extraction extraction NN cord-009417-458rrhcm 111 4 ratio ratio NN cord-009417-458rrhcm 111 5 ( ( -LRB- cord-009417-458rrhcm 111 6 ER ER NNP cord-009417-458rrhcm 111 7 ) ) -RRB- cord-009417-458rrhcm 111 8 can can MD cord-009417-458rrhcm 111 9 be be VB cord-009417-458rrhcm 111 10 calculated calculate VBN cord-009417-458rrhcm 111 11 directly directly RB cord-009417-458rrhcm 111 12 , , , cord-009417-458rrhcm 111 13 and and CC cord-009417-458rrhcm 111 14 in in IN cord-009417-458rrhcm 111 15 the the DT cord-009417-458rrhcm 111 16 presence presence NN cord-009417-458rrhcm 111 17 of of IN cord-009417-458rrhcm 111 18 normal normal JJ cord-009417-458rrhcm 111 19 or or CC cord-009417-458rrhcm 111 20 high high JJ cord-009417-458rrhcm 111 21 cardiac cardiac JJ cord-009417-458rrhcm 111 22 output output NN cord-009417-458rrhcm 111 23 it -PRON- PRP cord-009417-458rrhcm 111 24 is be VBZ cord-009417-458rrhcm 111 25 a a DT cord-009417-458rrhcm 111 26 measure measure NN cord-009417-458rrhcm 111 27 of of IN cord-009417-458rrhcm 111 28 tissue tissue NN cord-009417-458rrhcm 111 29 oxygen oxygen NN cord-009417-458rrhcm 111 30 extraction extraction NN cord-009417-458rrhcm 111 31 and and CC cord-009417-458rrhcm 111 32 , , , cord-009417-458rrhcm 111 33 indirectly indirectly RB cord-009417-458rrhcm 111 34 , , , cord-009417-458rrhcm 111 35 the the DT cord-009417-458rrhcm 111 36 adequacy adequacy NN cord-009417-458rrhcm 111 37 of of IN cord-009417-458rrhcm 111 38 tissue tissue NN cord-009417-458rrhcm 111 39 oxygen oxygen NN cord-009417-458rrhcm 111 40 delivery delivery NN cord-009417-458rrhcm 111 41 . . . cord-009417-458rrhcm 112 1 The the DT cord-009417-458rrhcm 112 2 total total JJ cord-009417-458rrhcm 112 3 body body NN cord-009417-458rrhcm 112 4 ER er NN cord-009417-458rrhcm 112 5 at at IN cord-009417-458rrhcm 112 6 baseline baseline NN cord-009417-458rrhcm 112 7 is be VBZ cord-009417-458rrhcm 112 8 about about RB cord-009417-458rrhcm 112 9 25 25 CD cord-009417-458rrhcm 112 10 % % NN cord-009417-458rrhcm 112 11 . . . cord-009417-458rrhcm 113 1 A a DT cord-009417-458rrhcm 113 2 falling fall VBG cord-009417-458rrhcm 113 3 Pv Pv NNP cord-009417-458rrhcm 113 4 O O NNP cord-009417-458rrhcm 113 5 2 2 CD cord-009417-458rrhcm 113 6 and and CC cord-009417-458rrhcm 113 7 an an DT cord-009417-458rrhcm 113 8 ER er NN cord-009417-458rrhcm 113 9 increasing increase VBG cord-009417-458rrhcm 113 10 to to IN cord-009417-458rrhcm 113 11 greater great JJR cord-009417-458rrhcm 113 12 than than IN cord-009417-458rrhcm 113 13 50 50 CD cord-009417-458rrhcm 113 14 % % NN cord-009417-458rrhcm 113 15 have have VBP cord-009417-458rrhcm 113 16 been be VBN cord-009417-458rrhcm 113 17 proposed propose VBN cord-009417-458rrhcm 113 18 as as IN cord-009417-458rrhcm 113 19 indicators indicator NNS cord-009417-458rrhcm 113 20 of of IN cord-009417-458rrhcm 113 21 the the DT cord-009417-458rrhcm 113 22 need need NN cord-009417-458rrhcm 113 23 for for IN cord-009417-458rrhcm 113 24 red red JJ cord-009417-458rrhcm 113 25 cell cell NN cord-009417-458rrhcm 113 26 transfusion transfusion NN cord-009417-458rrhcm 113 27 . . . cord-009417-458rrhcm 114 1 21 21 CD cord-009417-458rrhcm 115 1 There there EX cord-009417-458rrhcm 115 2 have have VBP cord-009417-458rrhcm 115 3 been be VBN cord-009417-458rrhcm 115 4 only only RB cord-009417-458rrhcm 115 5 10 10 CD cord-009417-458rrhcm 115 6 randomized randomized JJ cord-009417-458rrhcm 115 7 trials trial NNS cord-009417-458rrhcm 115 8 of of IN cord-009417-458rrhcm 115 9 transfusion transfusion NN cord-009417-458rrhcm 115 10 policy policy NN cord-009417-458rrhcm 115 11 in in IN cord-009417-458rrhcm 115 12 the the DT cord-009417-458rrhcm 115 13 ICU ICU NNP cord-009417-458rrhcm 115 14 , , , cord-009417-458rrhcm 115 15 and and CC cord-009417-458rrhcm 115 16 only only RB cord-009417-458rrhcm 115 17 1 1 CD cord-009417-458rrhcm 115 18 of of IN cord-009417-458rrhcm 115 19 them -PRON- PRP cord-009417-458rrhcm 115 20 was be VBD cord-009417-458rrhcm 115 21 large large JJ cord-009417-458rrhcm 115 22 enough enough RB cord-009417-458rrhcm 115 23 to to TO cord-009417-458rrhcm 115 24 draw draw VB cord-009417-458rrhcm 115 25 specifi specifi NNP cord-009417-458rrhcm 115 26 c c NN cord-009417-458rrhcm 115 27 , , , cord-009417-458rrhcm 115 28 statistically statistically RB cord-009417-458rrhcm 115 29 signifi signifi NNP cord-009417-458rrhcm 115 30 ca can MD cord-009417-458rrhcm 115 31 nt not RB cord-009417-458rrhcm 115 32 conclusions conclusion NNS cord-009417-458rrhcm 115 33 . . . cord-009417-458rrhcm 116 1 22 22 CD cord-009417-458rrhcm 117 1 The the DT cord-009417-458rrhcm 117 2 Canadian Canadian NNP cord-009417-458rrhcm 117 3 Critical Critical NNP cord-009417-458rrhcm 117 4 Care Care NNP cord-009417-458rrhcm 117 5 Trials Trials NNPS cord-009417-458rrhcm 117 6 Group Group NNP cord-009417-458rrhcm 117 7 compared compare VBD cord-009417-458rrhcm 117 8 a a DT cord-009417-458rrhcm 117 9 liberal liberal JJ cord-009417-458rrhcm 117 10 ( ( -LRB- cord-009417-458rrhcm 117 11 target target NN cord-009417-458rrhcm 117 12 hemoglobin hemoglobin NN cord-009417-458rrhcm 117 13 , , , cord-009417-458rrhcm 117 14 10 10 CD cord-009417-458rrhcm 117 15 to to TO cord-009417-458rrhcm 117 16 12 12 CD cord-009417-458rrhcm 117 17 g g NN cord-009417-458rrhcm 117 18 / / SYM cord-009417-458rrhcm 117 19 dL dl NN cord-009417-458rrhcm 117 20 ) ) -RRB- cord-009417-458rrhcm 117 21 with with IN cord-009417-458rrhcm 117 22 a a DT cord-009417-458rrhcm 117 23 restrictive restrictive JJ cord-009417-458rrhcm 117 24 ( ( -LRB- cord-009417-458rrhcm 117 25 target target NN cord-009417-458rrhcm 117 26 hemoglobin hemoglobin NN cord-009417-458rrhcm 117 27 , , , cord-009417-458rrhcm 117 28 7 7 CD cord-009417-458rrhcm 117 29 to to TO cord-009417-458rrhcm 117 30 9 9 CD cord-009417-458rrhcm 117 31 g g NN cord-009417-458rrhcm 117 32 / / SYM cord-009417-458rrhcm 117 33 dL dl NN cord-009417-458rrhcm 117 34 ) ) -RRB- cord-009417-458rrhcm 117 35 red red JJ cord-009417-458rrhcm 117 36 cell cell NN cord-009417-458rrhcm 117 37 transfusion transfusion NN cord-009417-458rrhcm 117 38 policy policy NN cord-009417-458rrhcm 117 39 in in IN cord-009417-458rrhcm 117 40 patients patient NNS cord-009417-458rrhcm 117 41 stratifi stratifi NNP cord-009417-458rrhcm 117 42 ed ed NN cord-009417-458rrhcm 117 43 for for IN cord-009417-458rrhcm 117 44 disease disease NN cord-009417-458rrhcm 117 45 severity severity NN cord-009417-458rrhcm 117 46 . . . cord-009417-458rrhcm 118 1 At at IN cord-009417-458rrhcm 118 2 30 30 CD cord-009417-458rrhcm 118 3 days day NNS cord-009417-458rrhcm 118 4 from from IN cord-009417-458rrhcm 118 5 randomization randomization NN cord-009417-458rrhcm 118 6 , , , cord-009417-458rrhcm 118 7 the the DT cord-009417-458rrhcm 118 8 restrictive restrictive JJ cord-009417-458rrhcm 118 9 strategy strategy NN cord-009417-458rrhcm 118 10 was be VBD cord-009417-458rrhcm 118 11 at at IN cord-009417-458rrhcm 118 12 least least JJS cord-009417-458rrhcm 118 13 as as RB cord-009417-458rrhcm 118 14 good good JJ cord-009417-458rrhcm 118 15 as as IN cord-009417-458rrhcm 118 16 , , , cord-009417-458rrhcm 118 17 if if IN cord-009417-458rrhcm 118 18 not not RB cord-009417-458rrhcm 118 19 better well JJR cord-009417-458rrhcm 118 20 than than IN cord-009417-458rrhcm 118 21 ( ( -LRB- cord-009417-458rrhcm 118 22 P p NN cord-009417-458rrhcm 118 23 = = SYM cord-009417-458rrhcm 118 24 .11 .11 . cord-009417-458rrhcm 118 25 ) ) -RRB- cord-009417-458rrhcm 119 1 the the DT cord-009417-458rrhcm 119 2 liberal liberal JJ cord-009417-458rrhcm 119 3 strategy strategy NN cord-009417-458rrhcm 119 4 , , , cord-009417-458rrhcm 119 5 and and CC cord-009417-458rrhcm 119 6 overall overall JJ cord-009417-458rrhcm 119 7 hospital hospital NN cord-009417-458rrhcm 119 8 mortality mortality NN cord-009417-458rrhcm 119 9 was be VBD cord-009417-458rrhcm 119 10 signifi signifi NNP cord-009417-458rrhcm 119 11 cantly cantly RB cord-009417-458rrhcm 119 12 lower lower RBR cord-009417-458rrhcm 119 13 in in IN cord-009417-458rrhcm 119 14 the the DT cord-009417-458rrhcm 119 15 restrictive restrictive JJ cord-009417-458rrhcm 119 16 strategy strategy NN cord-009417-458rrhcm 119 17 group group NN cord-009417-458rrhcm 119 18 ( ( -LRB- cord-009417-458rrhcm 119 19 P p NN cord-009417-458rrhcm 119 20 = = SYM cord-009417-458rrhcm 119 21 .05 .05 NN cord-009417-458rrhcm 119 22 ) ) -RRB- cord-009417-458rrhcm 119 23 . . . cord-009417-458rrhcm 120 1 For for IN cord-009417-458rrhcm 120 2 patients patient NNS cord-009417-458rrhcm 120 3 younger young JJR cord-009417-458rrhcm 120 4 than than IN cord-009417-458rrhcm 120 5 55 55 CD cord-009417-458rrhcm 120 6 years year NNS cord-009417-458rrhcm 120 7 and and CC cord-009417-458rrhcm 120 8 for for IN cord-009417-458rrhcm 120 9 patients patient NNS cord-009417-458rrhcm 120 10 with with IN cord-009417-458rrhcm 120 11 lower low JJR cord-009417-458rrhcm 120 12 ( ( -LRB- cord-009417-458rrhcm 120 13 < < XX cord-009417-458rrhcm 120 14 20 20 CD cord-009417-458rrhcm 120 15 ) ) -RRB- cord-009417-458rrhcm 120 16 APACHE APACHE NNP cord-009417-458rrhcm 120 17 ( ( -LRB- cord-009417-458rrhcm 120 18 Acute Acute NNP cord-009417-458rrhcm 120 19 Physiology Physiology NNP cord-009417-458rrhcm 120 20 , , , cord-009417-458rrhcm 120 21 Age Age NNP cord-009417-458rrhcm 120 22 , , , cord-009417-458rrhcm 120 23 and and CC cord-009417-458rrhcm 120 24 Chronic Chronic NNP cord-009417-458rrhcm 120 25 Health Health NNP cord-009417-458rrhcm 120 26 Evaluation Evaluation NNP cord-009417-458rrhcm 120 27 ) ) -RRB- cord-009417-458rrhcm 121 1 II II NNP cord-009417-458rrhcm 121 2 scores score NNS cord-009417-458rrhcm 121 3 , , , cord-009417-458rrhcm 121 4 the the DT cord-009417-458rrhcm 121 5 restrictive restrictive JJ cord-009417-458rrhcm 121 6 strategy strategy NN cord-009417-458rrhcm 121 7 was be VBD cord-009417-458rrhcm 121 8 clearly clearly RB cord-009417-458rrhcm 121 9 superior superior JJ cord-009417-458rrhcm 121 10 . . . cord-009417-458rrhcm 122 1 In in IN cord-009417-458rrhcm 122 2 addition addition NN cord-009417-458rrhcm 122 3 , , , cord-009417-458rrhcm 122 4 liberal liberal JJ cord-009417-458rrhcm 122 5 transfusion transfusion NN cord-009417-458rrhcm 122 6 was be VBD cord-009417-458rrhcm 122 7 not not RB cord-009417-458rrhcm 122 8 associated associate VBN cord-009417-458rrhcm 122 9 with with IN cord-009417-458rrhcm 122 10 shorter short JJR cord-009417-458rrhcm 122 11 ICU ICU NNP cord-009417-458rrhcm 122 12 stays stay VBZ cord-009417-458rrhcm 122 13 , , , cord-009417-458rrhcm 122 14 less less JJR cord-009417-458rrhcm 122 15 organ organ NN cord-009417-458rrhcm 122 16 failure failure NN cord-009417-458rrhcm 122 17 , , , cord-009417-458rrhcm 122 18 or or CC cord-009417-458rrhcm 122 19 shorter short JJR cord-009417-458rrhcm 122 20 hospital hospital NN cord-009417-458rrhcm 122 21 stays stay NNS cord-009417-458rrhcm 122 22 ; ; : cord-009417-458rrhcm 122 23 longer long JJR cord-009417-458rrhcm 122 24 mechanical mechanical JJ cord-009417-458rrhcm 122 25 ventilation ventilation NN cord-009417-458rrhcm 122 26 times time NNS cord-009417-458rrhcm 122 27 and and CC cord-009417-458rrhcm 122 28 cardiac cardiac JJ cord-009417-458rrhcm 122 29 events event NNS cord-009417-458rrhcm 122 30 were be VBD cord-009417-458rrhcm 122 31 more more RBR cord-009417-458rrhcm 122 32 frequent frequent JJ cord-009417-458rrhcm 122 33 in in IN cord-009417-458rrhcm 122 34 the the DT cord-009417-458rrhcm 122 35 liberal liberal JJ cord-009417-458rrhcm 122 36 strategy strategy NN cord-009417-458rrhcm 122 37 group group NN cord-009417-458rrhcm 122 38 . . . cord-009417-458rrhcm 123 1 A a DT cord-009417-458rrhcm 123 2 later later JJ cord-009417-458rrhcm 123 3 subgroup subgroup NN cord-009417-458rrhcm 123 4 analysis analysis NN cord-009417-458rrhcm 123 5 of of IN cord-009417-458rrhcm 123 6 patients patient NNS cord-009417-458rrhcm 123 7 with with IN cord-009417-458rrhcm 123 8 cardiovascular cardiovascular JJ cord-009417-458rrhcm 123 9 disease disease NN cord-009417-458rrhcm 123 10 , , , cord-009417-458rrhcm 123 11 though though IN cord-009417-458rrhcm 123 12 small small JJ cord-009417-458rrhcm 123 13 enough enough RB cord-009417-458rrhcm 123 14 to to TO cord-009417-458rrhcm 123 15 have have VB cord-009417-458rrhcm 123 16 statistical statistical JJ cord-009417-458rrhcm 123 17 doubt doubt NN cord-009417-458rrhcm 123 18 , , , cord-009417-458rrhcm 123 19 suggested suggest VBD cord-009417-458rrhcm 123 20 that that IN cord-009417-458rrhcm 123 21 a a DT cord-009417-458rrhcm 123 22 more more RBR cord-009417-458rrhcm 123 23 liberal liberal JJ cord-009417-458rrhcm 123 24 transfusion transfusion NN cord-009417-458rrhcm 123 25 strategy strategy NN cord-009417-458rrhcm 123 26 was be VBD cord-009417-458rrhcm 123 27 probably probably RB cord-009417-458rrhcm 123 28 appropriate appropriate JJ cord-009417-458rrhcm 123 29 for for IN cord-009417-458rrhcm 123 30 patients patient NNS cord-009417-458rrhcm 123 31 with with IN cord-009417-458rrhcm 123 32 severe severe JJ cord-009417-458rrhcm 123 33 ischemic ischemic JJ cord-009417-458rrhcm 123 34 coronary coronary JJ cord-009417-458rrhcm 123 35 disease disease NN cord-009417-458rrhcm 123 36 . . . cord-009417-458rrhcm 124 1 23 23 CD cord-009417-458rrhcm 125 1 This this DT cord-009417-458rrhcm 125 2 observation observation NN cord-009417-458rrhcm 125 3 has have VBZ cord-009417-458rrhcm 125 4 some some DT cord-009417-458rrhcm 125 5 support support NN cord-009417-458rrhcm 125 6 in in IN cord-009417-458rrhcm 125 7 experimental experimental JJ cord-009417-458rrhcm 125 8 studies study NNS cord-009417-458rrhcm 125 9 of of IN cord-009417-458rrhcm 125 10 the the DT cord-009417-458rrhcm 125 11 effects effect NNS cord-009417-458rrhcm 125 12 of of IN cord-009417-458rrhcm 125 13 anemia anemia NN cord-009417-458rrhcm 125 14 in in IN cord-009417-458rrhcm 125 15 laboratory laboratory NN cord-009417-458rrhcm 125 16 animals animal NNS cord-009417-458rrhcm 125 17 with with IN cord-009417-458rrhcm 125 18 coronary coronary JJ cord-009417-458rrhcm 125 19 occlusion occlusion NN cord-009417-458rrhcm 125 20 . . . cord-009417-458rrhcm 126 1 24 24 CD cord-009417-458rrhcm 127 1 The the DT cord-009417-458rrhcm 127 2 Canadian canadian JJ cord-009417-458rrhcm 127 3 study study NN cord-009417-458rrhcm 127 4 has have VBZ cord-009417-458rrhcm 127 5 highlighted highlight VBN cord-009417-458rrhcm 127 6 the the DT cord-009417-458rrhcm 127 7 many many JJ cord-009417-458rrhcm 127 8 and and CC cord-009417-458rrhcm 127 9 complex complex JJ cord-009417-458rrhcm 127 10 issues issue NNS cord-009417-458rrhcm 127 11 involved involve VBN cord-009417-458rrhcm 127 12 in in IN cord-009417-458rrhcm 127 13 transfusion transfusion NN cord-009417-458rrhcm 127 14 decision decision NN cord-009417-458rrhcm 127 15 making make VBG cord-009417-458rrhcm 127 16 in in IN cord-009417-458rrhcm 127 17 the the DT cord-009417-458rrhcm 127 18 ICU ICU NNP cord-009417-458rrhcm 127 19 . . . cord-009417-458rrhcm 128 1 Since since IN cord-009417-458rrhcm 128 2 publication publication NN cord-009417-458rrhcm 128 3 of of IN cord-009417-458rrhcm 128 4 the the DT cord-009417-458rrhcm 128 5 Canadian canadian JJ cord-009417-458rrhcm 128 6 study study NN cord-009417-458rrhcm 128 7 , , , cord-009417-458rrhcm 128 8 several several JJ cord-009417-458rrhcm 128 9 large large JJ cord-009417-458rrhcm 128 10 reports report NNS cord-009417-458rrhcm 128 11 have have VBP cord-009417-458rrhcm 128 12 examined examine VBN cord-009417-458rrhcm 128 13 the the DT cord-009417-458rrhcm 128 14 use use NN cord-009417-458rrhcm 128 15 of of IN cord-009417-458rrhcm 128 16 red red JJ cord-009417-458rrhcm 128 17 cell cell NN cord-009417-458rrhcm 128 18 transfusions transfusion NNS cord-009417-458rrhcm 128 19 in in IN cord-009417-458rrhcm 128 20 critical critical JJ cord-009417-458rrhcm 128 21 care care NN cord-009417-458rrhcm 128 22 units unit NNS cord-009417-458rrhcm 128 23 . . . cord-009417-458rrhcm 129 1 Vincent Vincent NNP cord-009417-458rrhcm 129 2 and and CC cord-009417-458rrhcm 129 3 colleagues colleague NNS cord-009417-458rrhcm 129 4 25 25 CD cord-009417-458rrhcm 129 5 surveyed survey VBN cord-009417-458rrhcm 129 6 European european JJ cord-009417-458rrhcm 129 7 ICUs icu NNS cord-009417-458rrhcm 129 8 and and CC cord-009417-458rrhcm 129 9 found find VBD cord-009417-458rrhcm 129 10 that that IN cord-009417-458rrhcm 129 11 the the DT cord-009417-458rrhcm 129 12 transfusion transfusion NN cord-009417-458rrhcm 129 13 rate rate NN cord-009417-458rrhcm 129 14 in in IN cord-009417-458rrhcm 129 15 3534 3534 CD cord-009417-458rrhcm 129 16 patients patient NNS cord-009417-458rrhcm 129 17 was be VBD cord-009417-458rrhcm 129 18 37 37 CD cord-009417-458rrhcm 129 19 % % NN cord-009417-458rrhcm 129 20 during during IN cord-009417-458rrhcm 129 21 the the DT cord-009417-458rrhcm 129 22 ICU ICU NNP cord-009417-458rrhcm 129 23 stay stay NN cord-009417-458rrhcm 129 24 and and CC cord-009417-458rrhcm 129 25 12.7 12.7 CD cord-009417-458rrhcm 129 26 % % NN cord-009417-458rrhcm 129 27 after after IN cord-009417-458rrhcm 129 28 the the DT cord-009417-458rrhcm 129 29 stay stay NN cord-009417-458rrhcm 129 30 . . . cord-009417-458rrhcm 130 1 The the DT cord-009417-458rrhcm 130 2 mean mean JJ cord-009417-458rrhcm 130 3 pretransfusion pretransfusion NN cord-009417-458rrhcm 130 4 hemoglobin hemoglobin NN cord-009417-458rrhcm 130 5 level level NN cord-009417-458rrhcm 130 6 was be VBD cord-009417-458rrhcm 130 7 8.4 8.4 CD cord-009417-458rrhcm 130 8 g/ g/ NNS cord-009417-458rrhcm 131 1 dL. dL. NNP cord-009417-458rrhcm 131 2 Corwin Corwin NNP cord-009417-458rrhcm 131 3 and and CC cord-009417-458rrhcm 131 4 colleagues colleague NNS cord-009417-458rrhcm 131 5 26 26 CD cord-009417-458rrhcm 131 6 studied study VBD cord-009417-458rrhcm 131 7 284 284 CD cord-009417-458rrhcm 131 8 ICUs icu NNS cord-009417-458rrhcm 131 9 in in IN cord-009417-458rrhcm 131 10 the the DT cord-009417-458rrhcm 131 11 United United NNP cord-009417-458rrhcm 131 12 States States NNP cord-009417-458rrhcm 131 13 a a DT cord-009417-458rrhcm 131 14 year year NN cord-009417-458rrhcm 131 15 later later RB cord-009417-458rrhcm 131 16 and and CC cord-009417-458rrhcm 131 17 found find VBD cord-009417-458rrhcm 131 18 great great JJ cord-009417-458rrhcm 131 19 similarity similarity NN cord-009417-458rrhcm 131 20 : : : cord-009417-458rrhcm 131 21 nearly nearly RB cord-009417-458rrhcm 131 22 50 50 CD cord-009417-458rrhcm 131 23 % % NN cord-009417-458rrhcm 131 24 of of IN cord-009417-458rrhcm 131 25 patients patient NNS cord-009417-458rrhcm 131 26 received receive VBD cord-009417-458rrhcm 131 27 transfusions transfusion NNS cord-009417-458rrhcm 131 28 , , , cord-009417-458rrhcm 131 29 and and CC cord-009417-458rrhcm 131 30 the the DT cord-009417-458rrhcm 131 31 mean mean JJ cord-009417-458rrhcm 131 32 threshold threshold NN cord-009417-458rrhcm 131 33 hemoglobin hemoglobin NN cord-009417-458rrhcm 131 34 level level NN cord-009417-458rrhcm 131 35 was be VBD cord-009417-458rrhcm 131 36 8.6 8.6 CD cord-009417-458rrhcm 131 37 g g NN cord-009417-458rrhcm 131 38 / / SYM cord-009417-458rrhcm 131 39 dL. dl. NN cord-009417-458rrhcm 132 1 A a DT cord-009417-458rrhcm 132 2 single single JJ cord-009417-458rrhcm 132 3 large large JJ cord-009417-458rrhcm 132 4 Scottish scottish JJ cord-009417-458rrhcm 132 5 teaching teaching NN cord-009417-458rrhcm 132 6 hospital hospital NN cord-009417-458rrhcm 132 7 reported report VBD cord-009417-458rrhcm 132 8 a a DT cord-009417-458rrhcm 132 9 more more RBR cord-009417-458rrhcm 132 10 parsimonious parsimonious JJ cord-009417-458rrhcm 132 11 practice practice NN cord-009417-458rrhcm 132 12 : : : cord-009417-458rrhcm 132 13 the the DT cord-009417-458rrhcm 132 14 rate rate NN cord-009417-458rrhcm 132 15 of of IN cord-009417-458rrhcm 132 16 transfusion transfusion NN cord-009417-458rrhcm 132 17 was be VBD cord-009417-458rrhcm 132 18 still still RB cord-009417-458rrhcm 132 19 52 52 CD cord-009417-458rrhcm 132 20 % % NN cord-009417-458rrhcm 132 21 in in IN cord-009417-458rrhcm 132 22 its -PRON- PRP$ cord-009417-458rrhcm 132 23 ICU ICU NNP cord-009417-458rrhcm 132 24 patients patient NNS cord-009417-458rrhcm 132 25 , , , cord-009417-458rrhcm 132 26 but but CC cord-009417-458rrhcm 132 27 the the DT cord-009417-458rrhcm 132 28 total total JJ cord-009417-458rrhcm 132 29 volume volume NN cord-009417-458rrhcm 132 30 of of IN cord-009417-458rrhcm 132 31 blood blood NN cord-009417-458rrhcm 132 32 used use VBN cord-009417-458rrhcm 132 33 was be VBD cord-009417-458rrhcm 132 34 slightly slightly RB cord-009417-458rrhcm 132 35 smaller small JJR cord-009417-458rrhcm 132 36 and and CC cord-009417-458rrhcm 132 37 the the DT cord-009417-458rrhcm 132 38 mean mean JJ cord-009417-458rrhcm 132 39 pretransfusion pretransfusion NNP cord-009417-458rrhcm 132 40 hemoglobin hemoglobin NN cord-009417-458rrhcm 132 41 level level NN cord-009417-458rrhcm 132 42 was be VBD cord-009417-458rrhcm 132 43 only only RB cord-009417-458rrhcm 132 44 7.8 7.8 CD cord-009417-458rrhcm 132 45 g g NN cord-009417-458rrhcm 132 46 / / SYM cord-009417-458rrhcm 132 47 dL. dl. NN cord-009417-458rrhcm 132 48 27 27 CD cord-009417-458rrhcm 133 1 All all PDT cord-009417-458rrhcm 133 2 these these DT cord-009417-458rrhcm 133 3 authors author NNS cord-009417-458rrhcm 133 4 have have VBP cord-009417-458rrhcm 133 5 concluded conclude VBN cord-009417-458rrhcm 133 6 that that IN cord-009417-458rrhcm 133 7 ICU ICU NNP cord-009417-458rrhcm 133 8 practice practice NN cord-009417-458rrhcm 133 9 has have VBZ cord-009417-458rrhcm 133 10 not not RB cord-009417-458rrhcm 133 11 fully fully RB cord-009417-458rrhcm 133 12 embraced embrace VBN cord-009417-458rrhcm 133 13 the the DT cord-009417-458rrhcm 133 14 guidelines guideline NNS cord-009417-458rrhcm 133 15 of of IN cord-009417-458rrhcm 133 16 the the DT cord-009417-458rrhcm 133 17 Canadian canadian JJ cord-009417-458rrhcm 133 18 clinical clinical JJ cord-009417-458rrhcm 133 19 trial trial NN cord-009417-458rrhcm 133 20 . . . cord-009417-458rrhcm 134 1 In in IN cord-009417-458rrhcm 134 2 contrast contrast NN cord-009417-458rrhcm 134 3 , , , cord-009417-458rrhcm 134 4 18 18 CD cord-009417-458rrhcm 134 5 hospitals hospital NNS cord-009417-458rrhcm 134 6 in in IN cord-009417-458rrhcm 134 7 Australia Australia NNP cord-009417-458rrhcm 134 8 and and CC cord-009417-458rrhcm 134 9 New New NNP cord-009417-458rrhcm 134 10 Zealand Zealand NNP cord-009417-458rrhcm 134 11 have have VBP cord-009417-458rrhcm 134 12 reported report VBN cord-009417-458rrhcm 134 13 on on IN cord-009417-458rrhcm 134 14 transfusion transfusion NN cord-009417-458rrhcm 134 15 in in IN cord-009417-458rrhcm 134 16 1808 1808 CD cord-009417-458rrhcm 134 17 consecutive consecutive JJ cord-009417-458rrhcm 134 18 ICU ICU NNP cord-009417-458rrhcm 134 19 admissions admission NNS cord-009417-458rrhcm 134 20 , , , cord-009417-458rrhcm 134 21 and and CC cord-009417-458rrhcm 134 22 although although IN cord-009417-458rrhcm 134 23 the the DT cord-009417-458rrhcm 134 24 authors author NNS cord-009417-458rrhcm 134 25 found find VBD cord-009417-458rrhcm 134 26 a a DT cord-009417-458rrhcm 134 27 median median JJ cord-009417-458rrhcm 134 28 pretransfusion pretransfusion NN cord-009417-458rrhcm 134 29 hemoglobin hemoglobin NN cord-009417-458rrhcm 134 30 concentration concentration NN cord-009417-458rrhcm 134 31 of of IN cord-009417-458rrhcm 134 32 8.2 8.2 CD cord-009417-458rrhcm 134 33 g g NN cord-009417-458rrhcm 134 34 / / SYM cord-009417-458rrhcm 134 35 dL dl NN cord-009417-458rrhcm 134 36 , , , cord-009417-458rrhcm 134 37 the the DT cord-009417-458rrhcm 134 38 rate rate NN cord-009417-458rrhcm 134 39 of of IN cord-009417-458rrhcm 134 40 transfusion transfusion NN cord-009417-458rrhcm 134 41 was be VBD cord-009417-458rrhcm 134 42 lower low JJR cord-009417-458rrhcm 134 43 , , , cord-009417-458rrhcm 134 44 at at IN cord-009417-458rrhcm 134 45 only only RB cord-009417-458rrhcm 134 46 19.7 19.7 CD cord-009417-458rrhcm 134 47 % % NN cord-009417-458rrhcm 134 48 of of IN cord-009417-458rrhcm 134 49 patients patient NNS cord-009417-458rrhcm 134 50 , , , cord-009417-458rrhcm 134 51 60 60 CD cord-009417-458rrhcm 134 52 % % NN cord-009417-458rrhcm 134 53 of of IN cord-009417-458rrhcm 134 54 whom whom WP cord-009417-458rrhcm 134 55 were be VBD cord-009417-458rrhcm 134 56 bleeding bleed VBG cord-009417-458rrhcm 134 57 . . . cord-009417-458rrhcm 135 1 28 28 CD cord-009417-458rrhcm 136 1 The the DT cord-009417-458rrhcm 136 2 " " `` cord-009417-458rrhcm 136 3 inappropriate inappropriate JJ cord-009417-458rrhcm 136 4 " " '' cord-009417-458rrhcm 136 5 transfusion transfusion NN cord-009417-458rrhcm 136 6 rate rate NN cord-009417-458rrhcm 136 7 was be VBD cord-009417-458rrhcm 136 8 3 3 CD cord-009417-458rrhcm 136 9 % % NN cord-009417-458rrhcm 136 10 . . . cord-009417-458rrhcm 137 1 The the DT cord-009417-458rrhcm 137 2 authors author NNS cord-009417-458rrhcm 137 3 speculate speculate VBP cord-009417-458rrhcm 137 4 that that IN cord-009417-458rrhcm 137 5 the the DT cord-009417-458rrhcm 137 6 practitioners practitioner NNS cord-009417-458rrhcm 137 7 may may MD cord-009417-458rrhcm 137 8 have have VB cord-009417-458rrhcm 137 9 been be VBN cord-009417-458rrhcm 137 10 infl infl VBN cord-009417-458rrhcm 137 11 uenced uence VBN cord-009417-458rrhcm 137 12 by by IN cord-009417-458rrhcm 137 13 publication publication NN cord-009417-458rrhcm 137 14 of of IN cord-009417-458rrhcm 137 15 the the DT cord-009417-458rrhcm 137 16 Canadian canadian JJ cord-009417-458rrhcm 137 17 study study NN cord-009417-458rrhcm 137 18 and and CC cord-009417-458rrhcm 137 19 their -PRON- PRP$ cord-009417-458rrhcm 137 20 own own JJ cord-009417-458rrhcm 137 21 regional regional JJ cord-009417-458rrhcm 137 22 survey survey NN cord-009417-458rrhcm 137 23 of of IN cord-009417-458rrhcm 137 24 transfusion transfusion NN cord-009417-458rrhcm 137 25 practices practice NNS cord-009417-458rrhcm 137 26 . . . cord-009417-458rrhcm 138 1 Nonetheless nonetheless RB cord-009417-458rrhcm 138 2 , , , cord-009417-458rrhcm 138 3 they -PRON- PRP cord-009417-458rrhcm 138 4 agree agree VBP cord-009417-458rrhcm 138 5 that that IN cord-009417-458rrhcm 138 6 full full JJ cord-009417-458rrhcm 138 7 implementation implementation NN cord-009417-458rrhcm 138 8 of of IN cord-009417-458rrhcm 138 9 the the DT cord-009417-458rrhcm 138 10 Canadian canadian JJ cord-009417-458rrhcm 138 11 guidelines guideline NNS cord-009417-458rrhcm 138 12 in in IN cord-009417-458rrhcm 138 13 their -PRON- PRP$ cord-009417-458rrhcm 138 14 clinical clinical JJ cord-009417-458rrhcm 138 15 setting setting NN cord-009417-458rrhcm 138 16 might may MD cord-009417-458rrhcm 138 17 be be VB cord-009417-458rrhcm 138 18 controversial controversial JJ cord-009417-458rrhcm 138 19 . . . cord-009417-458rrhcm 139 1 The the DT cord-009417-458rrhcm 139 2 literature literature NN cord-009417-458rrhcm 139 3 on on IN cord-009417-458rrhcm 139 4 RBC RBC NNP cord-009417-458rrhcm 139 5 transfusion transfusion NN cord-009417-458rrhcm 139 6 in in IN cord-009417-458rrhcm 139 7 the the DT cord-009417-458rrhcm 139 8 setting setting NN cord-009417-458rrhcm 139 9 of of IN cord-009417-458rrhcm 139 10 surgery surgery NN cord-009417-458rrhcm 139 11 , , , cord-009417-458rrhcm 139 12 particularly particularly RB cord-009417-458rrhcm 139 13 surgery surgery NN cord-009417-458rrhcm 139 14 with with IN cord-009417-458rrhcm 139 15 the the DT cord-009417-458rrhcm 139 16 use use NN cord-009417-458rrhcm 139 17 of of IN cord-009417-458rrhcm 139 18 blood blood NN cord-009417-458rrhcm 139 19 products product NNS cord-009417-458rrhcm 139 20 , , , cord-009417-458rrhcm 139 21 is be VBZ cord-009417-458rrhcm 139 22 growing grow VBG cord-009417-458rrhcm 139 23 . . . cord-009417-458rrhcm 140 1 A a DT cord-009417-458rrhcm 140 2 mounting mount VBG cord-009417-458rrhcm 140 3 body body NN cord-009417-458rrhcm 140 4 of of IN cord-009417-458rrhcm 140 5 data datum NNS cord-009417-458rrhcm 140 6 illustrate illustrate VBP cord-009417-458rrhcm 140 7 the the DT cord-009417-458rrhcm 140 8 human human JJ cord-009417-458rrhcm 140 9 tolerance tolerance NN cord-009417-458rrhcm 140 10 of of IN cord-009417-458rrhcm 140 11 a a DT cord-009417-458rrhcm 140 12 low low JJ cord-009417-458rrhcm 140 13 Hct Hct NNP cord-009417-458rrhcm 140 14 during during IN cord-009417-458rrhcm 140 15 and and CC cord-009417-458rrhcm 140 16 after after IN cord-009417-458rrhcm 140 17 surgery surgery NN cord-009417-458rrhcm 140 18 . . . cord-009417-458rrhcm 141 1 A a DT cord-009417-458rrhcm 141 2 recent recent JJ cord-009417-458rrhcm 141 3 randomized randomized JJ cord-009417-458rrhcm 141 4 trial trial NN cord-009417-458rrhcm 141 5 of of IN cord-009417-458rrhcm 141 6 RBC RBC NNP cord-009417-458rrhcm 141 7 transfusion transfusion NN cord-009417-458rrhcm 141 8 strategy strategy NN cord-009417-458rrhcm 141 9 in in IN cord-009417-458rrhcm 141 10 orthopedic orthopedic NN cord-009417-458rrhcm 141 11 surgery surgery NN cord-009417-458rrhcm 141 12 demonstrated demonstrate VBD cord-009417-458rrhcm 141 13 no no DT cord-009417-458rrhcm 141 14 signifi signifi NN cord-009417-458rrhcm 141 15 ca can MD cord-009417-458rrhcm 141 16 nt not RB cord-009417-458rrhcm 141 17 differences difference NNS cord-009417-458rrhcm 141 18 in in IN cord-009417-458rrhcm 141 19 outcome outcome NN cord-009417-458rrhcm 141 20 between between IN cord-009417-458rrhcm 141 21 a a DT cord-009417-458rrhcm 141 22 restrictive restrictive JJ cord-009417-458rrhcm 141 23 ( ( -LRB- cord-009417-458rrhcm 141 24 8 8 CD cord-009417-458rrhcm 141 25 g g NN cord-009417-458rrhcm 141 26 / / SYM cord-009417-458rrhcm 141 27 dL dl NN cord-009417-458rrhcm 141 28 ) ) -RRB- cord-009417-458rrhcm 141 29 and and CC cord-009417-458rrhcm 141 30 a a DT cord-009417-458rrhcm 141 31 liberal liberal JJ cord-009417-458rrhcm 141 32 ( ( -LRB- cord-009417-458rrhcm 141 33 10 10 CD cord-009417-458rrhcm 141 34 g g NN cord-009417-458rrhcm 141 35 / / SYM cord-009417-458rrhcm 141 36 dL dl NN cord-009417-458rrhcm 141 37 ) ) -RRB- cord-009417-458rrhcm 141 38 transfusion transfusion NN cord-009417-458rrhcm 141 39 threshold threshold NN cord-009417-458rrhcm 141 40 and and CC cord-009417-458rrhcm 141 41 included include VBD cord-009417-458rrhcm 141 42 monitoring monitor VBG cord-009417-458rrhcm 141 43 for for IN cord-009417-458rrhcm 141 44 silent silent JJ cord-009417-458rrhcm 141 45 myocardial myocardial JJ cord-009417-458rrhcm 141 46 ischemia ischemia NN cord-009417-458rrhcm 141 47 preoperatively preoperatively NN cord-009417-458rrhcm 141 48 and and CC cord-009417-458rrhcm 141 49 postoperatively postoperatively RB cord-009417-458rrhcm 141 50 . . . cord-009417-458rrhcm 142 1 29 29 CD cord-009417-458rrhcm 143 1 Provided provide VBN cord-009417-458rrhcm 143 2 that that IN cord-009417-458rrhcm 143 3 adequate adequate JJ cord-009417-458rrhcm 143 4 perfusion perfusion NN cord-009417-458rrhcm 143 5 of of IN cord-009417-458rrhcm 143 6 the the DT cord-009417-458rrhcm 143 7 microcirculation microcirculation NN cord-009417-458rrhcm 143 8 is be VBZ cord-009417-458rrhcm 143 9 maintained maintain VBN cord-009417-458rrhcm 143 10 , , , cord-009417-458rrhcm 143 11 purposeful purposeful JJ cord-009417-458rrhcm 143 12 maintenance maintenance NN cord-009417-458rrhcm 143 13 of of IN cord-009417-458rrhcm 143 14 a a DT cord-009417-458rrhcm 143 15 low low JJ cord-009417-458rrhcm 143 16 Hct Hct NNP cord-009417-458rrhcm 143 17 during during IN cord-009417-458rrhcm 143 18 surgery surgery NN cord-009417-458rrhcm 143 19 , , , cord-009417-458rrhcm 143 20 a a DT cord-009417-458rrhcm 143 21 technique technique NN cord-009417-458rrhcm 143 22 called call VBN cord-009417-458rrhcm 143 23 normovolemic normovolemic NNP cord-009417-458rrhcm 143 24 hemodilution hemodilution NNP cord-009417-458rrhcm 143 25 , , , cord-009417-458rrhcm 143 26 30 30 CD cord-009417-458rrhcm 143 27 can can MD cord-009417-458rrhcm 143 28 be be VB cord-009417-458rrhcm 143 29 a a DT cord-009417-458rrhcm 143 30 powerful powerful JJ cord-009417-458rrhcm 143 31 tool tool NN cord-009417-458rrhcm 143 32 in in IN cord-009417-458rrhcm 143 33 minimizing minimize VBG cord-009417-458rrhcm 143 34 blood blood NN cord-009417-458rrhcm 143 35 loss loss NN cord-009417-458rrhcm 143 36 and and CC cord-009417-458rrhcm 143 37 the the DT cord-009417-458rrhcm 143 38 attendant attendant NN cord-009417-458rrhcm 143 39 need need NN cord-009417-458rrhcm 143 40 for for IN cord-009417-458rrhcm 143 41 red red JJ cord-009417-458rrhcm 143 42 cell cell NN cord-009417-458rrhcm 143 43 transfusion transfusion NN cord-009417-458rrhcm 143 44 . . . cord-009417-458rrhcm 144 1 Table table NN cord-009417-458rrhcm 144 2 80 80 CD cord-009417-458rrhcm 144 3 -1 -1 NN cord-009417-458rrhcm 144 4 summarizes summarize VBZ cord-009417-458rrhcm 144 5 guidelines guideline NNS cord-009417-458rrhcm 144 6 proposed propose VBN cord-009417-458rrhcm 144 7 by by IN cord-009417-458rrhcm 144 8 the the DT cord-009417-458rrhcm 144 9 National National NNP cord-009417-458rrhcm 144 10 Institutes Institutes NNPS cord-009417-458rrhcm 144 11 of of IN cord-009417-458rrhcm 144 12 Health Health NNP cord-009417-458rrhcm 144 13 , , , cord-009417-458rrhcm 144 14 31 31 CD cord-009417-458rrhcm 144 15 the the DT cord-009417-458rrhcm 144 16 American American NNP cord-009417-458rrhcm 144 17 Society Society NNP cord-009417-458rrhcm 144 18 of of IN cord-009417-458rrhcm 144 19 Anesthesiologists Anesthesiologists NNPS cord-009417-458rrhcm 144 20 , , , cord-009417-458rrhcm 144 21 32 32 CD cord-009417-458rrhcm 144 22 and and CC cord-009417-458rrhcm 144 23 the the DT cord-009417-458rrhcm 144 24 American American NNP cord-009417-458rrhcm 144 25 College College NNP cord-009417-458rrhcm 144 26 of of IN cord-009417-458rrhcm 144 27 Physicians Physicians NNPS cord-009417-458rrhcm 144 28 33 33 CD cord-009417-458rrhcm 144 29 relative relative NN cord-009417-458rrhcm 144 30 to to IN cord-009417-458rrhcm 144 31 the the DT cord-009417-458rrhcm 144 32 transfusion transfusion NN cord-009417-458rrhcm 144 33 of of IN cord-009417-458rrhcm 144 34 RBCs rbc NNS cord-009417-458rrhcm 144 35 . . . cord-009417-458rrhcm 145 1 These these DT cord-009417-458rrhcm 145 2 guidelines guideline NNS cord-009417-458rrhcm 145 3 have have VBP cord-009417-458rrhcm 145 4 been be VBN cord-009417-458rrhcm 145 5 provided provide VBN cord-009417-458rrhcm 145 6 with with IN cord-009417-458rrhcm 145 7 the the DT cord-009417-458rrhcm 145 8 intent intent NN cord-009417-458rrhcm 145 9 of of IN cord-009417-458rrhcm 145 10 establishing establish VBG cord-009417-458rrhcm 145 11 parameters parameter NNS cord-009417-458rrhcm 145 12 , , , cord-009417-458rrhcm 145 13 not not RB cord-009417-458rrhcm 145 14 with with IN cord-009417-458rrhcm 145 15 the the DT cord-009417-458rrhcm 145 16 intent intent NN cord-009417-458rrhcm 145 17 of of IN cord-009417-458rrhcm 145 18 substituting substitute VBG cord-009417-458rrhcm 145 19 for for IN cord-009417-458rrhcm 145 20 the the DT cord-009417-458rrhcm 145 21 individual individual JJ cord-009417-458rrhcm 145 22 clinician clinician NN cord-009417-458rrhcm 145 23 's 's POS cord-009417-458rrhcm 145 24 judgment judgment NN cord-009417-458rrhcm 145 25 . . . cord-009417-458rrhcm 146 1 The the DT cord-009417-458rrhcm 146 2 art art NN cord-009417-458rrhcm 146 3 of of IN cord-009417-458rrhcm 146 4 medical medical JJ cord-009417-458rrhcm 146 5 decision decision NN cord-009417-458rrhcm 146 6 making make VBG cord-009417-458rrhcm 146 7 in in IN cord-009417-458rrhcm 146 8 transfusion transfusion NN cord-009417-458rrhcm 146 9 , , , cord-009417-458rrhcm 146 10 as as IN cord-009417-458rrhcm 146 11 in in IN cord-009417-458rrhcm 146 12 other other JJ cord-009417-458rrhcm 146 13 areas area NNS cord-009417-458rrhcm 146 14 of of IN cord-009417-458rrhcm 146 15 medicine medicine NN cord-009417-458rrhcm 146 16 , , , cord-009417-458rrhcm 146 17 lies lie VBZ cord-009417-458rrhcm 146 18 in in IN cord-009417-458rrhcm 146 19 determination determination NN cord-009417-458rrhcm 146 20 of of IN cord-009417-458rrhcm 146 21 the the DT cord-009417-458rrhcm 146 22 appropriate appropriate JJ cord-009417-458rrhcm 146 23 treatment treatment NN cord-009417-458rrhcm 146 24 for for IN cord-009417-458rrhcm 146 25 the the DT cord-009417-458rrhcm 146 26 individual individual JJ cord-009417-458rrhcm 146 27 patient patient NN cord-009417-458rrhcm 146 28 . . . cord-009417-458rrhcm 147 1 A a DT cord-009417-458rrhcm 147 2 platelet platelet NN cord-009417-458rrhcm 147 3 concentrate concentrate NN cord-009417-458rrhcm 148 1 ( ( -LRB- cord-009417-458rrhcm 148 2 random random JJ cord-009417-458rrhcm 148 3 - - HYPH cord-009417-458rrhcm 148 4 donor donor NN cord-009417-458rrhcm 148 5 platelets platelet NNS cord-009417-458rrhcm 148 6 ) ) -RRB- cord-009417-458rrhcm 148 7 is be VBZ cord-009417-458rrhcm 148 8 obtained obtain VBN cord-009417-458rrhcm 148 9 by by IN cord-009417-458rrhcm 148 10 centrifugation centrifugation NN cord-009417-458rrhcm 148 11 from from IN cord-009417-458rrhcm 148 12 a a DT cord-009417-458rrhcm 148 13 unit unit NN cord-009417-458rrhcm 148 14 of of IN cord-009417-458rrhcm 148 15 donated donate VBN cord-009417-458rrhcm 148 16 WB WB NNP cord-009417-458rrhcm 148 17 . . . cord-009417-458rrhcm 149 1 Each each DT cord-009417-458rrhcm 149 2 unit unit NN cord-009417-458rrhcm 149 3 contains contain VBZ cord-009417-458rrhcm 149 4 a a DT cord-009417-458rrhcm 149 5 minimum minimum NN cord-009417-458rrhcm 149 6 of of IN cord-009417-458rrhcm 149 7 55 55 CD cord-009417-458rrhcm 149 8 × × CD cord-009417-458rrhcm 149 9 10 10 CD cord-009417-458rrhcm 149 10 10 10 CD cord-009417-458rrhcm 149 11 platelets platelet NNS cord-009417-458rrhcm 149 12 suspended suspend VBN cord-009417-458rrhcm 149 13 in in IN cord-009417-458rrhcm 149 14 about about RB cord-009417-458rrhcm 149 15 50 50 CD cord-009417-458rrhcm 149 16 mL mL NNS cord-009417-458rrhcm 149 17 of of IN cord-009417-458rrhcm 149 18 plasma plasma NN cord-009417-458rrhcm 149 19 . . . cord-009417-458rrhcm 150 1 Platelets platelet NNS cord-009417-458rrhcm 150 2 are be VBP cord-009417-458rrhcm 150 3 stored store VBN cord-009417-458rrhcm 150 4 at at IN cord-009417-458rrhcm 150 5 room room NN cord-009417-458rrhcm 150 6 temperature temperature NN cord-009417-458rrhcm 150 7 to to TO cord-009417-458rrhcm 150 8 avoid avoid VB cord-009417-458rrhcm 150 9 loss loss NN cord-009417-458rrhcm 150 10 of of IN cord-009417-458rrhcm 150 11 function function NN cord-009417-458rrhcm 150 12 from from IN cord-009417-458rrhcm 150 13 refrigeration refrigeration NN cord-009417-458rrhcm 150 14 and and CC cord-009417-458rrhcm 150 15 are be VBP cord-009417-458rrhcm 150 16 constantly constantly RB cord-009417-458rrhcm 150 17 agitated agitated JJ cord-009417-458rrhcm 150 18 to to TO cord-009417-458rrhcm 150 19 maximize maximize VB cord-009417-458rrhcm 150 20 gas gas NN cord-009417-458rrhcm 150 21 exchange exchange NN cord-009417-458rrhcm 150 22 . . . cord-009417-458rrhcm 151 1 The the DT cord-009417-458rrhcm 151 2 length length NN cord-009417-458rrhcm 151 3 of of IN cord-009417-458rrhcm 151 4 storage storage NN cord-009417-458rrhcm 151 5 varies vary VBZ cord-009417-458rrhcm 151 6 with with IN cord-009417-458rrhcm 151 7 the the DT cord-009417-458rrhcm 151 8 container container NN cord-009417-458rrhcm 151 9 used use VBN cord-009417-458rrhcm 151 10 , , , cord-009417-458rrhcm 151 11 but but CC cord-009417-458rrhcm 151 12 most most JJS cord-009417-458rrhcm 151 13 systems system NNS cord-009417-458rrhcm 151 14 permit permit VBP cord-009417-458rrhcm 151 15 5-day 5-day JJ cord-009417-458rrhcm 151 16 storage storage NN cord-009417-458rrhcm 151 17 . . . cord-009417-458rrhcm 152 1 Because because IN cord-009417-458rrhcm 152 2 of of IN cord-009417-458rrhcm 152 3 this this DT cord-009417-458rrhcm 152 4 limited limited JJ cord-009417-458rrhcm 152 5 storage storage NN cord-009417-458rrhcm 152 6 time time NN cord-009417-458rrhcm 152 7 and and CC cord-009417-458rrhcm 152 8 the the DT cord-009417-458rrhcm 152 9 increasing increase VBG cord-009417-458rrhcm 152 10 demand demand NN cord-009417-458rrhcm 152 11 for for IN cord-009417-458rrhcm 152 12 this this DT cord-009417-458rrhcm 152 13 component component NN cord-009417-458rrhcm 152 14 , , , cord-009417-458rrhcm 152 15 platelets platelet NNS cord-009417-458rrhcm 152 16 are be VBP cord-009417-458rrhcm 152 17 often often RB cord-009417-458rrhcm 152 18 subject subject JJ cord-009417-458rrhcm 152 19 to to IN cord-009417-458rrhcm 152 20 supply supply NN cord-009417-458rrhcm 152 21 shortages shortage NNS cord-009417-458rrhcm 152 22 . . . cord-009417-458rrhcm 153 1 Some some DT cord-009417-458rrhcm 153 2 loss loss NN cord-009417-458rrhcm 153 3 of of IN cord-009417-458rrhcm 153 4 viability viability NN cord-009417-458rrhcm 153 5 and and CC cord-009417-458rrhcm 153 6 platelet platelet NN cord-009417-458rrhcm 153 7 numbers number NNS cord-009417-458rrhcm 153 8 occurs occur VBZ cord-009417-458rrhcm 153 9 during during IN cord-009417-458rrhcm 153 10 storage storage NN cord-009417-458rrhcm 153 11 , , , cord-009417-458rrhcm 153 12 but but CC cord-009417-458rrhcm 153 13 5-day 5-day JJ cord-009417-458rrhcm 153 14 - - HYPH cord-009417-458rrhcm 153 15 old old JJ cord-009417-458rrhcm 153 16 platelets platelet NNS cord-009417-458rrhcm 153 17 still still RB cord-009417-458rrhcm 153 18 effect effect VBP cord-009417-458rrhcm 153 19 hemostasis hemostasis NN cord-009417-458rrhcm 153 20 . . . cord-009417-458rrhcm 154 1 Once once IN cord-009417-458rrhcm 154 2 the the DT cord-009417-458rrhcm 154 3 bags bag NNS cord-009417-458rrhcm 154 4 are be VBP cord-009417-458rrhcm 154 5 entered enter VBN cord-009417-458rrhcm 154 6 for for IN cord-009417-458rrhcm 154 7 pooling pool VBG cord-009417-458rrhcm 154 8 before before IN cord-009417-458rrhcm 154 9 transfusion transfusion NN cord-009417-458rrhcm 154 10 , , , cord-009417-458rrhcm 154 11 the the DT cord-009417-458rrhcm 154 12 platelets platelet NNS cord-009417-458rrhcm 154 13 must must MD cord-009417-458rrhcm 154 14 be be VB cord-009417-458rrhcm 154 15 administered administer VBN cord-009417-458rrhcm 154 16 within within IN cord-009417-458rrhcm 154 17 4 4 CD cord-009417-458rrhcm 154 18 hours hour NNS cord-009417-458rrhcm 154 19 . . . cord-009417-458rrhcm 155 1 Each each DT cord-009417-458rrhcm 155 2 unit unit NN cord-009417-458rrhcm 155 3 of of IN cord-009417-458rrhcm 155 4 platelets platelet NNS cord-009417-458rrhcm 155 5 is be VBZ cord-009417-458rrhcm 155 6 expected expect VBN cord-009417-458rrhcm 155 7 to to TO cord-009417-458rrhcm 155 8 increase increase VB cord-009417-458rrhcm 155 9 the the DT cord-009417-458rrhcm 155 10 platelet platelet NN cord-009417-458rrhcm 155 11 count count NN cord-009417-458rrhcm 155 12 by by IN cord-009417-458rrhcm 155 13 10 10 CD cord-009417-458rrhcm 155 14 × × NN cord-009417-458rrhcm 155 15 10 10 CD cord-009417-458rrhcm 155 16 9 9 CD cord-009417-458rrhcm 155 17 /L /L . cord-009417-458rrhcm 155 18 in in IN cord-009417-458rrhcm 155 19 a a DT cord-009417-458rrhcm 155 20 typical typical JJ cord-009417-458rrhcm 155 21 70-kg 70-kg CD cord-009417-458rrhcm 155 22 adult adult NN cord-009417-458rrhcm 155 23 . . . cord-009417-458rrhcm 156 1 The the DT cord-009417-458rrhcm 156 2 usual usual JJ cord-009417-458rrhcm 156 3 dose dose NN cord-009417-458rrhcm 156 4 is be VBZ cord-009417-458rrhcm 156 5 6 6 CD cord-009417-458rrhcm 156 6 units unit NNS cord-009417-458rrhcm 156 7 , , , cord-009417-458rrhcm 156 8 or or CC cord-009417-458rrhcm 156 9 1 1 CD cord-009417-458rrhcm 156 10 U/10 u/10 CD cord-009417-458rrhcm 156 11 kg kg NNS cord-009417-458rrhcm 156 12 of of IN cord-009417-458rrhcm 156 13 body body NN cord-009417-458rrhcm 156 14 weight weight NN cord-009417-458rrhcm 156 15 . . . cord-009417-458rrhcm 157 1 A a DT cord-009417-458rrhcm 157 2 1-hour 1-hour CD cord-009417-458rrhcm 157 3 post post JJ cord-009417-458rrhcm 157 4 - - JJ cord-009417-458rrhcm 157 5 transfusion transfusion JJ cord-009417-458rrhcm 157 6 platelet platelet NN cord-009417-458rrhcm 157 7 count count NN cord-009417-458rrhcm 157 8 should should MD cord-009417-458rrhcm 157 9 be be VB cord-009417-458rrhcm 157 10 obtained obtain VBN cord-009417-458rrhcm 157 11 to to TO cord-009417-458rrhcm 157 12 determine determine VB cord-009417-458rrhcm 157 13 the the DT cord-009417-458rrhcm 157 14 adequacy adequacy NN cord-009417-458rrhcm 157 15 of of IN cord-009417-458rrhcm 157 16 response response NN cord-009417-458rrhcm 157 17 . . . cord-009417-458rrhcm 158 1 The the DT cord-009417-458rrhcm 158 2 following following JJ cord-009417-458rrhcm 158 3 equation equation NN cord-009417-458rrhcm 158 4 , , , cord-009417-458rrhcm 158 5 which which WDT cord-009417-458rrhcm 158 6 relates relate VBZ cord-009417-458rrhcm 158 7 platelet platelet NN cord-009417-458rrhcm 158 8 number number NN cord-009417-458rrhcm 158 9 and and CC cord-009417-458rrhcm 158 10 body body NN cord-009417-458rrhcm 158 11 size size NN cord-009417-458rrhcm 158 12 to to IN cord-009417-458rrhcm 158 13 the the DT cord-009417-458rrhcm 158 14 post post JJ cord-009417-458rrhcm 158 15 - - JJ cord-009417-458rrhcm 158 16 transfusion transfusion JJ cord-009417-458rrhcm 158 17 increment increment NN cord-009417-458rrhcm 158 18 , , , cord-009417-458rrhcm 158 19 can can MD cord-009417-458rrhcm 158 20 be be VB cord-009417-458rrhcm 158 21 used use VBN cord-009417-458rrhcm 158 22 to to TO cord-009417-458rrhcm 158 23 assess assess VB cord-009417-458rrhcm 158 24 the the DT cord-009417-458rrhcm 158 25 effectiveness effectiveness NN cord-009417-458rrhcm 158 26 of of IN cord-009417-458rrhcm 158 27 the the DT cord-009417-458rrhcm 158 28 transfusion transfusion NN cord-009417-458rrhcm 158 29 : : : cord-009417-458rrhcm 158 30 ABO ABO NNP cord-009417-458rrhcm 158 31 - - HYPH cord-009417-458rrhcm 158 32 compatible compatible JJ cord-009417-458rrhcm 158 33 platelets platelet NNS cord-009417-458rrhcm 158 34 are be VBP cord-009417-458rrhcm 158 35 desirable desirable JJ cord-009417-458rrhcm 158 36 but but CC cord-009417-458rrhcm 158 37 not not RB cord-009417-458rrhcm 158 38 essential essential JJ cord-009417-458rrhcm 158 39 . . . cord-009417-458rrhcm 159 1 When when WRB cord-009417-458rrhcm 159 2 ABO ABO NNP cord-009417-458rrhcm 159 3 - - HYPH cord-009417-458rrhcm 159 4 mismatched mismatch VBN cord-009417-458rrhcm 159 5 platelets platelet NNS cord-009417-458rrhcm 159 6 are be VBP cord-009417-458rrhcm 159 7 given give VBN cord-009417-458rrhcm 159 8 , , , cord-009417-458rrhcm 159 9 removal removal NN cord-009417-458rrhcm 159 10 of of IN cord-009417-458rrhcm 159 11 some some DT cord-009417-458rrhcm 159 12 of of IN cord-009417-458rrhcm 159 13 the the DT cord-009417-458rrhcm 159 14 incompatible incompatible JJ cord-009417-458rrhcm 159 15 plasma plasma NN cord-009417-458rrhcm 159 16 can can MD cord-009417-458rrhcm 159 17 be be VB cord-009417-458rrhcm 159 18 carried carry VBN cord-009417-458rrhcm 159 19 out out RP cord-009417-458rrhcm 159 20 at at IN cord-009417-458rrhcm 159 21 the the DT cord-009417-458rrhcm 159 22 time time NN cord-009417-458rrhcm 159 23 of of IN cord-009417-458rrhcm 159 24 pooling pool VBG cord-009417-458rrhcm 159 25 for for IN cord-009417-458rrhcm 159 26 transfusion transfusion NN cord-009417-458rrhcm 159 27 . . . cord-009417-458rrhcm 160 1 Likewise likewise RB cord-009417-458rrhcm 160 2 , , , cord-009417-458rrhcm 160 3 volume volume NN cord-009417-458rrhcm 160 4 reduction reduction NN cord-009417-458rrhcm 160 5 may may MD cord-009417-458rrhcm 160 6 be be VB cord-009417-458rrhcm 160 7 necessary necessary JJ cord-009417-458rrhcm 160 8 for for IN cord-009417-458rrhcm 160 9 patients patient NNS cord-009417-458rrhcm 160 10 at at IN cord-009417-458rrhcm 160 11 risk risk NN cord-009417-458rrhcm 160 12 for for IN cord-009417-458rrhcm 160 13 fl fl NNP cord-009417-458rrhcm 160 14 uid uid NN cord-009417-458rrhcm 160 15 overload overload NN cord-009417-458rrhcm 160 16 from from IN cord-009417-458rrhcm 160 17 the the DT cord-009417-458rrhcm 160 18 300 300 CD cord-009417-458rrhcm 160 19 to to TO cord-009417-458rrhcm 160 20 500 500 CD cord-009417-458rrhcm 160 21 mL ml NN cord-009417-458rrhcm 160 22 of of IN cord-009417-458rrhcm 160 23 plasma plasma NN cord-009417-458rrhcm 160 24 present present JJ cord-009417-458rrhcm 160 25 in in IN cord-009417-458rrhcm 160 26 6 6 CD cord-009417-458rrhcm 160 27 to to TO cord-009417-458rrhcm 160 28 10 10 CD cord-009417-458rrhcm 160 29 units unit NNS cord-009417-458rrhcm 160 30 of of IN cord-009417-458rrhcm 160 31 platelets platelet NNS cord-009417-458rrhcm 160 32 . . . cord-009417-458rrhcm 161 1 Nonetheless nonetheless RB cord-009417-458rrhcm 161 2 , , , cord-009417-458rrhcm 161 3 the the DT cord-009417-458rrhcm 161 4 remaining remain VBG cord-009417-458rrhcm 161 5 plasma plasma NN cord-009417-458rrhcm 161 6 is be VBZ cord-009417-458rrhcm 161 7 a a DT cord-009417-458rrhcm 161 8 good good JJ cord-009417-458rrhcm 161 9 source source NN cord-009417-458rrhcm 161 10 of of IN cord-009417-458rrhcm 161 11 stable stable JJ cord-009417-458rrhcm 161 12 coagulation coagulation NN cord-009417-458rrhcm 161 13 factors factor NNS cord-009417-458rrhcm 161 14 and and CC cord-009417-458rrhcm 161 15 contains contain VBZ cord-009417-458rrhcm 161 16 diminished diminish VBN cord-009417-458rrhcm 161 17 but but CC cord-009417-458rrhcm 161 18 still still RB cord-009417-458rrhcm 161 19 potentially potentially RB cord-009417-458rrhcm 161 20 benefi benefi JJ cord-009417-458rrhcm 161 21 cial cial JJ cord-009417-458rrhcm 161 22 amounts amount NNS cord-009417-458rrhcm 161 23 of of IN cord-009417-458rrhcm 161 24 factors factor NNS cord-009417-458rrhcm 161 25 V v NN cord-009417-458rrhcm 161 26 and and CC cord-009417-458rrhcm 161 27 VIII VIII NNP cord-009417-458rrhcm 161 28 . . . cord-009417-458rrhcm 162 1 There there EX cord-009417-458rrhcm 162 2 is be VBZ cord-009417-458rrhcm 162 3 no no DT cord-009417-458rrhcm 162 4 contraindication contraindication NN cord-009417-458rrhcm 162 5 to to IN cord-009417-458rrhcm 162 6 the the DT cord-009417-458rrhcm 162 7 use use NN cord-009417-458rrhcm 162 8 of of IN cord-009417-458rrhcm 162 9 Rh Rh NNP cord-009417-458rrhcm 162 10 - - HYPH cord-009417-458rrhcm 162 11 positive positive JJ cord-009417-458rrhcm 162 12 platelets platelet NNS cord-009417-458rrhcm 162 13 in in IN cord-009417-458rrhcm 162 14 Rh Rh NNP cord-009417-458rrhcm 162 15 - - HYPH cord-009417-458rrhcm 162 16 negative negative JJ cord-009417-458rrhcm 162 17 patients patient NNS cord-009417-458rrhcm 162 18 ; ; : cord-009417-458rrhcm 162 19 if if IN cord-009417-458rrhcm 162 20 given give VBN cord-009417-458rrhcm 162 21 to to IN cord-009417-458rrhcm 162 22 women woman NNS cord-009417-458rrhcm 162 23 with with IN cord-009417-458rrhcm 162 24 future future JJ cord-009417-458rrhcm 162 25 childbearing childbearing NN cord-009417-458rrhcm 162 26 potential potential NN cord-009417-458rrhcm 162 27 , , , cord-009417-458rrhcm 162 28 Rh Rh NNP cord-009417-458rrhcm 162 29 immune immune JJ cord-009417-458rrhcm 162 30 globulin globulin NN cord-009417-458rrhcm 162 31 ( ( -LRB- cord-009417-458rrhcm 162 32 RhIG RhIG NNP cord-009417-458rrhcm 162 33 ) ) -RRB- cord-009417-458rrhcm 162 34 may may MD cord-009417-458rrhcm 162 35 be be VB cord-009417-458rrhcm 162 36 used use VBN cord-009417-458rrhcm 162 37 prophylactically prophylactically RB cord-009417-458rrhcm 162 38 against against IN cord-009417-458rrhcm 162 39 the the DT cord-009417-458rrhcm 162 40 small small JJ cord-009417-458rrhcm 162 41 risk risk NN cord-009417-458rrhcm 162 42 of of IN cord-009417-458rrhcm 162 43 Rh Rh NNP cord-009417-458rrhcm 162 44 alloimmunization alloimmunization NN cord-009417-458rrhcm 162 45 from from IN cord-009417-458rrhcm 162 46 red red JJ cord-009417-458rrhcm 162 47 cells cell NNS cord-009417-458rrhcm 162 48 that that WDT cord-009417-458rrhcm 162 49 may may MD cord-009417-458rrhcm 162 50 be be VB cord-009417-458rrhcm 162 51 contained contain VBN cord-009417-458rrhcm 162 52 in in IN cord-009417-458rrhcm 162 53 the the DT cord-009417-458rrhcm 162 54 platelet platelet NN cord-009417-458rrhcm 162 55 concentrate concentrate NN cord-009417-458rrhcm 162 56 . . . cord-009417-458rrhcm 163 1 Plateletpheresis Plateletpheresis NNP cord-009417-458rrhcm 163 2 ( ( -LRB- cord-009417-458rrhcm 163 3 common common JJ cord-009417-458rrhcm 163 4 terms term NNS cord-009417-458rrhcm 163 5 : : : cord-009417-458rrhcm 163 6 single single JJ cord-009417-458rrhcm 163 7 - - HYPH cord-009417-458rrhcm 163 8 donor donor NN cord-009417-458rrhcm 163 9 platelets platelet NNS cord-009417-458rrhcm 163 10 , , , cord-009417-458rrhcm 163 11 apheresis apheresis NN cord-009417-458rrhcm 163 12 platelets platelet NNS cord-009417-458rrhcm 163 13 ) ) -RRB- cord-009417-458rrhcm 163 14 involves involve VBZ cord-009417-458rrhcm 163 15 separating separate VBG cord-009417-458rrhcm 163 16 and and CC cord-009417-458rrhcm 163 17 removing remove VBG cord-009417-458rrhcm 163 18 platelets platelet NNS cord-009417-458rrhcm 163 19 from from IN cord-009417-458rrhcm 163 20 one one CD cord-009417-458rrhcm 163 21 donor donor NN cord-009417-458rrhcm 163 22 by by IN cord-009417-458rrhcm 163 23 cytapheresis cytapheresis NNP cord-009417-458rrhcm 163 24 during during IN cord-009417-458rrhcm 163 25 a a DT cord-009417-458rrhcm 163 26 1 1 CD cord-009417-458rrhcm 163 27 1 1 CD cord-009417-458rrhcm 163 28 / / SYM cord-009417-458rrhcm 163 29 2 2 CD cord-009417-458rrhcm 163 30 -to -to SYM cord-009417-458rrhcm 163 31 2-hour 2-hour JJ cord-009417-458rrhcm 163 32 procedure procedure NN cord-009417-458rrhcm 163 33 on on IN cord-009417-458rrhcm 163 34 an an DT cord-009417-458rrhcm 163 35 automated automate VBN cord-009417-458rrhcm 163 36 device device NN cord-009417-458rrhcm 163 37 and and CC cord-009417-458rrhcm 163 38 then then RB cord-009417-458rrhcm 163 39 retransfusing retransfuse VBG cord-009417-458rrhcm 163 40 the the DT cord-009417-458rrhcm 163 41 remainder remainder NN cord-009417-458rrhcm 163 42 of of IN cord-009417-458rrhcm 163 43 the the DT cord-009417-458rrhcm 163 44 blood blood NN cord-009417-458rrhcm 163 45 back back RB cord-009417-458rrhcm 163 46 into into IN cord-009417-458rrhcm 163 47 the the DT cord-009417-458rrhcm 163 48 donor donor NN cord-009417-458rrhcm 163 49 . . . cord-009417-458rrhcm 164 1 Each each DT cord-009417-458rrhcm 164 2 collection collection NN cord-009417-458rrhcm 164 3 contains contain VBZ cord-009417-458rrhcm 164 4 an an DT cord-009417-458rrhcm 164 5 equivalent equivalent NN cord-009417-458rrhcm 164 6 of of IN cord-009417-458rrhcm 164 7 6 6 CD cord-009417-458rrhcm 164 8 to to TO cord-009417-458rrhcm 164 9 10 10 CD cord-009417-458rrhcm 164 10 units unit NNS cord-009417-458rrhcm 164 11 of of IN cord-009417-458rrhcm 164 12 platelet platelet NN cord-009417-458rrhcm 164 13 concentrates concentrate NNS cord-009417-458rrhcm 164 14 . . . cord-009417-458rrhcm 165 1 Single single JJ cord-009417-458rrhcm 165 2 - - HYPH cord-009417-458rrhcm 165 3 donor donor NN cord-009417-458rrhcm 165 4 platelets platelet NNS cord-009417-458rrhcm 165 5 are be VBP cord-009417-458rrhcm 165 6 suspended suspend VBN cord-009417-458rrhcm 165 7 in in IN cord-009417-458rrhcm 165 8 about about RB cord-009417-458rrhcm 165 9 300 300 CD cord-009417-458rrhcm 165 10 mL ml NN cord-009417-458rrhcm 165 11 of of IN cord-009417-458rrhcm 165 12 plasma plasma NN cord-009417-458rrhcm 165 13 , , , cord-009417-458rrhcm 165 14 so so RB cord-009417-458rrhcm 165 15 the the DT cord-009417-458rrhcm 165 16 same same JJ cord-009417-458rrhcm 165 17 ABO ABO NNP cord-009417-458rrhcm 165 18 and and CC cord-009417-458rrhcm 165 19 volume volume NN cord-009417-458rrhcm 165 20 considerations consideration NNS cord-009417-458rrhcm 165 21 discussed discuss VBD cord-009417-458rrhcm 165 22 earlier early RBR cord-009417-458rrhcm 165 23 pertain pertain VBP cord-009417-458rrhcm 165 24 . . . cord-009417-458rrhcm 166 1 Single single JJ cord-009417-458rrhcm 166 2 - - HYPH cord-009417-458rrhcm 166 3 donor donor NN cord-009417-458rrhcm 166 4 platelets platelet NNS cord-009417-458rrhcm 166 5 offer offer VBP cord-009417-458rrhcm 166 6 the the DT cord-009417-458rrhcm 166 7 clear clear JJ cord-009417-458rrhcm 166 8 benefi benefi NNP cord-009417-458rrhcm 166 9 t t NN cord-009417-458rrhcm 166 10 of of IN cord-009417-458rrhcm 166 11 reducing reduce VBG cord-009417-458rrhcm 166 12 the the DT cord-009417-458rrhcm 166 13 risk risk NN cord-009417-458rrhcm 166 14 of of IN cord-009417-458rrhcm 166 15 multiple multiple JJ cord-009417-458rrhcm 166 16 - - HYPH cord-009417-458rrhcm 166 17 donor donor NN cord-009417-458rrhcm 166 18 exposure exposure NN cord-009417-458rrhcm 166 19 to to IN cord-009417-458rrhcm 166 20 the the DT cord-009417-458rrhcm 166 21 recipient recipient NN cord-009417-458rrhcm 166 22 . . . cord-009417-458rrhcm 167 1 Single single JJ cord-009417-458rrhcm 167 2 - - HYPH cord-009417-458rrhcm 167 3 donor donor NN cord-009417-458rrhcm 167 4 platelets platelet NNS cord-009417-458rrhcm 167 5 may may MD cord-009417-458rrhcm 167 6 also also RB cord-009417-458rrhcm 167 7 be be VB cord-009417-458rrhcm 167 8 the the DT cord-009417-458rrhcm 167 9 only only JJ cord-009417-458rrhcm 167 10 available available JJ cord-009417-458rrhcm 167 11 alternative alternative NN cord-009417-458rrhcm 167 12 for for IN cord-009417-458rrhcm 167 13 recipients recipient NNS cord-009417-458rrhcm 167 14 who who WP cord-009417-458rrhcm 167 15 have have VBP cord-009417-458rrhcm 167 16 been be VBN cord-009417-458rrhcm 167 17 alloimmunized alloimmunize VBN cord-009417-458rrhcm 167 18 by by IN cord-009417-458rrhcm 167 19 previous previous JJ cord-009417-458rrhcm 167 20 platelet platelet NN cord-009417-458rrhcm 167 21 transfusions transfusion NNS cord-009417-458rrhcm 167 22 because because IN cord-009417-458rrhcm 167 23 they -PRON- PRP cord-009417-458rrhcm 167 24 may may MD cord-009417-458rrhcm 167 25 be be VB cord-009417-458rrhcm 167 26 human human JJ cord-009417-458rrhcm 167 27 leukocyte leukocyte NN cord-009417-458rrhcm 167 28 antigen antigen NN cord-009417-458rrhcm 167 29 ( ( -LRB- cord-009417-458rrhcm 167 30 HLA HLA NNP cord-009417-458rrhcm 167 31 ) ) -RRB- cord-009417-458rrhcm 167 32 or or CC cord-009417-458rrhcm 167 33 platelet platelet NN cord-009417-458rrhcm 167 34 antigen antigen NN cord-009417-458rrhcm 167 35 matched match VBN cord-009417-458rrhcm 167 36 to to IN cord-009417-458rrhcm 167 37 the the DT cord-009417-458rrhcm 167 38 recipient recipient NN cord-009417-458rrhcm 167 39 . . . cord-009417-458rrhcm 168 1 The the DT cord-009417-458rrhcm 168 2 use use NN cord-009417-458rrhcm 168 3 of of IN cord-009417-458rrhcm 168 4 apheresis apheresis NN cord-009417-458rrhcm 168 5 platelets platelet NNS cord-009417-458rrhcm 168 6 now now RB cord-009417-458rrhcm 168 7 exceeds exceed VBZ cord-009417-458rrhcm 168 8 the the DT cord-009417-458rrhcm 168 9 use use NN cord-009417-458rrhcm 168 10 of of IN cord-009417-458rrhcm 168 11 pooled pool VBN cord-009417-458rrhcm 168 12 random random JJ cord-009417-458rrhcm 168 13 - - HYPH cord-009417-458rrhcm 168 14 donor donor NN cord-009417-458rrhcm 168 15 platelets platelet NNS cord-009417-458rrhcm 168 16 ; ; : cord-009417-458rrhcm 168 17 however however RB cord-009417-458rrhcm 168 18 , , , cord-009417-458rrhcm 168 19 use use NN cord-009417-458rrhcm 168 20 of of IN cord-009417-458rrhcm 168 21 this this DT cord-009417-458rrhcm 168 22 product product NN cord-009417-458rrhcm 168 23 in in IN cord-009417-458rrhcm 168 24 emergency emergency NN cord-009417-458rrhcm 168 25 situations situation NNS cord-009417-458rrhcm 168 26 is be VBZ cord-009417-458rrhcm 168 27 limited limit VBN cord-009417-458rrhcm 168 28 by by IN cord-009417-458rrhcm 168 29 the the DT cord-009417-458rrhcm 168 30 availability availability NN cord-009417-458rrhcm 168 31 of of IN cord-009417-458rrhcm 168 32 volunteer volunteer NN cord-009417-458rrhcm 168 33 donors donor NNS cord-009417-458rrhcm 168 34 . . . cord-009417-458rrhcm 169 1 35 35 CD cord-009417-458rrhcm 169 2 Platelet platelet NN cord-009417-458rrhcm 169 3 transfusions transfusion NNS cord-009417-458rrhcm 169 4 are be VBP cord-009417-458rrhcm 169 5 indicated indicate VBN cord-009417-458rrhcm 169 6 for for IN cord-009417-458rrhcm 169 7 patients patient NNS cord-009417-458rrhcm 169 8 bleeding bleed VBG cord-009417-458rrhcm 169 9 because because IN cord-009417-458rrhcm 169 10 of of IN cord-009417-458rrhcm 169 11 thrombocytopenia thrombocytopenia NN cord-009417-458rrhcm 169 12 or or CC cord-009417-458rrhcm 169 13 functional functional JJ cord-009417-458rrhcm 169 14 platelet platelet NN cord-009417-458rrhcm 169 15 defects defect NNS cord-009417-458rrhcm 169 16 . . . cord-009417-458rrhcm 170 1 36 36 CD cord-009417-458rrhcm 170 2 Guidelines guideline NNS cord-009417-458rrhcm 170 3 for for IN cord-009417-458rrhcm 170 4 transfusion transfusion NN cord-009417-458rrhcm 170 5 continue continue VBP cord-009417-458rrhcm 170 6 to to TO cord-009417-458rrhcm 170 7 evolve evolve VB cord-009417-458rrhcm 170 8 , , , cord-009417-458rrhcm 170 9 and and CC cord-009417-458rrhcm 170 10 the the DT cord-009417-458rrhcm 170 11 current current JJ cord-009417-458rrhcm 170 12 guidelines guideline NNS cord-009417-458rrhcm 170 13 merely merely RB cord-009417-458rrhcm 170 14 provide provide VBP cord-009417-458rrhcm 170 15 a a DT cord-009417-458rrhcm 170 16 desirable desirable JJ cord-009417-458rrhcm 170 17 range range NN cord-009417-458rrhcm 170 18 for for IN cord-009417-458rrhcm 170 19 platelet platelet NN cord-009417-458rrhcm 170 20 counts count NNS cord-009417-458rrhcm 170 21 , , , cord-009417-458rrhcm 170 22 assuming assume VBG cord-009417-458rrhcm 170 23 normal normal JJ cord-009417-458rrhcm 170 24 platelet platelet NN cord-009417-458rrhcm 170 25 func func NN cord-009417-458rrhcm 170 26 - - HYPH cord-009417-458rrhcm 170 27 tion tion NN cord-009417-458rrhcm 170 28 ( ( -LRB- cord-009417-458rrhcm 170 29 Table table NN cord-009417-458rrhcm 170 30 80 80 CD cord-009417-458rrhcm 170 31 -2 -2 CD cord-009417-458rrhcm 170 32 ) ) -RRB- cord-009417-458rrhcm 170 33 . . . cord-009417-458rrhcm 171 1 There there EX cord-009417-458rrhcm 171 2 is be VBZ cord-009417-458rrhcm 171 3 ample ample JJ cord-009417-458rrhcm 171 4 evidence evidence NN cord-009417-458rrhcm 171 5 that that IN cord-009417-458rrhcm 171 6 bleeding bleed VBG cord-009417-458rrhcm 171 7 medical medical JJ cord-009417-458rrhcm 171 8 or or CC cord-009417-458rrhcm 171 9 surgical surgical JJ cord-009417-458rrhcm 171 10 patients patient NNS cord-009417-458rrhcm 171 11 with with IN cord-009417-458rrhcm 171 12 platelet platelet NN cord-009417-458rrhcm 171 13 counts count NNS cord-009417-458rrhcm 171 14 of of IN cord-009417-458rrhcm 171 15 50 50 CD cord-009417-458rrhcm 171 16 × × NN cord-009417-458rrhcm 171 17 10 10 CD cord-009417-458rrhcm 171 18 9 9 CD cord-009417-458rrhcm 171 19 /L /L , cord-009417-458rrhcm 171 20 or or CC cord-009417-458rrhcm 171 21 above above RB cord-009417-458rrhcm 171 22 will will MD cord-009417-458rrhcm 171 23 not not RB cord-009417-458rrhcm 171 24 benefi benefi VB cord-009417-458rrhcm 171 25 t t NN cord-009417-458rrhcm 171 26 from from IN cord-009417-458rrhcm 171 27 transfusion transfusion NN cord-009417-458rrhcm 171 28 if if IN cord-009417-458rrhcm 171 29 thrombocytopenia thrombocytopenia NN cord-009417-458rrhcm 171 30 is be VBZ cord-009417-458rrhcm 171 31 the the DT cord-009417-458rrhcm 171 32 only only JJ cord-009417-458rrhcm 171 33 abnormality abnormality NN cord-009417-458rrhcm 171 34 . . . cord-009417-458rrhcm 172 1 For for IN cord-009417-458rrhcm 172 2 critical critical JJ cord-009417-458rrhcm 172 3 invasive invasive JJ cord-009417-458rrhcm 172 4 procedures procedure NNS cord-009417-458rrhcm 172 5 in in IN cord-009417-458rrhcm 172 6 which which WDT cord-009417-458rrhcm 172 7 even even RB cord-009417-458rrhcm 172 8 a a DT cord-009417-458rrhcm 172 9 small small JJ cord-009417-458rrhcm 172 10 amount amount NN cord-009417-458rrhcm 172 11 of of IN cord-009417-458rrhcm 172 12 bleeding bleed VBG cord-009417-458rrhcm 172 13 could could MD cord-009417-458rrhcm 172 14 lead lead VB cord-009417-458rrhcm 172 15 to to IN cord-009417-458rrhcm 172 16 loss loss NN cord-009417-458rrhcm 172 17 of of IN cord-009417-458rrhcm 172 18 vital vital JJ cord-009417-458rrhcm 172 19 organ organ NN cord-009417-458rrhcm 172 20 function function NN cord-009417-458rrhcm 172 21 or or CC cord-009417-458rrhcm 172 22 death death NN cord-009417-458rrhcm 172 23 , , , cord-009417-458rrhcm 172 24 maintaining maintain VBG cord-009417-458rrhcm 172 25 the the DT cord-009417-458rrhcm 172 26 platelet platelet NN cord-009417-458rrhcm 172 27 count count NN cord-009417-458rrhcm 172 28 at at IN cord-009417-458rrhcm 172 29 50 50 CD cord-009417-458rrhcm 172 30 × × NN cord-009417-458rrhcm 172 31 10 10 CD cord-009417-458rrhcm 172 32 9 9 CD cord-009417-458rrhcm 172 33 /L /L , cord-009417-458rrhcm 172 34 or or CC cord-009417-458rrhcm 172 35 greater great JJR cord-009417-458rrhcm 172 36 is be VBZ cord-009417-458rrhcm 172 37 typically typically RB cord-009417-458rrhcm 172 38 preferred prefer VBN cord-009417-458rrhcm 172 39 . . . cord-009417-458rrhcm 173 1 The the DT cord-009417-458rrhcm 173 2 presence presence NN cord-009417-458rrhcm 173 3 of of IN cord-009417-458rrhcm 173 4 other other JJ cord-009417-458rrhcm 173 5 factors factor NNS cord-009417-458rrhcm 173 6 that that WDT cord-009417-458rrhcm 173 7 diminish diminish VBP cord-009417-458rrhcm 173 8 platelet platelet NN cord-009417-458rrhcm 173 9 function function NN cord-009417-458rrhcm 173 10 , , , cord-009417-458rrhcm 173 11 such such JJ cord-009417-458rrhcm 173 12 as as IN cord-009417-458rrhcm 173 13 certain certain JJ cord-009417-458rrhcm 173 14 drugs drug NNS cord-009417-458rrhcm 173 15 , , , cord-009417-458rrhcm 173 16 foreign foreign JJ cord-009417-458rrhcm 173 17 intravascular intravascular JJ cord-009417-458rrhcm 173 18 devices device NNS cord-009417-458rrhcm 173 19 ( ( -LRB- cord-009417-458rrhcm 173 20 e.g. e.g. RB cord-009417-458rrhcm 173 21 , , , cord-009417-458rrhcm 173 22 intra intra JJ cord-009417-458rrhcm 173 23 - - JJ cord-009417-458rrhcm 173 24 aortic aortic JJ cord-009417-458rrhcm 173 25 balloon balloon NN cord-009417-458rrhcm 173 26 pump pump NN cord-009417-458rrhcm 173 27 or or CC cord-009417-458rrhcm 173 28 membrane membrane NN cord-009417-458rrhcm 173 29 oxygenator oxygenator NN cord-009417-458rrhcm 173 30 ) ) -RRB- cord-009417-458rrhcm 173 31 , , , cord-009417-458rrhcm 173 32 infection infection NN cord-009417-458rrhcm 173 33 , , , cord-009417-458rrhcm 173 34 or or CC cord-009417-458rrhcm 173 35 uremia uremia NN cord-009417-458rrhcm 173 36 , , , cord-009417-458rrhcm 173 37 may may MD cord-009417-458rrhcm 173 38 alter alter VB cord-009417-458rrhcm 173 39 this this DT cord-009417-458rrhcm 173 40 requirement requirement NN cord-009417-458rrhcm 173 41 upward upward RB cord-009417-458rrhcm 173 42 . . . cord-009417-458rrhcm 174 1 Patients patient NNS cord-009417-458rrhcm 174 2 at at IN cord-009417-458rrhcm 174 3 risk risk NN cord-009417-458rrhcm 174 4 for for IN cord-009417-458rrhcm 174 5 small small JJ cord-009417-458rrhcm 174 6 but but CC cord-009417-458rrhcm 174 7 strategically strategically RB cord-009417-458rrhcm 174 8 important important JJ cord-009417-458rrhcm 174 9 hemorrhage hemorrhage NN cord-009417-458rrhcm 174 10 , , , cord-009417-458rrhcm 174 11 such such JJ cord-009417-458rrhcm 174 12 as as IN cord-009417-458rrhcm 174 13 neurosurgical neurosurgical JJ cord-009417-458rrhcm 174 14 patients patient NNS cord-009417-458rrhcm 174 15 , , , cord-009417-458rrhcm 174 16 may may MD cord-009417-458rrhcm 174 17 need need VB cord-009417-458rrhcm 174 18 to to TO cord-009417-458rrhcm 174 19 be be VB cord-009417-458rrhcm 174 20 maintained maintain VBN cord-009417-458rrhcm 174 21 at at IN cord-009417-458rrhcm 174 22 counts count NNS cord-009417-458rrhcm 174 23 of of IN cord-009417-458rrhcm 174 24 80 80 CD cord-009417-458rrhcm 174 25 to to TO cord-009417-458rrhcm 174 26 100 100 CD cord-009417-458rrhcm 174 27 × × NN cord-009417-458rrhcm 175 1 10 10 CD cord-009417-458rrhcm 175 2 9 9 CD cord-009417-458rrhcm 175 3 /L. /L. . cord-009417-458rrhcm 175 4 Patients patient NNS cord-009417-458rrhcm 175 5 without without IN cord-009417-458rrhcm 175 6 hemorrhage hemorrhage NN cord-009417-458rrhcm 175 7 who who WP cord-009417-458rrhcm 175 8 have have VBP cord-009417-458rrhcm 175 9 platelet platelet NN cord-009417-458rrhcm 175 10 counts count NNS cord-009417-458rrhcm 175 11 of of IN cord-009417-458rrhcm 175 12 5 5 CD cord-009417-458rrhcm 175 13 × × NN cord-009417-458rrhcm 175 14 10 10 CD cord-009417-458rrhcm 175 15 9 9 CD cord-009417-458rrhcm 175 16 /L /L , cord-009417-458rrhcm 175 17 or or CC cord-009417-458rrhcm 175 18 lower low JJR cord-009417-458rrhcm 175 19 appear appear VB cord-009417-458rrhcm 175 20 to to TO cord-009417-458rrhcm 175 21 be be VB cord-009417-458rrhcm 175 22 at at IN cord-009417-458rrhcm 175 23 increased increase VBN cord-009417-458rrhcm 175 24 risk risk NN cord-009417-458rrhcm 175 25 for for IN cord-009417-458rrhcm 175 26 signifi signifi NNP cord-009417-458rrhcm 176 1 ca can MD cord-009417-458rrhcm 176 2 nt not RB cord-009417-458rrhcm 176 3 hemorrhage hemorrhage VB cord-009417-458rrhcm 176 4 . . . cord-009417-458rrhcm 177 1 Indications indication NNS cord-009417-458rrhcm 177 2 for for IN cord-009417-458rrhcm 177 3 transfusion transfusion NN cord-009417-458rrhcm 177 4 to to IN cord-009417-458rrhcm 177 5 patients patient NNS cord-009417-458rrhcm 177 6 with with IN cord-009417-458rrhcm 177 7 counts count NNS cord-009417-458rrhcm 177 8 above above IN cord-009417-458rrhcm 177 9 10 10 CD cord-009417-458rrhcm 177 10 × × NN cord-009417-458rrhcm 177 11 10 10 CD cord-009417-458rrhcm 177 12 9 9 CD cord-009417-458rrhcm 177 13 /L /L . cord-009417-458rrhcm 177 14 are be VBP cord-009417-458rrhcm 177 15 less less RBR cord-009417-458rrhcm 177 16 well well RB cord-009417-458rrhcm 177 17 established establish VBN cord-009417-458rrhcm 177 18 ; ; : cord-009417-458rrhcm 177 19 thus thus RB cord-009417-458rrhcm 177 20 , , , cord-009417-458rrhcm 177 21 the the DT cord-009417-458rrhcm 177 22 majority majority NN cord-009417-458rrhcm 177 23 of of IN cord-009417-458rrhcm 177 24 guidelines guideline NNS cord-009417-458rrhcm 177 25 propose propose VBP cord-009417-458rrhcm 177 26 prophylactic prophylactic JJ cord-009417-458rrhcm 177 27 platelet platelet NN cord-009417-458rrhcm 177 28 transfusion transfusion NN cord-009417-458rrhcm 177 29 to to TO cord-009417-458rrhcm 177 30 prevent prevent VB cord-009417-458rrhcm 177 31 hemorrhage hemorrhage NN cord-009417-458rrhcm 177 32 at at IN cord-009417-458rrhcm 177 33 a a DT cord-009417-458rrhcm 177 34 threshold threshold NN cord-009417-458rrhcm 177 35 of of IN cord-009417-458rrhcm 177 36 10 10 CD cord-009417-458rrhcm 177 37 × × NN cord-009417-458rrhcm 177 38 10 10 CD cord-009417-458rrhcm 177 39 9 9 CD cord-009417-458rrhcm 178 1 /L. /L. . cord-009417-458rrhcm 179 1 The the DT cord-009417-458rrhcm 179 2 bleeding bleeding JJ cord-009417-458rrhcm 179 3 time time NN cord-009417-458rrhcm 179 4 is be VBZ cord-009417-458rrhcm 179 5 not not RB cord-009417-458rrhcm 179 6 a a DT cord-009417-458rrhcm 179 7 useful useful JJ cord-009417-458rrhcm 179 8 procedure procedure NN cord-009417-458rrhcm 179 9 in in IN cord-009417-458rrhcm 179 10 this this DT cord-009417-458rrhcm 179 11 situation situation NN cord-009417-458rrhcm 179 12 because because IN cord-009417-458rrhcm 179 13 it -PRON- PRP cord-009417-458rrhcm 179 14 is be VBZ cord-009417-458rrhcm 179 15 usually usually RB cord-009417-458rrhcm 179 16 prolonged prolong VBN cord-009417-458rrhcm 179 17 at at IN cord-009417-458rrhcm 179 18 counts count NNS cord-009417-458rrhcm 179 19 below below IN cord-009417-458rrhcm 179 20 80 80 CD cord-009417-458rrhcm 179 21 × × NN cord-009417-458rrhcm 179 22 10 10 CD cord-009417-458rrhcm 179 23 9 9 CD cord-009417-458rrhcm 179 24 /L /l CD cord-009417-458rrhcm 179 25 , , , cord-009417-458rrhcm 179 26 may may MD cord-009417-458rrhcm 179 27 be be VB cord-009417-458rrhcm 179 28 insuffi insuffi NNP cord-009417-458rrhcm 179 29 ciently ciently RB cord-009417-458rrhcm 179 30 reproducible reproducible JJ cord-009417-458rrhcm 179 31 , , , cord-009417-458rrhcm 179 32 and and CC cord-009417-458rrhcm 179 33 correlates correlate VBZ cord-009417-458rrhcm 179 34 poorly poorly RB cord-009417-458rrhcm 179 35 with with IN cord-009417-458rrhcm 179 36 the the DT cord-009417-458rrhcm 179 37 risk risk NN cord-009417-458rrhcm 179 38 for for IN cord-009417-458rrhcm 179 39 bleeding bleed VBG cord-009417-458rrhcm 179 40 . . . cord-009417-458rrhcm 180 1 37 37 CD cord-009417-458rrhcm 180 2 Patients patient NNS cord-009417-458rrhcm 180 3 undergoing undergo VBG cord-009417-458rrhcm 180 4 cardiac cardiac JJ cord-009417-458rrhcm 180 5 bypass bypass NN cord-009417-458rrhcm 180 6 surgery surgery NN cord-009417-458rrhcm 180 7 experience experience NN cord-009417-458rrhcm 180 8 a a DT cord-009417-458rrhcm 180 9 drop drop NN cord-009417-458rrhcm 180 10 in in IN cord-009417-458rrhcm 180 11 platelet platelet NN cord-009417-458rrhcm 180 12 count count NN cord-009417-458rrhcm 180 13 and and CC cord-009417-458rrhcm 180 14 often often RB cord-009417-458rrhcm 180 15 acquire acquire VBP cord-009417-458rrhcm 180 16 a a DT cord-009417-458rrhcm 180 17 transient transient JJ cord-009417-458rrhcm 180 18 platelet platelet NN cord-009417-458rrhcm 180 19 functional functional JJ cord-009417-458rrhcm 180 20 defect defect NN cord-009417-458rrhcm 180 21 from from IN cord-009417-458rrhcm 180 22 damage damage NN cord-009417-458rrhcm 180 23 associated associate VBN cord-009417-458rrhcm 180 24 with with IN cord-009417-458rrhcm 180 25 the the DT cord-009417-458rrhcm 180 26 bypass bypass NN cord-009417-458rrhcm 180 27 apparatus apparatus NN cord-009417-458rrhcm 180 28 . . . cord-009417-458rrhcm 181 1 38 38 CD cord-009417-458rrhcm 181 2 Most Most JJS cord-009417-458rrhcm 181 3 patients patient NNS cord-009417-458rrhcm 181 4 do do VBP cord-009417-458rrhcm 181 5 not not RB cord-009417-458rrhcm 181 6 experience experience VB cord-009417-458rrhcm 181 7 platelet platelet NN cord-009417-458rrhcm 181 8 - - HYPH cord-009417-458rrhcm 181 9 associated associate VBN cord-009417-458rrhcm 181 10 bleeding bleeding NN cord-009417-458rrhcm 181 11 , , , cord-009417-458rrhcm 181 12 however however RB cord-009417-458rrhcm 181 13 , , , cord-009417-458rrhcm 181 14 so so RB cord-009417-458rrhcm 181 15 prophylactic prophylactic JJ cord-009417-458rrhcm 181 16 transfusion transfusion NN cord-009417-458rrhcm 181 17 in in IN cord-009417-458rrhcm 181 18 the the DT cord-009417-458rrhcm 181 19 absence absence NN cord-009417-458rrhcm 181 20 of of IN cord-009417-458rrhcm 181 21 bleeding bleeding NN cord-009417-458rrhcm 181 22 is be VBZ cord-009417-458rrhcm 181 23 not not RB cord-009417-458rrhcm 181 24 warranted warrant VBN cord-009417-458rrhcm 181 25 . . . cord-009417-458rrhcm 182 1 In in IN cord-009417-458rrhcm 182 2 a a DT cord-009417-458rrhcm 182 3 patient patient NN cord-009417-458rrhcm 182 4 who who WP cord-009417-458rrhcm 182 5 continues continue VBZ cord-009417-458rrhcm 182 6 to to TO cord-009417-458rrhcm 182 7 bleed bleed VB cord-009417-458rrhcm 182 8 postoperatively postoperatively RB cord-009417-458rrhcm 182 9 , , , cord-009417-458rrhcm 182 10 more more RBR cord-009417-458rrhcm 182 11 likely likely JJ cord-009417-458rrhcm 182 12 causes cause NNS cord-009417-458rrhcm 182 13 are be VBP cord-009417-458rrhcm 182 14 a a DT cord-009417-458rrhcm 182 15 localized localize VBN cord-009417-458rrhcm 182 16 , , , cord-009417-458rrhcm 182 17 surgically surgically RB cord-009417-458rrhcm 182 18 correctable correctable JJ cord-009417-458rrhcm 182 19 lesion lesion NN cord-009417-458rrhcm 182 20 or or CC cord-009417-458rrhcm 182 21 failure failure NN cord-009417-458rrhcm 182 22 to to TO cord-009417-458rrhcm 182 23 reverse reverse VB cord-009417-458rrhcm 182 24 heparinization heparinization NN cord-009417-458rrhcm 182 25 . . . cord-009417-458rrhcm 183 1 If if IN cord-009417-458rrhcm 183 2 these these DT cord-009417-458rrhcm 183 3 conditions condition NNS cord-009417-458rrhcm 183 4 are be VBP cord-009417-458rrhcm 183 5 excluded exclude VBN cord-009417-458rrhcm 183 6 , , , cord-009417-458rrhcm 183 7 empiric empiric JJ cord-009417-458rrhcm 183 8 transfusion transfusion NN cord-009417-458rrhcm 183 9 of of IN cord-009417-458rrhcm 183 10 platelets platelet NNS cord-009417-458rrhcm 183 11 may may MD cord-009417-458rrhcm 183 12 be be VB cord-009417-458rrhcm 183 13 justifi justifi NNP cord-009417-458rrhcm 183 14 ed ed NN cord-009417-458rrhcm 183 15 . . . cord-009417-458rrhcm 184 1 Patients patient NNS cord-009417-458rrhcm 184 2 thrombocytopenic thrombocytopenic JJ cord-009417-458rrhcm 184 3 by by IN cord-009417-458rrhcm 184 4 virtue virtue NN cord-009417-458rrhcm 184 5 of of IN cord-009417-458rrhcm 184 6 immunologic immunologic JJ cord-009417-458rrhcm 184 7 destructive destructive JJ cord-009417-458rrhcm 184 8 processes process NNS cord-009417-458rrhcm 184 9 such such JJ cord-009417-458rrhcm 184 10 as as IN cord-009417-458rrhcm 184 11 idiopathic idiopathic JJ cord-009417-458rrhcm 184 12 thrombocytopenic thrombocytopenic JJ cord-009417-458rrhcm 184 13 purpura purpura NN cord-009417-458rrhcm 184 14 ( ( -LRB- cord-009417-458rrhcm 184 15 ITP ITP NNP cord-009417-458rrhcm 184 16 ) ) -RRB- cord-009417-458rrhcm 184 17 receive receive VBP cord-009417-458rrhcm 184 18 little little JJ cord-009417-458rrhcm 184 19 benefi benefi NNP cord-009417-458rrhcm 184 20 t t NN cord-009417-458rrhcm 184 21 from from IN cord-009417-458rrhcm 184 22 platelet platelet NN cord-009417-458rrhcm 184 23 transfusions transfusion NNS cord-009417-458rrhcm 184 24 because because IN cord-009417-458rrhcm 184 25 the the DT cord-009417-458rrhcm 184 26 transfused transfuse VBN cord-009417-458rrhcm 184 27 platelets platelet NNS cord-009417-458rrhcm 184 28 are be VBP cord-009417-458rrhcm 184 29 rapidly rapidly RB cord-009417-458rrhcm 184 30 removed remove VBN cord-009417-458rrhcm 184 31 from from IN cord-009417-458rrhcm 184 32 the the DT cord-009417-458rrhcm 184 33 circulation circulation NN cord-009417-458rrhcm 184 34 . . . cord-009417-458rrhcm 185 1 In in IN cord-009417-458rrhcm 185 2 the the DT cord-009417-458rrhcm 185 3 event event NN cord-009417-458rrhcm 185 4 of of IN cord-009417-458rrhcm 185 5 life life NN cord-009417-458rrhcm 185 6 - - HYPH cord-009417-458rrhcm 185 7 threatening threaten VBG cord-009417-458rrhcm 185 8 hemorrhage hemorrhage NN cord-009417-458rrhcm 185 9 or or CC cord-009417-458rrhcm 185 10 an an DT cord-009417-458rrhcm 185 11 extensive extensive JJ cord-009417-458rrhcm 185 12 surgical surgical JJ cord-009417-458rrhcm 185 13 procedure procedure NN cord-009417-458rrhcm 185 14 , , , cord-009417-458rrhcm 185 15 transfusion transfusion NN cord-009417-458rrhcm 185 16 may may MD cord-009417-458rrhcm 185 17 prove prove VB cord-009417-458rrhcm 185 18 benefi benefi NNP cord-009417-458rrhcm 185 19 cial cial NN cord-009417-458rrhcm 185 20 for for IN cord-009417-458rrhcm 185 21 its -PRON- PRP$ cord-009417-458rrhcm 185 22 short short JJ cord-009417-458rrhcm 185 23 - - HYPH cord-009417-458rrhcm 185 24 term term NN cord-009417-458rrhcm 185 25 effect effect NN cord-009417-458rrhcm 185 26 . . . cord-009417-458rrhcm 186 1 Transfusion transfusion NN cord-009417-458rrhcm 186 2 may may MD cord-009417-458rrhcm 186 3 be be VB cord-009417-458rrhcm 186 4 accomplished accomplish VBN cord-009417-458rrhcm 186 5 effectively effectively RB cord-009417-458rrhcm 186 6 by by IN cord-009417-458rrhcm 186 7 pretreatment pretreatment NN cord-009417-458rrhcm 186 8 with with IN cord-009417-458rrhcm 186 9 high high JJ cord-009417-458rrhcm 186 10 - - HYPH cord-009417-458rrhcm 186 11 dose dose NN cord-009417-458rrhcm 186 12 immunoglobulin immunoglobulin NN cord-009417-458rrhcm 186 13 or or CC cord-009417-458rrhcm 186 14 high high JJ cord-009417-458rrhcm 186 15 - - HYPH cord-009417-458rrhcm 186 16 dose dose NN cord-009417-458rrhcm 186 17 anti anti JJ cord-009417-458rrhcm 186 18 - - JJ cord-009417-458rrhcm 186 19 D d JJ cord-009417-458rrhcm 186 20 antiserum antiserum NN cord-009417-458rrhcm 186 21 ( ( -LRB- cord-009417-458rrhcm 186 22 RhIG RhIG NNP cord-009417-458rrhcm 186 23 ) ) -RRB- cord-009417-458rrhcm 186 24 . . . cord-009417-458rrhcm 187 1 39 39 CD cord-009417-458rrhcm 187 2 , , , cord-009417-458rrhcm 187 3 40 40 CD cord-009417-458rrhcm 187 4 Platelet platelet NN cord-009417-458rrhcm 187 5 transfusion transfusion NN cord-009417-458rrhcm 187 6 has have VBZ cord-009417-458rrhcm 187 7 been be VBN cord-009417-458rrhcm 187 8 reported report VBN cord-009417-458rrhcm 187 9 to to TO cord-009417-458rrhcm 187 10 be be VB cord-009417-458rrhcm 187 11 deleterious deleterious JJ cord-009417-458rrhcm 187 12 in in IN cord-009417-458rrhcm 187 13 thrombotic thrombotic JJ cord-009417-458rrhcm 187 14 thrombocytopenic thrombocytopenic JJ cord-009417-458rrhcm 187 15 purpura purpura NN cord-009417-458rrhcm 187 16 ( ( -LRB- cord-009417-458rrhcm 187 17 TTP TTP NNP cord-009417-458rrhcm 187 18 ) ) -RRB- cord-009417-458rrhcm 187 19 , , , cord-009417-458rrhcm 187 20 41 41 CD cord-009417-458rrhcm 187 21 in in IN cord-009417-458rrhcm 187 22 the the DT cord-009417-458rrhcm 187 23 related related JJ cord-009417-458rrhcm 187 24 hemolytic hemolytic JJ cord-009417-458rrhcm 187 25 - - HYPH cord-009417-458rrhcm 187 26 uremic uremic NN cord-009417-458rrhcm 187 27 syndrome syndrome NN cord-009417-458rrhcm 187 28 , , , cord-009417-458rrhcm 187 29 and and CC cord-009417-458rrhcm 187 30 in in IN cord-009417-458rrhcm 187 31 heparin heparin NN cord-009417-458rrhcm 187 32 - - HYPH cord-009417-458rrhcm 187 33 induced induce VBN cord-009417-458rrhcm 187 34 thrombocytopenia thrombocytopenia NN cord-009417-458rrhcm 187 35 . . . cord-009417-458rrhcm 188 1 Cautious cautious JJ cord-009417-458rrhcm 188 2 administration administration NN cord-009417-458rrhcm 188 3 , , , cord-009417-458rrhcm 188 4 in in IN cord-009417-458rrhcm 188 5 cases case NNS cord-009417-458rrhcm 188 6 of of IN cord-009417-458rrhcm 188 7 life life NN cord-009417-458rrhcm 188 8 - - HYPH cord-009417-458rrhcm 188 9 threatening threaten VBG cord-009417-458rrhcm 188 10 thrombocytopenic thrombocytopenic JJ cord-009417-458rrhcm 188 11 bleeding bleed VBG cord-009417-458rrhcm 188 12 only only RB cord-009417-458rrhcm 188 13 , , , cord-009417-458rrhcm 188 14 is be VBZ cord-009417-458rrhcm 188 15 prudent prudent JJ cord-009417-458rrhcm 188 16 . . . cord-009417-458rrhcm 189 1 Prophylactic prophylactic JJ cord-009417-458rrhcm 189 2 platelet platelet NN cord-009417-458rrhcm 189 3 transfusion transfusion NN cord-009417-458rrhcm 189 4 for for IN cord-009417-458rrhcm 189 5 thrombocytopenia thrombocytopenia NN cord-009417-458rrhcm 189 6 secondary secondary JJ cord-009417-458rrhcm 189 7 to to IN cord-009417-458rrhcm 189 8 underproduction underproduction NN cord-009417-458rrhcm 189 9 remains remain VBZ cord-009417-458rrhcm 189 10 controversial controversial JJ cord-009417-458rrhcm 189 11 . . . cord-009417-458rrhcm 190 1 The the DT cord-009417-458rrhcm 190 2 common common JJ cord-009417-458rrhcm 190 3 practice practice NN cord-009417-458rrhcm 190 4 of of IN cord-009417-458rrhcm 190 5 transfusion transfusion NN cord-009417-458rrhcm 190 6 to to TO cord-009417-458rrhcm 190 7 maintain maintain VB cord-009417-458rrhcm 190 8 the the DT cord-009417-458rrhcm 190 9 platelet platelet NN cord-009417-458rrhcm 190 10 count count NN cord-009417-458rrhcm 190 11 above above IN cord-009417-458rrhcm 190 12 20 20 CD cord-009417-458rrhcm 190 13 × × NN cord-009417-458rrhcm 191 1 10 10 CD cord-009417-458rrhcm 191 2 9 9 CD cord-009417-458rrhcm 191 3 /L /L . cord-009417-458rrhcm 191 4 derives derive VBZ cord-009417-458rrhcm 191 5 from from IN cord-009417-458rrhcm 191 6 data datum NNS cord-009417-458rrhcm 191 7 published publish VBN cord-009417-458rrhcm 191 8 in in IN cord-009417-458rrhcm 191 9 1962 1962 CD cord-009417-458rrhcm 191 10 , , , cord-009417-458rrhcm 191 11 which which WDT cord-009417-458rrhcm 191 12 demonstrated demonstrate VBD cord-009417-458rrhcm 191 13 an an DT cord-009417-458rrhcm 191 14 increase increase NN cord-009417-458rrhcm 191 15 in in IN cord-009417-458rrhcm 191 16 spontaneous spontaneous JJ cord-009417-458rrhcm 191 17 bleeding bleeding NN cord-009417-458rrhcm 191 18 in in IN cord-009417-458rrhcm 191 19 leukemic leukemic JJ cord-009417-458rrhcm 191 20 patients patient NNS cord-009417-458rrhcm 191 21 at at IN cord-009417-458rrhcm 191 22 that that DT cord-009417-458rrhcm 191 23 level level NN cord-009417-458rrhcm 191 24 . . . cord-009417-458rrhcm 192 1 42 42 CD cord-009417-458rrhcm 193 1 However however RB cord-009417-458rrhcm 193 2 , , , cord-009417-458rrhcm 193 3 critical critical JJ cord-009417-458rrhcm 193 4 evaluation evaluation NN cord-009417-458rrhcm 193 5 of of IN cord-009417-458rrhcm 193 6 the the DT cord-009417-458rrhcm 193 7 data data NN cord-009417-458rrhcm 193 8 reveals reveal VBZ cord-009417-458rrhcm 193 9 that that IN cord-009417-458rrhcm 193 10 serious serious JJ cord-009417-458rrhcm 193 11 hemorrhage hemorrhage NN cord-009417-458rrhcm 193 12 was be VBD cord-009417-458rrhcm 193 13 not not RB cord-009417-458rrhcm 193 14 greatly greatly RB cord-009417-458rrhcm 193 15 increased increase VBN cord-009417-458rrhcm 193 16 until until IN cord-009417-458rrhcm 193 17 counts count NNS cord-009417-458rrhcm 193 18 fell fall VBD cord-009417-458rrhcm 193 19 to to IN cord-009417-458rrhcm 193 20 5 5 CD cord-009417-458rrhcm 193 21 × × NN cord-009417-458rrhcm 193 22 10 10 CD cord-009417-458rrhcm 193 23 9 9 CD cord-009417-458rrhcm 193 24 /L /L , cord-009417-458rrhcm 193 25 or or CC cord-009417-458rrhcm 193 26 lower low JJR cord-009417-458rrhcm 193 27 and and CC cord-009417-458rrhcm 193 28 that that IN cord-009417-458rrhcm 193 29 these these DT cord-009417-458rrhcm 193 30 patients patient NNS cord-009417-458rrhcm 193 31 received receive VBD cord-009417-458rrhcm 193 32 aspirin aspirin NN cord-009417-458rrhcm 193 33 for for IN cord-009417-458rrhcm 193 34 fever fever NN cord-009417-458rrhcm 193 35 , , , cord-009417-458rrhcm 193 36 which which WDT cord-009417-458rrhcm 193 37 might may MD cord-009417-458rrhcm 193 38 have have VB cord-009417-458rrhcm 193 39 compromised compromise VBN cord-009417-458rrhcm 193 40 platelet platelet NN cord-009417-458rrhcm 193 41 function function NN cord-009417-458rrhcm 193 42 and and CC cord-009417-458rrhcm 193 43 enhanced enhance VBD cord-009417-458rrhcm 193 44 the the DT cord-009417-458rrhcm 193 45 bleeding bleeding NN cord-009417-458rrhcm 193 46 . . . cord-009417-458rrhcm 194 1 A a DT cord-009417-458rrhcm 194 2 somewhat somewhat RB cord-009417-458rrhcm 194 3 more more RBR cord-009417-458rrhcm 194 4 recent recent JJ cord-009417-458rrhcm 194 5 study study NN cord-009417-458rrhcm 194 6 quantitating quantitate VBG cord-009417-458rrhcm 194 7 stool stool NN cord-009417-458rrhcm 194 8 blood blood NN cord-009417-458rrhcm 194 9 loss loss NN cord-009417-458rrhcm 194 10 in in IN cord-009417-458rrhcm 194 11 aplastic aplastic JJ cord-009417-458rrhcm 194 12 anemia anemia NN cord-009417-458rrhcm 194 13 patients patient NNS cord-009417-458rrhcm 194 14 defi defi NNP cord-009417-458rrhcm 194 15 ned ned NNP cord-009417-458rrhcm 194 16 a a DT cord-009417-458rrhcm 194 17 bleeding bleed VBG cord-009417-458rrhcm 194 18 threshold threshold NN cord-009417-458rrhcm 194 19 at at IN cord-009417-458rrhcm 194 20 platelet platelet NN cord-009417-458rrhcm 194 21 counts count NNS cord-009417-458rrhcm 194 22 of of IN cord-009417-458rrhcm 194 23 5 5 CD cord-009417-458rrhcm 194 24 to to TO cord-009417-458rrhcm 194 25 10 10 CD cord-009417-458rrhcm 194 26 × × NN cord-009417-458rrhcm 194 27 10 10 CD cord-009417-458rrhcm 194 28 9 9 CD cord-009417-458rrhcm 195 1 /L. /l. NN cord-009417-458rrhcm 195 2 43 43 CD cord-009417-458rrhcm 196 1 A a DT cord-009417-458rrhcm 196 2 prospective prospective JJ cord-009417-458rrhcm 196 3 study study NN cord-009417-458rrhcm 196 4 of of IN cord-009417-458rrhcm 196 5 a a DT cord-009417-458rrhcm 196 6 more more RBR cord-009417-458rrhcm 196 7 conservative conservative JJ cord-009417-458rrhcm 196 8 transfusion transfusion NN cord-009417-458rrhcm 196 9 protocol protocol NN cord-009417-458rrhcm 196 10 found find VBD cord-009417-458rrhcm 196 11 that that IN cord-009417-458rrhcm 196 12 major major JJ cord-009417-458rrhcm 196 13 bleeding bleed VBG cord-009417-458rrhcm 196 14 episodes episode NNS cord-009417-458rrhcm 196 15 occurred occur VBD cord-009417-458rrhcm 196 16 on on IN cord-009417-458rrhcm 196 17 1.9 1.9 CD cord-009417-458rrhcm 196 18 % % NN cord-009417-458rrhcm 196 19 of of IN cord-009417-458rrhcm 196 20 days day NNS cord-009417-458rrhcm 196 21 with with IN cord-009417-458rrhcm 196 22 counts count NNS cord-009417-458rrhcm 196 23 of of IN cord-009417-458rrhcm 196 24 less less JJR cord-009417-458rrhcm 196 25 than than IN cord-009417-458rrhcm 196 26 10 10 CD cord-009417-458rrhcm 196 27 × × NN cord-009417-458rrhcm 196 28 10 10 CD cord-009417-458rrhcm 196 29 9 9 CD cord-009417-458rrhcm 196 30 /L /L . cord-009417-458rrhcm 196 31 and and CC cord-009417-458rrhcm 196 32 on on IN cord-009417-458rrhcm 196 33 only only RB cord-009417-458rrhcm 196 34 0.07 0.07 CD cord-009417-458rrhcm 196 35 % % NN cord-009417-458rrhcm 196 36 of of IN cord-009417-458rrhcm 196 37 days day NNS cord-009417-458rrhcm 196 38 with with IN cord-009417-458rrhcm 196 39 counts count NNS cord-009417-458rrhcm 196 40 of of IN cord-009417-458rrhcm 196 41 10 10 CD cord-009417-458rrhcm 196 42 to to TO cord-009417-458rrhcm 196 43 20 20 CD cord-009417-458rrhcm 196 44 × × NN cord-009417-458rrhcm 196 45 10 10 CD cord-009417-458rrhcm 196 46 9 9 CD cord-009417-458rrhcm 196 47 /L. /l. CD cord-009417-458rrhcm 196 48 44 44 CD cord-009417-458rrhcm 197 1 The the DT cord-009417-458rrhcm 197 2 trigger trigger NN cord-009417-458rrhcm 197 3 for for IN cord-009417-458rrhcm 197 4 prophylactic prophylactic JJ cord-009417-458rrhcm 197 5 platelet platelet NN cord-009417-458rrhcm 197 6 transfusion transfusion NN cord-009417-458rrhcm 197 7 in in IN cord-009417-458rrhcm 197 8 the the DT cord-009417-458rrhcm 197 9 5 5 CD cord-009417-458rrhcm 197 10 to to TO cord-009417-458rrhcm 197 11 10 10 CD cord-009417-458rrhcm 197 12 × × NN cord-009417-458rrhcm 197 13 10 10 CD cord-009417-458rrhcm 197 14 9 9 CD cord-009417-458rrhcm 197 15 /L /l CD cord-009417-458rrhcm 197 16 range range NN cord-009417-458rrhcm 197 17 , , , cord-009417-458rrhcm 197 18 however however RB cord-009417-458rrhcm 197 19 , , , cord-009417-458rrhcm 197 20 applies apply VBZ cord-009417-458rrhcm 197 21 primarily primarily RB cord-009417-458rrhcm 197 22 to to IN cord-009417-458rrhcm 197 23 stable stable JJ cord-009417-458rrhcm 197 24 thrombocytopenic thrombocytopenic JJ cord-009417-458rrhcm 197 25 patients patient NNS cord-009417-458rrhcm 197 26 . . . cord-009417-458rrhcm 198 1 Factors factor NNS cord-009417-458rrhcm 198 2 such such JJ cord-009417-458rrhcm 198 3 as as IN cord-009417-458rrhcm 198 4 fever fever NN cord-009417-458rrhcm 198 5 , , , cord-009417-458rrhcm 198 6 use use NN cord-009417-458rrhcm 198 7 of of IN cord-009417-458rrhcm 198 8 anticoagulant anticoagulant JJ cord-009417-458rrhcm 198 9 or or CC cord-009417-458rrhcm 198 10 antiplatelet antiplatelet JJ cord-009417-458rrhcm 198 11 drugs drug NNS cord-009417-458rrhcm 198 12 , , , cord-009417-458rrhcm 198 13 and and CC cord-009417-458rrhcm 198 14 invasive invasive JJ cord-009417-458rrhcm 198 15 procedures procedure NNS cord-009417-458rrhcm 198 16 must must MD cord-009417-458rrhcm 198 17 be be VB cord-009417-458rrhcm 198 18 considered consider VBN cord-009417-458rrhcm 198 19 when when WRB cord-009417-458rrhcm 198 20 generating generate VBG cord-009417-458rrhcm 198 21 a a DT cord-009417-458rrhcm 198 22 treatment treatment NN cord-009417-458rrhcm 198 23 plan plan NN cord-009417-458rrhcm 198 24 for for IN cord-009417-458rrhcm 198 25 individual individual JJ cord-009417-458rrhcm 198 26 patients patient NNS cord-009417-458rrhcm 198 27 . . . cord-009417-458rrhcm 199 1 Patients patient NNS cord-009417-458rrhcm 199 2 experiencing experience VBG cord-009417-458rrhcm 199 3 rapid rapid JJ cord-009417-458rrhcm 199 4 drops drop NNS cord-009417-458rrhcm 199 5 in in IN cord-009417-458rrhcm 199 6 platelet platelet NN cord-009417-458rrhcm 199 7 count count NN cord-009417-458rrhcm 199 8 may may MD cord-009417-458rrhcm 199 9 be be VB cord-009417-458rrhcm 199 10 at at IN cord-009417-458rrhcm 199 11 greater great JJR cord-009417-458rrhcm 199 12 risk risk NN cord-009417-458rrhcm 199 13 than than IN cord-009417-458rrhcm 199 14 those those DT cord-009417-458rrhcm 199 15 at at IN cord-009417-458rrhcm 199 16 steady steady JJ cord-009417-458rrhcm 199 17 state state NN cord-009417-458rrhcm 199 18 and and CC cord-009417-458rrhcm 199 19 thus thus RB cord-009417-458rrhcm 199 20 may may MD cord-009417-458rrhcm 199 21 benefi benefi VB cord-009417-458rrhcm 199 22 t t NN cord-009417-458rrhcm 199 23 from from IN cord-009417-458rrhcm 199 24 transfusion transfusion NN cord-009417-458rrhcm 199 25 at at IN cord-009417-458rrhcm 199 26 higher high JJR cord-009417-458rrhcm 199 27 counts count NNS cord-009417-458rrhcm 199 28 . . . cord-009417-458rrhcm 200 1 Benefi Benefi NNP cord-009417-458rrhcm 200 2 ts ts XX cord-009417-458rrhcm 200 3 to to IN cord-009417-458rrhcm 200 4 the the DT cord-009417-458rrhcm 200 5 patient patient NN cord-009417-458rrhcm 200 6 with with IN cord-009417-458rrhcm 200 7 more more RBR cord-009417-458rrhcm 200 8 judicious judicious JJ cord-009417-458rrhcm 200 9 use use NN cord-009417-458rrhcm 200 10 of of IN cord-009417-458rrhcm 200 11 platelet platelet NN cord-009417-458rrhcm 200 12 transfusion transfusion NN cord-009417-458rrhcm 200 13 include include VBP cord-009417-458rrhcm 200 14 decreased decrease VBD cord-009417-458rrhcm 200 15 donor donor NN cord-009417-458rrhcm 200 16 exposure exposure NN cord-009417-458rrhcm 200 17 , , , cord-009417-458rrhcm 200 18 which which WDT cord-009417-458rrhcm 200 19 lessens lessen VBZ cord-009417-458rrhcm 200 20 the the DT cord-009417-458rrhcm 200 21 risk risk NN cord-009417-458rrhcm 200 22 of of IN cord-009417-458rrhcm 200 23 transfusion transfusion NN cord-009417-458rrhcm 200 24 - - HYPH cord-009417-458rrhcm 200 25 transmitted transmit VBN cord-009417-458rrhcm 200 26 disease disease NN cord-009417-458rrhcm 200 27 ; ; : cord-009417-458rrhcm 200 28 fewer few JJR cord-009417-458rrhcm 200 29 febrile febrile JJ cord-009417-458rrhcm 200 30 and and CC cord-009417-458rrhcm 200 31 allergic allergic JJ cord-009417-458rrhcm 200 32 reactions reaction NNS cord-009417-458rrhcm 200 33 that that WDT cord-009417-458rrhcm 200 34 may may MD cord-009417-458rrhcm 200 35 complicate complicate VB cord-009417-458rrhcm 200 36 the the DT cord-009417-458rrhcm 200 37 hospital hospital NN cord-009417-458rrhcm 200 38 course course NN cord-009417-458rrhcm 200 39 ; ; : cord-009417-458rrhcm 200 40 and and CC cord-009417-458rrhcm 200 41 the the DT cord-009417-458rrhcm 200 42 potential potential JJ cord-009417-458rrhcm 200 43 delay delay NN cord-009417-458rrhcm 200 44 or or CC cord-009417-458rrhcm 200 45 prevention prevention NN cord-009417-458rrhcm 200 46 of of IN cord-009417-458rrhcm 200 47 alloimmunization alloimmunization NN cord-009417-458rrhcm 200 48 to to IN cord-009417-458rrhcm 200 49 HLA HLA NNP cord-009417-458rrhcm 200 50 and and CC cord-009417-458rrhcm 200 51 platelet platelet NN cord-009417-458rrhcm 200 52 antigens antigen NNS cord-009417-458rrhcm 200 53 . . . cord-009417-458rrhcm 201 1 45 45 CD cord-009417-458rrhcm 202 1 The the DT cord-009417-458rrhcm 202 2 development development NN cord-009417-458rrhcm 202 3 of of IN cord-009417-458rrhcm 202 4 refractoriness refractoriness NN cord-009417-458rrhcm 202 5 to to IN cord-009417-458rrhcm 202 6 platelet platelet NN cord-009417-458rrhcm 202 7 transfusions transfusion NNS cord-009417-458rrhcm 202 8 is be VBZ cord-009417-458rrhcm 202 9 a a DT cord-009417-458rrhcm 202 10 serious serious JJ cord-009417-458rrhcm 202 11 event event NN cord-009417-458rrhcm 202 12 heralded herald VBN cord-009417-458rrhcm 202 13 by by IN cord-009417-458rrhcm 202 14 a a DT cord-009417-458rrhcm 202 15 falling fall VBG cord-009417-458rrhcm 202 16 CCI CCI NNP cord-009417-458rrhcm 202 17 . . . cord-009417-458rrhcm 203 1 Poor poor JJ cord-009417-458rrhcm 203 2 response response NN cord-009417-458rrhcm 203 3 to to IN cord-009417-458rrhcm 203 4 platelet platelet NN cord-009417-458rrhcm 203 5 transfusions transfusion NNS cord-009417-458rrhcm 203 6 can can MD cord-009417-458rrhcm 203 7 be be VB cord-009417-458rrhcm 203 8 seen see VBN cord-009417-458rrhcm 203 9 in in IN cord-009417-458rrhcm 203 10 patients patient NNS cord-009417-458rrhcm 203 11 with with IN cord-009417-458rrhcm 203 12 other other JJ cord-009417-458rrhcm 203 13 reasons reason NNS cord-009417-458rrhcm 203 14 for for IN cord-009417-458rrhcm 203 15 platelet platelet NN cord-009417-458rrhcm 203 16 consumption consumption NN cord-009417-458rrhcm 203 17 , , , cord-009417-458rrhcm 203 18 including include VBG cord-009417-458rrhcm 203 19 splenomegaly splenomegaly NN cord-009417-458rrhcm 203 20 , , , cord-009417-458rrhcm 203 21 fever fever NN cord-009417-458rrhcm 203 22 , , , cord-009417-458rrhcm 203 23 trauma trauma NN cord-009417-458rrhcm 203 24 and and CC cord-009417-458rrhcm 203 25 crush crush NN cord-009417-458rrhcm 203 26 injury injury NN cord-009417-458rrhcm 203 27 , , , cord-009417-458rrhcm 203 28 burns burn NNS cord-009417-458rrhcm 203 29 , , , cord-009417-458rrhcm 203 30 disseminated disseminate VBD cord-009417-458rrhcm 203 31 intravascular intravascular JJ cord-009417-458rrhcm 203 32 coagulation coagulation NN cord-009417-458rrhcm 203 33 ( ( -LRB- cord-009417-458rrhcm 203 34 DIC DIC NNP cord-009417-458rrhcm 203 35 ) ) -RRB- cord-009417-458rrhcm 203 36 , , , cord-009417-458rrhcm 203 37 concomitant concomitant JJ cord-009417-458rrhcm 203 38 drugs drug NNS cord-009417-458rrhcm 203 39 , , , cord-009417-458rrhcm 203 40 or or CC cord-009417-458rrhcm 203 41 transfusion transfusion NN cord-009417-458rrhcm 203 42 of of IN cord-009417-458rrhcm 203 43 platelets platelet NNS cord-009417-458rrhcm 203 44 of of IN cord-009417-458rrhcm 203 45 substandard substandard JJ cord-009417-458rrhcm 203 46 quality quality NN cord-009417-458rrhcm 203 47 . . . cord-009417-458rrhcm 204 1 46 46 CD cord-009417-458rrhcm 205 1 These these DT cord-009417-458rrhcm 205 2 factors factor NNS cord-009417-458rrhcm 205 3 should should MD cord-009417-458rrhcm 205 4 be be VB cord-009417-458rrhcm 205 5 sought seek VBN cord-009417-458rrhcm 205 6 and and CC cord-009417-458rrhcm 205 7 corrected correct VBN cord-009417-458rrhcm 205 8 if if IN cord-009417-458rrhcm 205 9 possible possible JJ cord-009417-458rrhcm 205 10 . . . cord-009417-458rrhcm 206 1 Alloimmunization Alloimmunization NNP cord-009417-458rrhcm 206 2 is be VBZ cord-009417-458rrhcm 206 3 characterized characterize VBN cord-009417-458rrhcm 206 4 by by IN cord-009417-458rrhcm 206 5 the the DT cord-009417-458rrhcm 206 6 development development NN cord-009417-458rrhcm 206 7 of of IN cord-009417-458rrhcm 206 8 anti anti JJ cord-009417-458rrhcm 206 9 - - JJ cord-009417-458rrhcm 206 10 HLA HLA NNP cord-009417-458rrhcm 206 11 or or CC cord-009417-458rrhcm 206 12 platelet platelet NN cord-009417-458rrhcm 206 13 - - HYPH cord-009417-458rrhcm 206 14 specifi specifi NN cord-009417-458rrhcm 206 15 c c NN cord-009417-458rrhcm 206 16 antibodies antibody NNS cord-009417-458rrhcm 206 17 , , , cord-009417-458rrhcm 206 18 with with IN cord-009417-458rrhcm 206 19 resultant resultant JJ cord-009417-458rrhcm 206 20 immune immune JJ cord-009417-458rrhcm 206 21 platelet platelet NN cord-009417-458rrhcm 206 22 destruction destruction NN cord-009417-458rrhcm 206 23 . . . cord-009417-458rrhcm 207 1 As as RB cord-009417-458rrhcm 207 2 many many JJ cord-009417-458rrhcm 207 3 as as IN cord-009417-458rrhcm 207 4 70 70 CD cord-009417-458rrhcm 207 5 % % NN cord-009417-458rrhcm 207 6 of of IN cord-009417-458rrhcm 207 7 patients patient NNS cord-009417-458rrhcm 207 8 receiving receive VBG cord-009417-458rrhcm 207 9 multiple multiple JJ cord-009417-458rrhcm 207 10 red red JJ cord-009417-458rrhcm 207 11 cell cell NN cord-009417-458rrhcm 207 12 or or CC cord-009417-458rrhcm 207 13 platelet platelet NN cord-009417-458rrhcm 207 14 transfusions transfusion NNS cord-009417-458rrhcm 207 15 become become VBP cord-009417-458rrhcm 207 16 immunized immunize VBN cord-009417-458rrhcm 207 17 . . . cord-009417-458rrhcm 208 1 45 45 CD cord-009417-458rrhcm 208 2 Leukocyte Leukocyte NNP cord-009417-458rrhcm 208 3 depletion depletion NN cord-009417-458rrhcm 208 4 of of IN cord-009417-458rrhcm 208 5 transfused transfuse VBN cord-009417-458rrhcm 208 6 components component NNS cord-009417-458rrhcm 208 7 can can MD cord-009417-458rrhcm 208 8 prevent prevent VB cord-009417-458rrhcm 208 9 or or CC cord-009417-458rrhcm 208 10 delay delay VB cord-009417-458rrhcm 208 11 this this DT cord-009417-458rrhcm 208 12 phenomenon phenomenon NN cord-009417-458rrhcm 208 13 , , , cord-009417-458rrhcm 208 14 but but CC cord-009417-458rrhcm 208 15 it -PRON- PRP cord-009417-458rrhcm 208 16 is be VBZ cord-009417-458rrhcm 208 17 important important JJ cord-009417-458rrhcm 208 18 to to TO cord-009417-458rrhcm 208 19 use use VB cord-009417-458rrhcm 208 20 leukoreduced leukoreduce VBN cord-009417-458rrhcm 208 21 components component NNS cord-009417-458rrhcm 208 22 early early RB cord-009417-458rrhcm 208 23 in in IN cord-009417-458rrhcm 208 24 the the DT cord-009417-458rrhcm 208 25 course course NN cord-009417-458rrhcm 208 26 of of IN cord-009417-458rrhcm 208 27 transfusion transfusion NN cord-009417-458rrhcm 208 28 therapy therapy NN cord-009417-458rrhcm 208 29 . . . cord-009417-458rrhcm 209 1 45 45 CD cord-009417-458rrhcm 209 2 , , , cord-009417-458rrhcm 209 3 47 47 CD cord-009417-458rrhcm 210 1 When when WRB cord-009417-458rrhcm 210 2 patients patient NNS cord-009417-458rrhcm 210 3 fail fail VBP cord-009417-458rrhcm 210 4 to to TO cord-009417-458rrhcm 210 5 achieve achieve VB cord-009417-458rrhcm 210 6 expected expect VBN cord-009417-458rrhcm 210 7 increments increment NNS cord-009417-458rrhcm 210 8 after after IN cord-009417-458rrhcm 210 9 platelet platelet NN cord-009417-458rrhcm 210 10 transfusion transfusion NN cord-009417-458rrhcm 210 11 , , , cord-009417-458rrhcm 210 12 provision provision NN cord-009417-458rrhcm 210 13 of of IN cord-009417-458rrhcm 210 14 ABO ABO NNP cord-009417-458rrhcm 210 15 - - HYPH cord-009417-458rrhcm 210 16 specifi specifi NNP cord-009417-458rrhcm 210 17 c c NN cord-009417-458rrhcm 210 18 platelet platelet NN cord-009417-458rrhcm 210 19 concentrates concentrate VBZ cord-009417-458rrhcm 210 20 that that WDT cord-009417-458rrhcm 210 21 are be VBP cord-009417-458rrhcm 210 22 less less JJR cord-009417-458rrhcm 210 23 than than IN cord-009417-458rrhcm 210 24 48 48 CD cord-009417-458rrhcm 210 25 hours hour NNS cord-009417-458rrhcm 210 26 old old JJ cord-009417-458rrhcm 210 27 may may MD cord-009417-458rrhcm 210 28 improve improve VB cord-009417-458rrhcm 210 29 the the DT cord-009417-458rrhcm 210 30 response response NN cord-009417-458rrhcm 210 31 . . . cord-009417-458rrhcm 211 1 If if IN cord-009417-458rrhcm 211 2 no no DT cord-009417-458rrhcm 211 3 improvement improvement NN cord-009417-458rrhcm 211 4 is be VBZ cord-009417-458rrhcm 211 5 seen see VBN cord-009417-458rrhcm 211 6 and and CC cord-009417-458rrhcm 211 7 the the DT cord-009417-458rrhcm 211 8 aforementioned aforementioned JJ cord-009417-458rrhcm 211 9 medical medical JJ cord-009417-458rrhcm 211 10 conditions condition NNS cord-009417-458rrhcm 211 11 are be VBP cord-009417-458rrhcm 211 12 excluded exclude VBN cord-009417-458rrhcm 211 13 , , , cord-009417-458rrhcm 211 14 the the DT cord-009417-458rrhcm 211 15 patient patient NN cord-009417-458rrhcm 211 16 should should MD cord-009417-458rrhcm 211 17 be be VB cord-009417-458rrhcm 211 18 screened screen VBN cord-009417-458rrhcm 211 19 for for IN cord-009417-458rrhcm 211 20 HLA HLA NNP cord-009417-458rrhcm 211 21 antibodies antibody NNS cord-009417-458rrhcm 211 22 or or CC cord-009417-458rrhcm 211 23 be be VB cord-009417-458rrhcm 211 24 HLA HLA NNP cord-009417-458rrhcm 211 25 typed type VBN cord-009417-458rrhcm 211 26 and and CC cord-009417-458rrhcm 211 27 provided provide VBN cord-009417-458rrhcm 211 28 with with IN cord-009417-458rrhcm 211 29 HLA HLA NNP cord-009417-458rrhcm 211 30 - - HYPH cord-009417-458rrhcm 211 31 compatible compatible JJ cord-009417-458rrhcm 211 32 single single JJ cord-009417-458rrhcm 211 33 - - HYPH cord-009417-458rrhcm 211 34 donor donor NN cord-009417-458rrhcm 211 35 platelets platelet NNS cord-009417-458rrhcm 211 36 . . . cord-009417-458rrhcm 212 1 Alternatively alternatively RB cord-009417-458rrhcm 212 2 , , , cord-009417-458rrhcm 212 3 platelet platelet NN cord-009417-458rrhcm 212 4 crossmatching crossmatche VBG cord-009417-458rrhcm 212 5 with with IN cord-009417-458rrhcm 212 6 the the DT cord-009417-458rrhcm 212 7 patient patient NN cord-009417-458rrhcm 212 8 's 's POS cord-009417-458rrhcm 212 9 serum serum NN cord-009417-458rrhcm 212 10 can can MD cord-009417-458rrhcm 212 11 be be VB cord-009417-458rrhcm 212 12 carried carry VBN cord-009417-458rrhcm 212 13 out out RP cord-009417-458rrhcm 212 14 . . . cord-009417-458rrhcm 213 1 There there EX cord-009417-458rrhcm 213 2 is be VBZ cord-009417-458rrhcm 213 3 no no DT cord-009417-458rrhcm 213 4 advantage advantage NN cord-009417-458rrhcm 213 5 to to IN cord-009417-458rrhcm 213 6 unmatched unmatched JJ cord-009417-458rrhcm 213 7 singledonor singledonor NN cord-009417-458rrhcm 213 8 platelets platelet NNS cord-009417-458rrhcm 213 9 in in IN cord-009417-458rrhcm 213 10 this this DT cord-009417-458rrhcm 213 11 situation situation NN cord-009417-458rrhcm 213 12 . . . cord-009417-458rrhcm 214 1 Standard standard JJ cord-009417-458rrhcm 214 2 FFP FFP NNP cord-009417-458rrhcm 214 3 is be VBZ cord-009417-458rrhcm 214 4 prepared prepare VBN cord-009417-458rrhcm 214 5 by by IN cord-009417-458rrhcm 214 6 centrifugation centrifugation NN cord-009417-458rrhcm 214 7 of of IN cord-009417-458rrhcm 214 8 WB WB NNP cord-009417-458rrhcm 214 9 and and CC cord-009417-458rrhcm 214 10 is be VBZ cord-009417-458rrhcm 214 11 frozen freeze VBN cord-009417-458rrhcm 214 12 within within IN cord-009417-458rrhcm 214 13 8 8 CD cord-009417-458rrhcm 214 14 hours hour NNS cord-009417-458rrhcm 214 15 of of IN cord-009417-458rrhcm 214 16 blood blood NN cord-009417-458rrhcm 214 17 donation donation NN cord-009417-458rrhcm 214 18 . . . cord-009417-458rrhcm 215 1 1,2 1,2 CD cord-009417-458rrhcm 215 2 FFP FFP NNP cord-009417-458rrhcm 215 3 may may MD cord-009417-458rrhcm 215 4 be be VB cord-009417-458rrhcm 215 5 stored store VBN cord-009417-458rrhcm 215 6 frozen frozen JJ cord-009417-458rrhcm 215 7 for for IN cord-009417-458rrhcm 215 8 1 1 CD cord-009417-458rrhcm 215 9 year year NN cord-009417-458rrhcm 215 10 . . . cord-009417-458rrhcm 216 1 The the DT cord-009417-458rrhcm 216 2 usual usual JJ cord-009417-458rrhcm 216 3 volume volume NN cord-009417-458rrhcm 216 4 is be VBZ cord-009417-458rrhcm 216 5 about about RB cord-009417-458rrhcm 216 6 250 250 CD cord-009417-458rrhcm 216 7 mL ml NN cord-009417-458rrhcm 216 8 , , , cord-009417-458rrhcm 216 9 depending depend VBG cord-009417-458rrhcm 216 10 on on IN cord-009417-458rrhcm 216 11 the the DT cord-009417-458rrhcm 216 12 donor donor NN cord-009417-458rrhcm 216 13 's 's POS cord-009417-458rrhcm 216 14 Hct Hct NNP cord-009417-458rrhcm 216 15 . . . cord-009417-458rrhcm 217 1 The the DT cord-009417-458rrhcm 217 2 most most RBS cord-009417-458rrhcm 217 3 common common JJ cord-009417-458rrhcm 217 4 method method NN cord-009417-458rrhcm 217 5 of of IN cord-009417-458rrhcm 217 6 thawing thaw VBG cord-009417-458rrhcm 217 7 before before IN cord-009417-458rrhcm 217 8 transfusion transfusion NN cord-009417-458rrhcm 217 9 is be VBZ cord-009417-458rrhcm 217 10 soaking soak VBG cord-009417-458rrhcm 217 11 in in IN cord-009417-458rrhcm 217 12 a a DT cord-009417-458rrhcm 217 13 37 37 CD cord-009417-458rrhcm 217 14 ° ° NN cord-009417-458rrhcm 217 15 C c NN cord-009417-458rrhcm 217 16 water water NN cord-009417-458rrhcm 217 17 bath bath NN cord-009417-458rrhcm 217 18 , , , cord-009417-458rrhcm 217 19 which which WDT cord-009417-458rrhcm 217 20 requires require VBZ cord-009417-458rrhcm 217 21 about about RB cord-009417-458rrhcm 217 22 30 30 CD cord-009417-458rrhcm 217 23 to to TO cord-009417-458rrhcm 217 24 45 45 CD cord-009417-458rrhcm 217 25 minutes minute NNS cord-009417-458rrhcm 217 26 . . . cord-009417-458rrhcm 218 1 Once once RB cord-009417-458rrhcm 218 2 thawed thaw VBN cord-009417-458rrhcm 218 3 , , , cord-009417-458rrhcm 218 4 FFP FFP NNP cord-009417-458rrhcm 218 5 can can MD cord-009417-458rrhcm 218 6 be be VB cord-009417-458rrhcm 218 7 stored store VBN cord-009417-458rrhcm 218 8 refrigerated refrigerated JJ cord-009417-458rrhcm 218 9 for for IN cord-009417-458rrhcm 218 10 a a DT cord-009417-458rrhcm 218 11 maximum maximum NN cord-009417-458rrhcm 218 12 of of IN cord-009417-458rrhcm 218 13 24 24 CD cord-009417-458rrhcm 218 14 hours hour NNS cord-009417-458rrhcm 218 15 . . . cord-009417-458rrhcm 219 1 When when WRB cord-009417-458rrhcm 219 2 prepared prepare VBN cord-009417-458rrhcm 219 3 and and CC cord-009417-458rrhcm 219 4 stored store VBN cord-009417-458rrhcm 219 5 in in IN cord-009417-458rrhcm 219 6 this this DT cord-009417-458rrhcm 219 7 manner manner NN cord-009417-458rrhcm 219 8 , , , cord-009417-458rrhcm 219 9 FFP FFP NNP cord-009417-458rrhcm 219 10 supplies supply VBZ cord-009417-458rrhcm 219 11 all all PDT cord-009417-458rrhcm 219 12 the the DT cord-009417-458rrhcm 219 13 constituents constituent NNS cord-009417-458rrhcm 219 14 in in IN cord-009417-458rrhcm 219 15 the the DT cord-009417-458rrhcm 219 16 amounts amount NNS cord-009417-458rrhcm 219 17 normally normally RB cord-009417-458rrhcm 219 18 present present JJ cord-009417-458rrhcm 219 19 in in IN cord-009417-458rrhcm 219 20 circulating circulate VBG cord-009417-458rrhcm 219 21 plasma plasma NN cord-009417-458rrhcm 219 22 , , , cord-009417-458rrhcm 219 23 including include VBG cord-009417-458rrhcm 219 24 stable stable JJ cord-009417-458rrhcm 219 25 and and CC cord-009417-458rrhcm 219 26 labile labile JJ cord-009417-458rrhcm 219 27 coagulation coagulation NN cord-009417-458rrhcm 219 28 factors factor NNS cord-009417-458rrhcm 219 29 , , , cord-009417-458rrhcm 219 30 complement complement NN cord-009417-458rrhcm 219 31 , , , cord-009417-458rrhcm 219 32 albumin albumin NN cord-009417-458rrhcm 219 33 , , , cord-009417-458rrhcm 219 34 and and CC cord-009417-458rrhcm 219 35 globulins globulin NNS cord-009417-458rrhcm 219 36 . . . cord-009417-458rrhcm 220 1 By by IN cord-009417-458rrhcm 220 2 convention convention NN cord-009417-458rrhcm 220 3 , , , cord-009417-458rrhcm 220 4 the the DT cord-009417-458rrhcm 220 5 coagulation coagulation NN cord-009417-458rrhcm 220 6 factors factor NNS cord-009417-458rrhcm 220 7 are be VBP cord-009417-458rrhcm 220 8 present present JJ cord-009417-458rrhcm 220 9 in in IN cord-009417-458rrhcm 220 10 concentrations concentration NNS cord-009417-458rrhcm 220 11 of of IN cord-009417-458rrhcm 220 12 1 1 CD cord-009417-458rrhcm 220 13 U U NNP cord-009417-458rrhcm 220 14 / / SYM cord-009417-458rrhcm 220 15 mL. mL. NNP cord-009417-458rrhcm 220 16 Crossmatching Crossmatching NNP cord-009417-458rrhcm 220 17 to to IN cord-009417-458rrhcm 220 18 the the DT cord-009417-458rrhcm 220 19 recipient recipient NN cord-009417-458rrhcm 220 20 is be VBZ cord-009417-458rrhcm 220 21 not not RB cord-009417-458rrhcm 220 22 performed perform VBN cord-009417-458rrhcm 220 23 , , , cord-009417-458rrhcm 220 24 but but CC cord-009417-458rrhcm 220 25 FFP FFP NNP cord-009417-458rrhcm 220 26 must must MD cord-009417-458rrhcm 220 27 be be VB cord-009417-458rrhcm 220 28 ABO ABO NNP cord-009417-458rrhcm 220 29 compatible compatible JJ cord-009417-458rrhcm 220 30 . . . cord-009417-458rrhcm 221 1 Standard standard JJ cord-009417-458rrhcm 221 2 FFP FFP NNP cord-009417-458rrhcm 221 3 is be VBZ cord-009417-458rrhcm 221 4 as as RB cord-009417-458rrhcm 221 5 likely likely JJ cord-009417-458rrhcm 221 6 to to TO cord-009417-458rrhcm 221 7 transmit transmit VB cord-009417-458rrhcm 221 8 hepatitis hepatitis NN cord-009417-458rrhcm 221 9 , , , cord-009417-458rrhcm 221 10 HIV HIV NNP cord-009417-458rrhcm 221 11 , , , cord-009417-458rrhcm 221 12 and and CC cord-009417-458rrhcm 221 13 most most JJS cord-009417-458rrhcm 221 14 other other JJ cord-009417-458rrhcm 221 15 transfusion transfusion NN cord-009417-458rrhcm 221 16 - - HYPH cord-009417-458rrhcm 221 17 related relate VBN cord-009417-458rrhcm 221 18 infections infection NNS cord-009417-458rrhcm 221 19 as as IN cord-009417-458rrhcm 221 20 cellular cellular JJ cord-009417-458rrhcm 221 21 components component NNS cord-009417-458rrhcm 221 22 are be VBP cord-009417-458rrhcm 221 23 . . . cord-009417-458rrhcm 222 1 New new JJ cord-009417-458rrhcm 222 2 FFP FFP NNP cord-009417-458rrhcm 222 3 products product NNS cord-009417-458rrhcm 222 4 have have VBP cord-009417-458rrhcm 222 5 recently recently RB cord-009417-458rrhcm 222 6 been be VBN cord-009417-458rrhcm 222 7 introduced introduce VBN cord-009417-458rrhcm 222 8 in in IN cord-009417-458rrhcm 222 9 response response NN cord-009417-458rrhcm 222 10 to to IN cord-009417-458rrhcm 222 11 concern concern NN cord-009417-458rrhcm 222 12 about about IN cord-009417-458rrhcm 222 13 the the DT cord-009417-458rrhcm 222 14 transmission transmission NN cord-009417-458rrhcm 222 15 of of IN cord-009417-458rrhcm 222 16 infectious infectious JJ cord-009417-458rrhcm 222 17 diseases disease NNS cord-009417-458rrhcm 222 18 . . . cord-009417-458rrhcm 223 1 One one CD cord-009417-458rrhcm 223 2 such such JJ cord-009417-458rrhcm 223 3 product product NN cord-009417-458rrhcm 223 4 is be VBZ cord-009417-458rrhcm 223 5 solventdetergent solventdetergent JJ cord-009417-458rrhcm 223 6 - - HYPH cord-009417-458rrhcm 223 7 treated treat VBN cord-009417-458rrhcm 223 8 FFP ffp NN cord-009417-458rrhcm 223 9 . . . cord-009417-458rrhcm 224 1 48 48 CD cord-009417-458rrhcm 224 2 Solvent solvent NN cord-009417-458rrhcm 224 3 - - HYPH cord-009417-458rrhcm 224 4 detergent detergent NN cord-009417-458rrhcm 224 5 treatment treatment NN cord-009417-458rrhcm 224 6 is be VBZ cord-009417-458rrhcm 224 7 a a DT cord-009417-458rrhcm 224 8 means means NN cord-009417-458rrhcm 224 9 of of IN cord-009417-458rrhcm 224 10 viral viral JJ cord-009417-458rrhcm 224 11 inactivation inactivation NN cord-009417-458rrhcm 224 12 that that WDT cord-009417-458rrhcm 224 13 removes remove VBZ cord-009417-458rrhcm 224 14 the the DT cord-009417-458rrhcm 224 15 infectivity infectivity NN cord-009417-458rrhcm 224 16 of of IN cord-009417-458rrhcm 224 17 lipid lipid NN cord-009417-458rrhcm 224 18 - - HYPH cord-009417-458rrhcm 224 19 enveloped envelop VBN cord-009417-458rrhcm 224 20 viruses virus NNS cord-009417-458rrhcm 224 21 , , , cord-009417-458rrhcm 224 22 such such JJ cord-009417-458rrhcm 224 23 as as IN cord-009417-458rrhcm 224 24 hepatitis hepatitis NN cord-009417-458rrhcm 224 25 B B NNP cord-009417-458rrhcm 224 26 and and CC cord-009417-458rrhcm 224 27 C C NNP cord-009417-458rrhcm 224 28 and and CC cord-009417-458rrhcm 224 29 HIV HIV NNP cord-009417-458rrhcm 224 30 . . . cord-009417-458rrhcm 225 1 Because because IN cord-009417-458rrhcm 225 2 the the DT cord-009417-458rrhcm 225 3 product product NN cord-009417-458rrhcm 225 4 is be VBZ cord-009417-458rrhcm 225 5 derived derive VBN cord-009417-458rrhcm 225 6 from from IN cord-009417-458rrhcm 225 7 pooled pool VBN cord-009417-458rrhcm 225 8 plasma plasma NN cord-009417-458rrhcm 225 9 , , , cord-009417-458rrhcm 225 10 with with IN cord-009417-458rrhcm 225 11 as as RB cord-009417-458rrhcm 225 12 many many JJ cord-009417-458rrhcm 225 13 as as IN cord-009417-458rrhcm 225 14 2500 2500 CD cord-009417-458rrhcm 225 15 donors donor NNS cord-009417-458rrhcm 225 16 in in IN cord-009417-458rrhcm 225 17 each each DT cord-009417-458rrhcm 225 18 lot lot NN cord-009417-458rrhcm 225 19 , , , cord-009417-458rrhcm 225 20 it -PRON- PRP cord-009417-458rrhcm 225 21 has have VBZ cord-009417-458rrhcm 225 22 the the DT cord-009417-458rrhcm 225 23 potential potential NN cord-009417-458rrhcm 225 24 to to TO cord-009417-458rrhcm 225 25 actually actually RB cord-009417-458rrhcm 225 26 increase increase VB cord-009417-458rrhcm 225 27 recipient recipient NN cord-009417-458rrhcm 225 28 exposure exposure NN cord-009417-458rrhcm 225 29 to to IN cord-009417-458rrhcm 225 30 pathogens pathogen NNS cord-009417-458rrhcm 225 31 not not RB cord-009417-458rrhcm 225 32 inactivated inactivate VBN cord-009417-458rrhcm 225 33 by by IN cord-009417-458rrhcm 225 34 the the DT cord-009417-458rrhcm 225 35 solvent solvent NN cord-009417-458rrhcm 225 36 - - HYPH cord-009417-458rrhcm 225 37 detergent detergent NN cord-009417-458rrhcm 225 38 method method NN cord-009417-458rrhcm 225 39 , , , cord-009417-458rrhcm 225 40 such such JJ cord-009417-458rrhcm 225 41 as as IN cord-009417-458rrhcm 225 42 hepatitis hepatitis NNP cord-009417-458rrhcm 225 43 A A NNP cord-009417-458rrhcm 225 44 and and CC cord-009417-458rrhcm 225 45 parvovirus parvovirus NN cord-009417-458rrhcm 225 46 B19 B19 NNP cord-009417-458rrhcm 225 47 , , , cord-009417-458rrhcm 225 48 and and CC cord-009417-458rrhcm 225 49 be be VB cord-009417-458rrhcm 225 50 more more RBR cord-009417-458rrhcm 225 51 vulnerable vulnerable JJ cord-009417-458rrhcm 225 52 to to IN cord-009417-458rrhcm 225 53 any any DT cord-009417-458rrhcm 225 54 newly newly RB cord-009417-458rrhcm 225 55 emerging emerge VBG cord-009417-458rrhcm 225 56 non non JJ cord-009417-458rrhcm 225 57 - - JJ cord-009417-458rrhcm 225 58 lipid lipid JJ cord-009417-458rrhcm 225 59 - - HYPH cord-009417-458rrhcm 225 60 enveloped envelop VBN cord-009417-458rrhcm 225 61 agent agent NN cord-009417-458rrhcm 225 62 . . . cord-009417-458rrhcm 226 1 A a DT cord-009417-458rrhcm 226 2 variety variety NN cord-009417-458rrhcm 226 3 of of IN cord-009417-458rrhcm 226 4 other other JJ cord-009417-458rrhcm 226 5 techniques technique NNS cord-009417-458rrhcm 226 6 for for IN cord-009417-458rrhcm 226 7 reducing reduce VBG cord-009417-458rrhcm 226 8 pathogen pathogen NN cord-009417-458rrhcm 226 9 exposure exposure NN cord-009417-458rrhcm 226 10 in in IN cord-009417-458rrhcm 226 11 FFP FFP NNP cord-009417-458rrhcm 226 12 have have VBP cord-009417-458rrhcm 226 13 been be VBN cord-009417-458rrhcm 226 14 developed develop VBN cord-009417-458rrhcm 226 15 , , , cord-009417-458rrhcm 226 16 including include VBG cord-009417-458rrhcm 226 17 exposure exposure NN cord-009417-458rrhcm 226 18 to to IN cord-009417-458rrhcm 226 19 low low JJ cord-009417-458rrhcm 226 20 pH ph NN cord-009417-458rrhcm 226 21 or or CC cord-009417-458rrhcm 226 22 vapor vapor NN cord-009417-458rrhcm 226 23 heating heating NN cord-009417-458rrhcm 226 24 and and CC cord-009417-458rrhcm 226 25 treatment treatment NN cord-009417-458rrhcm 226 26 with with IN cord-009417-458rrhcm 226 27 ultraviolet ultraviolet NN cord-009417-458rrhcm 226 28 irradiation irradiation NN cord-009417-458rrhcm 226 29 , , , cord-009417-458rrhcm 226 30 gamma gamma NN cord-009417-458rrhcm 226 31 irradiation irradiation NN cord-009417-458rrhcm 226 32 , , , cord-009417-458rrhcm 226 33 or or CC cord-009417-458rrhcm 226 34 psoralens psoralens NNP cord-009417-458rrhcm 226 35 and and CC cord-009417-458rrhcm 226 36 light light NN cord-009417-458rrhcm 226 37 to to TO cord-009417-458rrhcm 226 38 inactivate inactivate VB cord-009417-458rrhcm 226 39 pathogens pathogen NNS cord-009417-458rrhcm 226 40 by by IN cord-009417-458rrhcm 226 41 inducing induce VBG cord-009417-458rrhcm 226 42 DNA dna NN cord-009417-458rrhcm 226 43 damage damage NN cord-009417-458rrhcm 226 44 . . . cord-009417-458rrhcm 227 1 49 49 CD cord-009417-458rrhcm 228 1 Because because IN cord-009417-458rrhcm 228 2 none none NN cord-009417-458rrhcm 228 3 of of IN cord-009417-458rrhcm 228 4 the the DT cord-009417-458rrhcm 228 5 FFP FFP NNP cord-009417-458rrhcm 228 6 products product NNS cord-009417-458rrhcm 228 7 is be VBZ cord-009417-458rrhcm 228 8 entirely entirely RB cord-009417-458rrhcm 228 9 free free JJ cord-009417-458rrhcm 228 10 from from IN cord-009417-458rrhcm 228 11 the the DT cord-009417-458rrhcm 228 12 risk risk NN cord-009417-458rrhcm 228 13 of of IN cord-009417-458rrhcm 228 14 disease disease NN cord-009417-458rrhcm 228 15 transmission transmission NN cord-009417-458rrhcm 228 16 or or CC cord-009417-458rrhcm 228 17 other other JJ cord-009417-458rrhcm 228 18 adverse adverse JJ cord-009417-458rrhcm 228 19 effects effect NNS cord-009417-458rrhcm 228 20 and and CC cord-009417-458rrhcm 228 21 because because IN cord-009417-458rrhcm 228 22 infection infection NN cord-009417-458rrhcm 228 23 - - HYPH cord-009417-458rrhcm 228 24 reducing reduce VBG cord-009417-458rrhcm 228 25 modifi modifi JJ cord-009417-458rrhcm 228 26 cations cation NNS cord-009417-458rrhcm 228 27 add add VBP cord-009417-458rrhcm 228 28 significantly significantly RB cord-009417-458rrhcm 228 29 to to IN cord-009417-458rrhcm 228 30 the the DT cord-009417-458rrhcm 228 31 cost cost NN cord-009417-458rrhcm 228 32 of of IN cord-009417-458rrhcm 228 33 the the DT cord-009417-458rrhcm 228 34 components component NNS cord-009417-458rrhcm 228 35 , , , cord-009417-458rrhcm 228 36 FFP FFP NNP cord-009417-458rrhcm 228 37 should should MD cord-009417-458rrhcm 228 38 be be VB cord-009417-458rrhcm 228 39 used use VBN cord-009417-458rrhcm 228 40 judiciously judiciously RB cord-009417-458rrhcm 228 41 . . . cord-009417-458rrhcm 229 1 50 50 CD cord-009417-458rrhcm 230 1 It -PRON- PRP cord-009417-458rrhcm 230 2 should should MD cord-009417-458rrhcm 230 3 be be VB cord-009417-458rrhcm 230 4 administered administer VBN cord-009417-458rrhcm 230 5 only only RB cord-009417-458rrhcm 230 6 to to TO cord-009417-458rrhcm 230 7 provide provide VB cord-009417-458rrhcm 230 8 coagulation coagulation NN cord-009417-458rrhcm 230 9 factors factor NNS cord-009417-458rrhcm 230 10 or or CC cord-009417-458rrhcm 230 11 plasma plasma NN cord-009417-458rrhcm 230 12 proteins protein NNS cord-009417-458rrhcm 230 13 that that WDT cord-009417-458rrhcm 230 14 can can MD cord-009417-458rrhcm 230 15 not not RB cord-009417-458rrhcm 230 16 be be VB cord-009417-458rrhcm 230 17 obtained obtain VBN cord-009417-458rrhcm 230 18 from from IN cord-009417-458rrhcm 230 19 safer safe JJR cord-009417-458rrhcm 230 20 sources source NNS cord-009417-458rrhcm 230 21 . . . cord-009417-458rrhcm 231 1 FFP FFP NNP cord-009417-458rrhcm 231 2 is be VBZ cord-009417-458rrhcm 231 3 commonly commonly RB cord-009417-458rrhcm 231 4 used use VBN cord-009417-458rrhcm 231 5 to to TO cord-009417-458rrhcm 231 6 treat treat VB cord-009417-458rrhcm 231 7 bleeding bleed VBG cord-009417-458rrhcm 231 8 patients patient NNS cord-009417-458rrhcm 231 9 with with IN cord-009417-458rrhcm 231 10 acquired acquire VBN cord-009417-458rrhcm 231 11 defi defi NNP cord-009417-458rrhcm 231 12 ciency ciency NNP cord-009417-458rrhcm 231 13 of of IN cord-009417-458rrhcm 231 14 multiple multiple JJ cord-009417-458rrhcm 231 15 coagulation coagulation NN cord-009417-458rrhcm 231 16 factors factor NNS cord-009417-458rrhcm 231 17 , , , cord-009417-458rrhcm 231 18 as as IN cord-009417-458rrhcm 231 19 in in IN cord-009417-458rrhcm 231 20 liver liver NN cord-009417-458rrhcm 231 21 disease disease NN cord-009417-458rrhcm 231 22 , , , cord-009417-458rrhcm 231 23 DIC DIC NNP cord-009417-458rrhcm 231 24 , , , cord-009417-458rrhcm 231 25 or or CC cord-009417-458rrhcm 231 26 dilutional dilutional JJ cord-009417-458rrhcm 231 27 coagulopathy coagulopathy NN cord-009417-458rrhcm 231 28 , , , cord-009417-458rrhcm 231 29 or or CC cord-009417-458rrhcm 231 30 to to TO cord-009417-458rrhcm 231 31 treat treat VB cord-009417-458rrhcm 231 32 patients patient NNS cord-009417-458rrhcm 231 33 with with IN cord-009417-458rrhcm 231 34 congenital congenital JJ cord-009417-458rrhcm 231 35 defi defi NNP cord-009417-458rrhcm 231 36 ciency ciency NN cord-009417-458rrhcm 231 37 of of IN cord-009417-458rrhcm 231 38 a a DT cord-009417-458rrhcm 231 39 coagulation coagulation NN cord-009417-458rrhcm 231 40 factor factor NN cord-009417-458rrhcm 231 41 or or CC cord-009417-458rrhcm 231 42 other other JJ cord-009417-458rrhcm 231 43 protein protein NN cord-009417-458rrhcm 231 44 for for IN cord-009417-458rrhcm 231 45 which which WDT cord-009417-458rrhcm 231 46 concentrates concentrate VBZ cord-009417-458rrhcm 231 47 or or CC cord-009417-458rrhcm 231 48 safer safe JJR cord-009417-458rrhcm 231 49 sources source NNS cord-009417-458rrhcm 231 50 do do VBP cord-009417-458rrhcm 231 51 not not RB cord-009417-458rrhcm 231 52 exist exist VB cord-009417-458rrhcm 231 53 . . . cord-009417-458rrhcm 232 1 FFP FFP NNP cord-009417-458rrhcm 232 2 may may MD cord-009417-458rrhcm 232 3 be be VB cord-009417-458rrhcm 232 4 indicated indicate VBN cord-009417-458rrhcm 232 5 for for IN cord-009417-458rrhcm 232 6 emergency emergency NN cord-009417-458rrhcm 232 7 reversal reversal NN cord-009417-458rrhcm 232 8 of of IN cord-009417-458rrhcm 232 9 the the DT cord-009417-458rrhcm 232 10 coagulopathy coagulopathy NN cord-009417-458rrhcm 232 11 induced induce VBN cord-009417-458rrhcm 232 12 by by IN cord-009417-458rrhcm 232 13 warfarin warfarin NN cord-009417-458rrhcm 232 14 anticoagulants anticoagulant NNS cord-009417-458rrhcm 232 15 when when WRB cord-009417-458rrhcm 232 16 more more RBR cord-009417-458rrhcm 232 17 concentrated concentrated JJ cord-009417-458rrhcm 232 18 products product NNS cord-009417-458rrhcm 232 19 are be VBP cord-009417-458rrhcm 232 20 not not RB cord-009417-458rrhcm 232 21 available available JJ cord-009417-458rrhcm 232 22 or or CC cord-009417-458rrhcm 232 23 for for IN cord-009417-458rrhcm 232 24 the the DT cord-009417-458rrhcm 232 25 provision provision NN cord-009417-458rrhcm 232 26 of of IN cord-009417-458rrhcm 232 27 protein protein NN cord-009417-458rrhcm 232 28 C C NNP cord-009417-458rrhcm 232 29 or or CC cord-009417-458rrhcm 232 30 S S NNP cord-009417-458rrhcm 232 31 in in IN cord-009417-458rrhcm 232 32 patients patient NNS cord-009417-458rrhcm 232 33 who who WP cord-009417-458rrhcm 232 34 are be VBP cord-009417-458rrhcm 232 35 defi defi NNP cord-009417-458rrhcm 232 36 cient cient NNP cord-009417-458rrhcm 232 37 and and CC cord-009417-458rrhcm 232 38 suffering suffer VBG cord-009417-458rrhcm 232 39 acute acute JJ cord-009417-458rrhcm 232 40 thrombosis thrombosis NN cord-009417-458rrhcm 232 41 . . . cord-009417-458rrhcm 233 1 FFP FFP NNP cord-009417-458rrhcm 233 2 should should MD cord-009417-458rrhcm 233 3 be be VB cord-009417-458rrhcm 233 4 administered administer VBN cord-009417-458rrhcm 233 5 as as IN cord-009417-458rrhcm 233 6 boluses bolus NNS cord-009417-458rrhcm 233 7 as as RB cord-009417-458rrhcm 233 8 rapidly rapidly RB cord-009417-458rrhcm 233 9 as as RB cord-009417-458rrhcm 233 10 feasible feasible JJ cord-009417-458rrhcm 233 11 so so IN cord-009417-458rrhcm 233 12 that that IN cord-009417-458rrhcm 233 13 the the DT cord-009417-458rrhcm 233 14 resulting result VBG cord-009417-458rrhcm 233 15 factor factor NN cord-009417-458rrhcm 233 16 levels level NNS cord-009417-458rrhcm 233 17 allow allow VBP cord-009417-458rrhcm 233 18 hemostasis hemostasis NN cord-009417-458rrhcm 233 19 . . . cord-009417-458rrhcm 234 1 The the DT cord-009417-458rrhcm 234 2 use use NN cord-009417-458rrhcm 234 3 of of IN cord-009417-458rrhcm 234 4 FFP FFP NNP cord-009417-458rrhcm 234 5 infusions infusion NNS cord-009417-458rrhcm 234 6 without without IN cord-009417-458rrhcm 234 7 adequate adequate JJ cord-009417-458rrhcm 234 8 bolus bolus NN cord-009417-458rrhcm 234 9 administration administration NN cord-009417-458rrhcm 234 10 is be VBZ cord-009417-458rrhcm 234 11 not not RB cord-009417-458rrhcm 234 12 helpful helpful JJ cord-009417-458rrhcm 234 13 . . . cord-009417-458rrhcm 235 1 FFP FFP NNP cord-009417-458rrhcm 235 2 should should MD cord-009417-458rrhcm 235 3 not not RB cord-009417-458rrhcm 235 4 be be VB cord-009417-458rrhcm 235 5 used use VBN cord-009417-458rrhcm 235 6 for for IN cord-009417-458rrhcm 235 7 volume volume NN cord-009417-458rrhcm 235 8 expansion expansion NN cord-009417-458rrhcm 235 9 or or CC cord-009417-458rrhcm 235 10 wound wind VBN cord-009417-458rrhcm 235 11 healing healing NN cord-009417-458rrhcm 235 12 or or CC cord-009417-458rrhcm 235 13 as as IN cord-009417-458rrhcm 235 14 a a DT cord-009417-458rrhcm 235 15 nutritional nutritional JJ cord-009417-458rrhcm 235 16 source source NN cord-009417-458rrhcm 235 17 of of IN cord-009417-458rrhcm 235 18 protein protein NN cord-009417-458rrhcm 235 19 . . . cord-009417-458rrhcm 236 1 FFP FFP NNP cord-009417-458rrhcm 236 2 does do VBZ cord-009417-458rrhcm 236 3 not not RB cord-009417-458rrhcm 236 4 reverse reverse VB cord-009417-458rrhcm 236 5 anticoagulation anticoagulation NN cord-009417-458rrhcm 236 6 induced induce VBN cord-009417-458rrhcm 236 7 by by IN cord-009417-458rrhcm 236 8 heparin heparin NN cord-009417-458rrhcm 236 9 and and CC cord-009417-458rrhcm 236 10 in in IN cord-009417-458rrhcm 236 11 theory theory NN cord-009417-458rrhcm 236 12 might may MD cord-009417-458rrhcm 236 13 exacerbate exacerbate VB cord-009417-458rrhcm 236 14 bleeding bleed VBG cord-009417-458rrhcm 236 15 by by IN cord-009417-458rrhcm 236 16 supplying supply VBG cord-009417-458rrhcm 236 17 more more JJR cord-009417-458rrhcm 236 18 antithrombin antithrombin NN cord-009417-458rrhcm 236 19 , , , cord-009417-458rrhcm 236 20 heparin heparin NNP cord-009417-458rrhcm 236 21 's 's POS cord-009417-458rrhcm 236 22 cofactor cofactor NN cord-009417-458rrhcm 236 23 . . . cord-009417-458rrhcm 237 1 Prophylactic prophylactic JJ cord-009417-458rrhcm 237 2 administration administration NN cord-009417-458rrhcm 237 3 of of IN cord-009417-458rrhcm 237 4 FFP FFP NNP cord-009417-458rrhcm 237 5 does do VBZ cord-009417-458rrhcm 237 6 not not RB cord-009417-458rrhcm 237 7 improve improve VB cord-009417-458rrhcm 237 8 patient patient JJ cord-009417-458rrhcm 237 9 outcome outcome NN cord-009417-458rrhcm 237 10 in in IN cord-009417-458rrhcm 237 11 the the DT cord-009417-458rrhcm 237 12 setting setting NN cord-009417-458rrhcm 237 13 of of IN cord-009417-458rrhcm 237 14 massive massive JJ cord-009417-458rrhcm 237 15 transfusion transfusion NN cord-009417-458rrhcm 237 16 or or CC cord-009417-458rrhcm 237 17 cardiac cardiac JJ cord-009417-458rrhcm 237 18 surgery surgery NN cord-009417-458rrhcm 237 19 unless unless IN cord-009417-458rrhcm 237 20 there there EX cord-009417-458rrhcm 237 21 is be VBZ cord-009417-458rrhcm 237 22 bleeding bleed VBG cord-009417-458rrhcm 237 23 with with IN cord-009417-458rrhcm 237 24 an an DT cord-009417-458rrhcm 237 25 associated associate VBN cord-009417-458rrhcm 237 26 documented document VBN cord-009417-458rrhcm 237 27 coagulation coagulation NN cord-009417-458rrhcm 237 28 abnormality abnormality NN cord-009417-458rrhcm 237 29 . . . cord-009417-458rrhcm 238 1 51 51 CD cord-009417-458rrhcm 238 2 , , , cord-009417-458rrhcm 238 3 52 52 CD cord-009417-458rrhcm 238 4 Patients patient NNS cord-009417-458rrhcm 238 5 do do VBP cord-009417-458rrhcm 238 6 not not RB cord-009417-458rrhcm 238 7 usually usually RB cord-009417-458rrhcm 238 8 bleed bleed VB cord-009417-458rrhcm 238 9 as as IN cord-009417-458rrhcm 238 10 a a DT cord-009417-458rrhcm 238 11 result result NN cord-009417-458rrhcm 238 12 of of IN cord-009417-458rrhcm 238 13 coagulation coagulation NN cord-009417-458rrhcm 238 14 factor factor NN cord-009417-458rrhcm 238 15 insuffi insuffi NNP cord-009417-458rrhcm 238 16 ciency ciency NNP cord-009417-458rrhcm 238 17 when when WRB cord-009417-458rrhcm 238 18 the the DT cord-009417-458rrhcm 238 19 international international JJ cord-009417-458rrhcm 238 20 normalized normalized JJ cord-009417-458rrhcm 238 21 ratio ratio NN cord-009417-458rrhcm 238 22 ( ( -LRB- cord-009417-458rrhcm 238 23 INR INR NNP cord-009417-458rrhcm 238 24 ) ) -RRB- cord-009417-458rrhcm 238 25 is be VBZ cord-009417-458rrhcm 238 26 less less JJR cord-009417-458rrhcm 238 27 than than IN cord-009417-458rrhcm 238 28 about about IN cord-009417-458rrhcm 238 29 2.0 2.0 CD cord-009417-458rrhcm 238 30 , , , cord-009417-458rrhcm 238 31 and and CC cord-009417-458rrhcm 238 32 even even RB cord-009417-458rrhcm 238 33 then then RB cord-009417-458rrhcm 238 34 the the DT cord-009417-458rrhcm 238 35 results result NNS cord-009417-458rrhcm 238 36 are be VBP cord-009417-458rrhcm 238 37 not not RB cord-009417-458rrhcm 238 38 always always RB cord-009417-458rrhcm 238 39 predictable predictable JJ cord-009417-458rrhcm 238 40 . . . cord-009417-458rrhcm 239 1 53 53 CD cord-009417-458rrhcm 240 1 The the DT cord-009417-458rrhcm 240 2 partial partial JJ cord-009417-458rrhcm 240 3 thromboplastin thromboplastin NN cord-009417-458rrhcm 240 4 time time NN cord-009417-458rrhcm 240 5 ( ( -LRB- cord-009417-458rrhcm 240 6 PTT PTT NNP cord-009417-458rrhcm 240 7 ) ) -RRB- cord-009417-458rrhcm 240 8 is be VBZ cord-009417-458rrhcm 240 9 not not RB cord-009417-458rrhcm 240 10 useful useful JJ cord-009417-458rrhcm 240 11 in in IN cord-009417-458rrhcm 240 12 predicting predict VBG cord-009417-458rrhcm 240 13 procedural procedural JJ cord-009417-458rrhcm 240 14 bleeding bleed VBG cord-009417-458rrhcm 240 15 risk risk NN cord-009417-458rrhcm 240 16 . . . cord-009417-458rrhcm 241 1 54 54 CD cord-009417-458rrhcm 241 2 FFP FFP NNP cord-009417-458rrhcm 241 3 is be VBZ cord-009417-458rrhcm 241 4 often often RB cord-009417-458rrhcm 241 5 requested request VBN cord-009417-458rrhcm 241 6 prophylactically prophylactically RB cord-009417-458rrhcm 241 7 before before IN cord-009417-458rrhcm 241 8 an an DT cord-009417-458rrhcm 241 9 invasive invasive JJ cord-009417-458rrhcm 241 10 procedure procedure NN cord-009417-458rrhcm 241 11 when when WRB cord-009417-458rrhcm 241 12 the the DT cord-009417-458rrhcm 241 13 patient patient NN cord-009417-458rrhcm 241 14 exhibits exhibit VBZ cord-009417-458rrhcm 241 15 mild mild JJ cord-009417-458rrhcm 241 16 prolongation prolongation NN cord-009417-458rrhcm 241 17 in in IN cord-009417-458rrhcm 241 18 coagulation coagulation NN cord-009417-458rrhcm 241 19 studies study NNS cord-009417-458rrhcm 241 20 . . . cord-009417-458rrhcm 242 1 Most Most JJS cord-009417-458rrhcm 242 2 of of IN cord-009417-458rrhcm 242 3 these these DT cord-009417-458rrhcm 242 4 procedures procedure NNS cord-009417-458rrhcm 242 5 may may MD cord-009417-458rrhcm 242 6 be be VB cord-009417-458rrhcm 242 7 carried carry VBN cord-009417-458rrhcm 242 8 out out RP cord-009417-458rrhcm 242 9 safely safely RB cord-009417-458rrhcm 242 10 without without IN cord-009417-458rrhcm 242 11 transfusing transfuse VBG cord-009417-458rrhcm 242 12 FFP ffp NN cord-009417-458rrhcm 242 13 . . . cord-009417-458rrhcm 243 1 53 53 CD cord-009417-458rrhcm 243 2 , , , cord-009417-458rrhcm 243 3 55 55 CD cord-009417-458rrhcm 243 4 FFP FFP NNP cord-009417-458rrhcm 243 5 is be VBZ cord-009417-458rrhcm 243 6 probably probably RB cord-009417-458rrhcm 243 7 the the DT cord-009417-458rrhcm 243 8 most most RBS cord-009417-458rrhcm 243 9 misused misuse VBN cord-009417-458rrhcm 243 10 blood blood NN cord-009417-458rrhcm 243 11 component component NN cord-009417-458rrhcm 243 12 , , , cord-009417-458rrhcm 243 13 as as IN cord-009417-458rrhcm 243 14 illustrated illustrate VBN cord-009417-458rrhcm 243 15 by by IN cord-009417-458rrhcm 243 16 retrospective retrospective JJ cord-009417-458rrhcm 243 17 surveys survey NNS cord-009417-458rrhcm 243 18 . . . cord-009417-458rrhcm 244 1 56 56 CD cord-009417-458rrhcm 244 2 Coagulation coagulation NN cord-009417-458rrhcm 244 3 factors factor NNS cord-009417-458rrhcm 244 4 are be VBP cord-009417-458rrhcm 244 5 normally normally RB cord-009417-458rrhcm 244 6 present present JJ cord-009417-458rrhcm 244 7 in in IN cord-009417-458rrhcm 244 8 the the DT cord-009417-458rrhcm 244 9 blood blood NN cord-009417-458rrhcm 244 10 far far RB cord-009417-458rrhcm 244 11 in in IN cord-009417-458rrhcm 244 12 excess excess NN cord-009417-458rrhcm 244 13 of of IN cord-009417-458rrhcm 244 14 the the DT cord-009417-458rrhcm 244 15 minimum minimum JJ cord-009417-458rrhcm 244 16 levels level NNS cord-009417-458rrhcm 244 17 required require VBN cord-009417-458rrhcm 244 18 for for IN cord-009417-458rrhcm 244 19 hemostasis hemostasis NN cord-009417-458rrhcm 244 20 . . . cord-009417-458rrhcm 245 1 As as RB cord-009417-458rrhcm 245 2 little little JJ cord-009417-458rrhcm 245 3 as as IN cord-009417-458rrhcm 245 4 10 10 CD cord-009417-458rrhcm 245 5 % % NN cord-009417-458rrhcm 245 6 of of IN cord-009417-458rrhcm 245 7 the the DT cord-009417-458rrhcm 245 8 normal normal JJ cord-009417-458rrhcm 245 9 plasma plasma NN cord-009417-458rrhcm 245 10 concentration concentration NN cord-009417-458rrhcm 245 11 of of IN cord-009417-458rrhcm 245 12 several several JJ cord-009417-458rrhcm 245 13 factors factor NNS cord-009417-458rrhcm 245 14 will will MD cord-009417-458rrhcm 245 15 effect effect VB cord-009417-458rrhcm 245 16 hemostasis hemostasis NN cord-009417-458rrhcm 245 17 . . . cord-009417-458rrhcm 246 1 Conversely conversely RB cord-009417-458rrhcm 246 2 , , , cord-009417-458rrhcm 246 3 FFP FFP NNP cord-009417-458rrhcm 246 4 treatment treatment NN cord-009417-458rrhcm 246 5 of of IN cord-009417-458rrhcm 246 6 acquired acquire VBN cord-009417-458rrhcm 246 7 multiple multiple JJ cord-009417-458rrhcm 246 8 defi defi NNP cord-009417-458rrhcm 246 9 ciencies ciencie NNS cord-009417-458rrhcm 246 10 , , , cord-009417-458rrhcm 246 11 as as IN cord-009417-458rrhcm 246 12 in in IN cord-009417-458rrhcm 246 13 hepatic hepatic JJ cord-009417-458rrhcm 246 14 failure failure NN cord-009417-458rrhcm 246 15 , , , cord-009417-458rrhcm 246 16 is be VBZ cord-009417-458rrhcm 246 17 often often RB cord-009417-458rrhcm 246 18 ineffective ineffective JJ cord-009417-458rrhcm 246 19 because because IN cord-009417-458rrhcm 246 20 many many JJ cord-009417-458rrhcm 246 21 patients patient NNS cord-009417-458rrhcm 246 22 can can MD cord-009417-458rrhcm 246 23 not not RB cord-009417-458rrhcm 246 24 tolerate tolerate VB cord-009417-458rrhcm 246 25 the the DT cord-009417-458rrhcm 246 26 infusion infusion NN cord-009417-458rrhcm 246 27 volumes volume NNS cord-009417-458rrhcm 246 28 required require VBN cord-009417-458rrhcm 246 29 to to TO cord-009417-458rrhcm 246 30 achieve achieve VB cord-009417-458rrhcm 246 31 hemostatic hemostatic JJ cord-009417-458rrhcm 246 32 levels level NNS cord-009417-458rrhcm 246 33 of of IN cord-009417-458rrhcm 246 34 coagulation coagulation NN cord-009417-458rrhcm 246 35 factors factor NNS cord-009417-458rrhcm 246 36 , , , cord-009417-458rrhcm 246 37 even even RB cord-009417-458rrhcm 246 38 transiently transiently RB cord-009417-458rrhcm 246 39 . . . cord-009417-458rrhcm 247 1 57 57 CD cord-009417-458rrhcm 248 1 The the DT cord-009417-458rrhcm 248 2 plasma plasma NN cord-009417-458rrhcm 248 3 half half JJ cord-009417-458rrhcm 248 4 - - HYPH cord-009417-458rrhcm 248 5 life life NN cord-009417-458rrhcm 248 6 of of IN cord-009417-458rrhcm 248 7 transfused transfuse VBN cord-009417-458rrhcm 248 8 factor factor NN cord-009417-458rrhcm 248 9 VII VII NNP cord-009417-458rrhcm 248 10 is be VBZ cord-009417-458rrhcm 248 11 only only RB cord-009417-458rrhcm 248 12 2 2 CD cord-009417-458rrhcm 248 13 to to TO cord-009417-458rrhcm 248 14 6 6 CD cord-009417-458rrhcm 248 15 hours hour NNS cord-009417-458rrhcm 248 16 . . . cord-009417-458rrhcm 249 1 It -PRON- PRP cord-009417-458rrhcm 249 2 may may MD cord-009417-458rrhcm 249 3 be be VB cord-009417-458rrhcm 249 4 impossible impossible JJ cord-009417-458rrhcm 249 5 to to TO cord-009417-458rrhcm 249 6 administer administer VB cord-009417-458rrhcm 249 7 suffi suffi NNP cord-009417-458rrhcm 249 8 cient cient NNP cord-009417-458rrhcm 249 9 FFP FFP NNP cord-009417-458rrhcm 249 10 every every DT cord-009417-458rrhcm 249 11 few few JJ cord-009417-458rrhcm 249 12 hours hour NNS cord-009417-458rrhcm 249 13 without without IN cord-009417-458rrhcm 249 14 encountering encounter VBG cord-009417-458rrhcm 249 15 intravascular intravascular JJ cord-009417-458rrhcm 249 16 volume volume NN cord-009417-458rrhcm 249 17 overload overload NN cord-009417-458rrhcm 249 18 . . . cord-009417-458rrhcm 250 1 Finally finally RB cord-009417-458rrhcm 250 2 , , , cord-009417-458rrhcm 250 3 in in IN cord-009417-458rrhcm 250 4 some some DT cord-009417-458rrhcm 250 5 instances instance NNS cord-009417-458rrhcm 250 6 , , , cord-009417-458rrhcm 250 7 transfusion transfusion NN cord-009417-458rrhcm 250 8 of of IN cord-009417-458rrhcm 250 9 seemingly seemingly RB cord-009417-458rrhcm 250 10 adequate adequate JJ cord-009417-458rrhcm 250 11 volumes volume NNS cord-009417-458rrhcm 250 12 may may MD cord-009417-458rrhcm 250 13 still still RB cord-009417-458rrhcm 250 14 fail fail VB cord-009417-458rrhcm 250 15 to to TO cord-009417-458rrhcm 250 16 correct correct VB cord-009417-458rrhcm 250 17 the the DT cord-009417-458rrhcm 250 18 coagulopathy coagulopathy NN cord-009417-458rrhcm 250 19 . . . cord-009417-458rrhcm 251 1 58 58 CD cord-009417-458rrhcm 252 1 Careful careful JJ cord-009417-458rrhcm 252 2 documentation documentation NN cord-009417-458rrhcm 252 3 of of IN cord-009417-458rrhcm 252 4 both both CC cord-009417-458rrhcm 252 5 the the DT cord-009417-458rrhcm 252 6 need need NN cord-009417-458rrhcm 252 7 for for IN cord-009417-458rrhcm 252 8 FFP FFP NNP cord-009417-458rrhcm 252 9 and and CC cord-009417-458rrhcm 252 10 the the DT cord-009417-458rrhcm 252 11 adequacy adequacy NN cord-009417-458rrhcm 252 12 and and CC cord-009417-458rrhcm 252 13 outcomes outcome NNS cord-009417-458rrhcm 252 14 of of IN cord-009417-458rrhcm 252 15 therapy therapy NN cord-009417-458rrhcm 252 16 is be VBZ cord-009417-458rrhcm 252 17 essential essential JJ cord-009417-458rrhcm 252 18 . . . cord-009417-458rrhcm 253 1 59 59 CD cord-009417-458rrhcm 253 2 Cryoprecipitate Cryoprecipitate NNP cord-009417-458rrhcm 253 3 is be VBZ cord-009417-458rrhcm 253 4 manufactured manufacture VBN cord-009417-458rrhcm 253 5 by by IN cord-009417-458rrhcm 253 6 thawing thaw VBG cord-009417-458rrhcm 253 7 and and CC cord-009417-458rrhcm 253 8 centrifuging centrifuge VBG cord-009417-458rrhcm 253 9 FFP FFP NNP cord-009417-458rrhcm 253 10 below below IN cord-009417-458rrhcm 253 11 6º 6º CD cord-009417-458rrhcm 253 12 C C NNP cord-009417-458rrhcm 253 13 and and CC cord-009417-458rrhcm 253 14 resuspending resuspend VBG cord-009417-458rrhcm 253 15 the the DT cord-009417-458rrhcm 253 16 precipitated precipitate VBN cord-009417-458rrhcm 253 17 proteins protein NNS cord-009417-458rrhcm 253 18 in in IN cord-009417-458rrhcm 253 19 about about RB cord-009417-458rrhcm 253 20 15 15 CD cord-009417-458rrhcm 253 21 mL ml NN cord-009417-458rrhcm 253 22 of of IN cord-009417-458rrhcm 253 23 supernatant supernatant JJ cord-009417-458rrhcm 253 24 plasma plasma NN cord-009417-458rrhcm 253 25 . . . cord-009417-458rrhcm 254 1 1,2 1,2 LS cord-009417-458rrhcm 255 1 Each each DT cord-009417-458rrhcm 255 2 bag bag NN cord-009417-458rrhcm 255 3 is be VBZ cord-009417-458rrhcm 255 4 a a DT cord-009417-458rrhcm 255 5 concentrated concentrated JJ cord-009417-458rrhcm 255 6 source source NN cord-009417-458rrhcm 255 7 of of IN cord-009417-458rrhcm 255 8 factor factor NN cord-009417-458rrhcm 255 9 VIII VIII NNP cord-009417-458rrhcm 255 10 ( ( -LRB- cord-009417-458rrhcm 255 11 80 80 CD cord-009417-458rrhcm 255 12 to to TO cord-009417-458rrhcm 255 13 120 120 CD cord-009417-458rrhcm 255 14 units unit NNS cord-009417-458rrhcm 255 15 ) ) -RRB- cord-009417-458rrhcm 255 16 , , , cord-009417-458rrhcm 255 17 von von NNP cord-009417-458rrhcm 255 18 Willebrand Willebrand NNP cord-009417-458rrhcm 255 19 factor factor NN cord-009417-458rrhcm 255 20 ( ( -LRB- cord-009417-458rrhcm 255 21 vWF vwf NN cord-009417-458rrhcm 255 22 ) ) -RRB- cord-009417-458rrhcm 255 23 ( ( -LRB- cord-009417-458rrhcm 255 24 50 50 CD cord-009417-458rrhcm 255 25 % % NN cord-009417-458rrhcm 255 26 of of IN cord-009417-458rrhcm 255 27 original original JJ cord-009417-458rrhcm 255 28 plasma plasma NN cord-009417-458rrhcm 255 29 content content NN cord-009417-458rrhcm 255 30 ) ) -RRB- cord-009417-458rrhcm 255 31 , , , cord-009417-458rrhcm 255 32 fi fi NNP cord-009417-458rrhcm 255 33 brinogen brinogen NNP cord-009417-458rrhcm 255 34 ( ( -LRB- cord-009417-458rrhcm 255 35 250 250 CD cord-009417-458rrhcm 255 36 mg mg NNP cord-009417-458rrhcm 255 37 ) ) -RRB- cord-009417-458rrhcm 255 38 , , , cord-009417-458rrhcm 255 39 factor factor NN cord-009417-458rrhcm 255 40 XIII XIII NNP cord-009417-458rrhcm 255 41 ( ( -LRB- cord-009417-458rrhcm 255 42 30 30 CD cord-009417-458rrhcm 255 43 % % NN cord-009417-458rrhcm 255 44 of of IN cord-009417-458rrhcm 255 45 original original JJ cord-009417-458rrhcm 255 46 plasma plasma NN cord-009417-458rrhcm 255 47 content content NN cord-009417-458rrhcm 255 48 ) ) -RRB- cord-009417-458rrhcm 255 49 , , , cord-009417-458rrhcm 255 50 and and CC cord-009417-458rrhcm 255 51 fi fi NNP cord-009417-458rrhcm 255 52 bronectin bronectin NNP cord-009417-458rrhcm 255 53 . . . cord-009417-458rrhcm 256 1 Cryoprecipitate Cryoprecipitate NNP cord-009417-458rrhcm 256 2 offers offer VBZ cord-009417-458rrhcm 256 3 the the DT cord-009417-458rrhcm 256 4 advantage advantage NN cord-009417-458rrhcm 256 5 of of IN cord-009417-458rrhcm 256 6 transfusing transfuse VBG cord-009417-458rrhcm 256 7 more more JJR cord-009417-458rrhcm 256 8 specifi specifi NN cord-009417-458rrhcm 256 9 c c NN cord-009417-458rrhcm 256 10 protein protein NN cord-009417-458rrhcm 256 11 and and CC cord-009417-458rrhcm 256 12 less less JJR cord-009417-458rrhcm 256 13 total total JJ cord-009417-458rrhcm 256 14 volume volume NN cord-009417-458rrhcm 256 15 than than IN cord-009417-458rrhcm 256 16 the the DT cord-009417-458rrhcm 256 17 equivalent equivalent JJ cord-009417-458rrhcm 256 18 dose dose NN cord-009417-458rrhcm 256 19 of of IN cord-009417-458rrhcm 256 20 FFP FFP NNP cord-009417-458rrhcm 256 21 does do VBZ cord-009417-458rrhcm 256 22 . . . cord-009417-458rrhcm 257 1 It -PRON- PRP cord-009417-458rrhcm 257 2 has have VBZ cord-009417-458rrhcm 257 3 been be VBN cord-009417-458rrhcm 257 4 used use VBN cord-009417-458rrhcm 257 5 to to TO cord-009417-458rrhcm 257 6 treat treat VB cord-009417-458rrhcm 257 7 patients patient NNS cord-009417-458rrhcm 257 8 with with IN cord-009417-458rrhcm 257 9 inherited inherit VBN cord-009417-458rrhcm 257 10 coagulopathies coagulopathie NNS cord-009417-458rrhcm 257 11 , , , cord-009417-458rrhcm 257 12 such such JJ cord-009417-458rrhcm 257 13 as as IN cord-009417-458rrhcm 257 14 hemophilia hemophilia NN cord-009417-458rrhcm 257 15 A A NNP cord-009417-458rrhcm 257 16 , , , cord-009417-458rrhcm 257 17 von von NNP cord-009417-458rrhcm 257 18 Willebrand Willebrand NNP cord-009417-458rrhcm 257 19 disease disease NN cord-009417-458rrhcm 257 20 , , , cord-009417-458rrhcm 257 21 or or CC cord-009417-458rrhcm 257 22 factor factor NN cord-009417-458rrhcm 257 23 XIII XIII NNP cord-009417-458rrhcm 257 24 defi defi NNP cord-009417-458rrhcm 257 25 ciency ciency NNP cord-009417-458rrhcm 257 26 . . . cord-009417-458rrhcm 258 1 In in IN cord-009417-458rrhcm 258 2 the the DT cord-009417-458rrhcm 258 3 critical critical JJ cord-009417-458rrhcm 258 4 care care NN cord-009417-458rrhcm 258 5 setting setting NN cord-009417-458rrhcm 258 6 , , , cord-009417-458rrhcm 258 7 it -PRON- PRP cord-009417-458rrhcm 258 8 is be VBZ cord-009417-458rrhcm 258 9 more more RBR cord-009417-458rrhcm 258 10 commonly commonly RB cord-009417-458rrhcm 258 11 used use VBN cord-009417-458rrhcm 258 12 to to TO cord-009417-458rrhcm 258 13 replenish replenish VB cord-009417-458rrhcm 258 14 fi fi NNP cord-009417-458rrhcm 258 15 brinogen brinogen NNP cord-009417-458rrhcm 258 16 , , , cord-009417-458rrhcm 258 17 especially especially RB cord-009417-458rrhcm 258 18 in in IN cord-009417-458rrhcm 258 19 bleeding bleed VBG cord-009417-458rrhcm 258 20 patients patient NNS cord-009417-458rrhcm 258 21 with with IN cord-009417-458rrhcm 258 22 hypofi hypofi NNP cord-009417-458rrhcm 258 23 brinogenemia brinogenemia NN cord-009417-458rrhcm 258 24 caused cause VBN cord-009417-458rrhcm 258 25 by by IN cord-009417-458rrhcm 258 26 dilutional dilutional JJ cord-009417-458rrhcm 258 27 or or CC cord-009417-458rrhcm 258 28 consumptive consumptive JJ cord-009417-458rrhcm 258 29 coagulopathy coagulopathy NN cord-009417-458rrhcm 258 30 . . . cord-009417-458rrhcm 259 1 Cryoprecipitate Cryoprecipitate NNP cord-009417-458rrhcm 259 2 also also RB cord-009417-458rrhcm 259 3 reportedly reportedly RB cord-009417-458rrhcm 259 4 improves improve VBZ cord-009417-458rrhcm 259 5 hemostasis hemostasis NN cord-009417-458rrhcm 259 6 in in IN cord-009417-458rrhcm 259 7 uremic uremic JJ cord-009417-458rrhcm 259 8 patients patient NNS cord-009417-458rrhcm 259 9 , , , cord-009417-458rrhcm 259 10 presumably presumably RB cord-009417-458rrhcm 259 11 by by IN cord-009417-458rrhcm 259 12 reversing reverse VBG cord-009417-458rrhcm 259 13 the the DT cord-009417-458rrhcm 259 14 functional functional JJ cord-009417-458rrhcm 259 15 platelet platelet NN cord-009417-458rrhcm 259 16 defect defect NN cord-009417-458rrhcm 259 17 , , , cord-009417-458rrhcm 259 18 60 60 CD cord-009417-458rrhcm 259 19 but but CC cord-009417-458rrhcm 259 20 desmopressin desmopressin NN cord-009417-458rrhcm 259 21 acetate acetate NN cord-009417-458rrhcm 259 22 ( ( -LRB- cord-009417-458rrhcm 259 23 DDAVP DDAVP NNP cord-009417-458rrhcm 259 24 ) ) -RRB- cord-009417-458rrhcm 259 25 61 61 CD cord-009417-458rrhcm 259 26 or or CC cord-009417-458rrhcm 259 27 conjugated conjugate VBN cord-009417-458rrhcm 259 28 estrogens estrogen NNS cord-009417-458rrhcm 259 29 exert exert VBP cord-009417-458rrhcm 259 30 similar similar JJ cord-009417-458rrhcm 259 31 effects effect NNS cord-009417-458rrhcm 259 32 and and CC cord-009417-458rrhcm 259 33 should should MD cord-009417-458rrhcm 259 34 be be VB cord-009417-458rrhcm 259 35 used use VBN cord-009417-458rrhcm 259 36 preferentially preferentially RB cord-009417-458rrhcm 259 37 to to TO cord-009417-458rrhcm 259 38 avoid avoid VB cord-009417-458rrhcm 259 39 potential potential JJ cord-009417-458rrhcm 259 40 transfusion transfusion NN cord-009417-458rrhcm 259 41 - - HYPH cord-009417-458rrhcm 259 42 transmitted transmit VBN cord-009417-458rrhcm 259 43 disease disease NN cord-009417-458rrhcm 259 44 . . . cord-009417-458rrhcm 260 1 The the DT cord-009417-458rrhcm 260 2 usual usual JJ cord-009417-458rrhcm 260 3 dose dose NN cord-009417-458rrhcm 260 4 of of IN cord-009417-458rrhcm 260 5 cryoprecipitate cryoprecipitate NNP cord-009417-458rrhcm 260 6 to to TO cord-009417-458rrhcm 260 7 treat treat VB cord-009417-458rrhcm 260 8 hypofi hypofi NNP cord-009417-458rrhcm 260 9 brinogenemia brinogenemia NN cord-009417-458rrhcm 260 10 is be VBZ cord-009417-458rrhcm 260 11 10 10 CD cord-009417-458rrhcm 260 12 bags bag NNS cord-009417-458rrhcm 260 13 / / SYM cord-009417-458rrhcm 260 14 units unit NNS cord-009417-458rrhcm 260 15 to to TO cord-009417-458rrhcm 260 16 start start VB cord-009417-458rrhcm 260 17 , , , cord-009417-458rrhcm 260 18 then then RB cord-009417-458rrhcm 260 19 6 6 CD cord-009417-458rrhcm 260 20 to to TO cord-009417-458rrhcm 260 21 10 10 CD cord-009417-458rrhcm 260 22 bags bag NNS cord-009417-458rrhcm 260 23 / / SYM cord-009417-458rrhcm 260 24 units unit NNS cord-009417-458rrhcm 260 25 every every DT cord-009417-458rrhcm 260 26 8 8 CD cord-009417-458rrhcm 260 27 hours hour NNS cord-009417-458rrhcm 260 28 or or CC cord-009417-458rrhcm 260 29 as as RB cord-009417-458rrhcm 260 30 necessary necessary JJ cord-009417-458rrhcm 260 31 to to TO cord-009417-458rrhcm 260 32 keep keep VB cord-009417-458rrhcm 260 33 the the DT cord-009417-458rrhcm 260 34 fi fi NNP cord-009417-458rrhcm 260 35 brinogen brinogen NNP cord-009417-458rrhcm 260 36 level level NN cord-009417-458rrhcm 260 37 above above IN cord-009417-458rrhcm 260 38 100 100 CD cord-009417-458rrhcm 260 39 mg mg NNS cord-009417-458rrhcm 260 40 / / SYM cord-009417-458rrhcm 260 41 dL. dL. NNS cord-009417-458rrhcm 261 1 Each each DT cord-009417-458rrhcm 261 2 bag bag NN cord-009417-458rrhcm 261 3 / / SYM cord-009417-458rrhcm 261 4 unit unit NN cord-009417-458rrhcm 261 5 of of IN cord-009417-458rrhcm 261 6 cryoprecipitate cryoprecipitate NNP cord-009417-458rrhcm 261 7 carries carry VBZ cord-009417-458rrhcm 261 8 a a DT cord-009417-458rrhcm 261 9 risk risk NN cord-009417-458rrhcm 261 10 of of IN cord-009417-458rrhcm 261 11 disease disease NN cord-009417-458rrhcm 261 12 transmission transmission NN cord-009417-458rrhcm 261 13 equivalent equivalent JJ cord-009417-458rrhcm 261 14 to to IN cord-009417-458rrhcm 261 15 that that DT cord-009417-458rrhcm 261 16 of of IN cord-009417-458rrhcm 261 17 1 1 CD cord-009417-458rrhcm 261 18 unit unit NN cord-009417-458rrhcm 261 19 of of IN cord-009417-458rrhcm 261 20 blood blood NN cord-009417-458rrhcm 261 21 . . . cord-009417-458rrhcm 262 1 For for IN cord-009417-458rrhcm 262 2 this this DT cord-009417-458rrhcm 262 3 reason reason NN cord-009417-458rrhcm 262 4 , , , cord-009417-458rrhcm 262 5 commercial commercial JJ cord-009417-458rrhcm 262 6 factor factor NN cord-009417-458rrhcm 262 7 VIII VIII NNP cord-009417-458rrhcm 262 8 concentrates concentrate VBZ cord-009417-458rrhcm 262 9 , , , cord-009417-458rrhcm 262 10 recombinant recombinant JJ cord-009417-458rrhcm 262 11 or or CC cord-009417-458rrhcm 262 12 treated treat VBN cord-009417-458rrhcm 262 13 to to TO cord-009417-458rrhcm 262 14 inactivate inactivate VB cord-009417-458rrhcm 262 15 viruses virus NNS cord-009417-458rrhcm 262 16 , , , cord-009417-458rrhcm 262 17 are be VBP cord-009417-458rrhcm 262 18 preferred prefer VBN cord-009417-458rrhcm 262 19 over over IN cord-009417-458rrhcm 262 20 cryoprecipitate cryoprecipitate NNP cord-009417-458rrhcm 262 21 for for IN cord-009417-458rrhcm 262 22 treating treat VBG cord-009417-458rrhcm 262 23 hemophilia hemophilia NN cord-009417-458rrhcm 262 24 A a DT cord-009417-458rrhcm 262 25 patients patient NNS cord-009417-458rrhcm 262 26 . . . cord-009417-458rrhcm 263 1 Immune immune JJ cord-009417-458rrhcm 263 2 serum serum NN cord-009417-458rrhcm 263 3 globulin globulin NN cord-009417-458rrhcm 263 4 ( ( -LRB- cord-009417-458rrhcm 263 5 IG IG NNP cord-009417-458rrhcm 263 6 ) ) -RRB- cord-009417-458rrhcm 263 7 , , , cord-009417-458rrhcm 263 8 RhIG rhig NN cord-009417-458rrhcm 263 9 , , , cord-009417-458rrhcm 263 10 and and CC cord-009417-458rrhcm 263 11 hyperimmune hyperimmune NNP cord-009417-458rrhcm 263 12 globulins globulin NNS cord-009417-458rrhcm 263 13 for for IN cord-009417-458rrhcm 263 14 diseases disease NNS cord-009417-458rrhcm 263 15 such such JJ cord-009417-458rrhcm 263 16 as as IN cord-009417-458rrhcm 263 17 hepatitis hepatitis NN cord-009417-458rrhcm 263 18 B B NNP cord-009417-458rrhcm 263 19 and and CC cord-009417-458rrhcm 263 20 varicella varicella NN cord-009417-458rrhcm 263 21 zoster zoster NN cord-009417-458rrhcm 263 22 are be VBP cord-009417-458rrhcm 263 23 obtained obtain VBN cord-009417-458rrhcm 263 24 by by IN cord-009417-458rrhcm 263 25 fractionation fractionation NN cord-009417-458rrhcm 263 26 of of IN cord-009417-458rrhcm 263 27 pooled pool VBN cord-009417-458rrhcm 263 28 plasma plasma NN cord-009417-458rrhcm 263 29 , , , cord-009417-458rrhcm 263 30 followed follow VBN cord-009417-458rrhcm 263 31 by by IN cord-009417-458rrhcm 263 32 chromatography chromatography NN cord-009417-458rrhcm 263 33 , , , cord-009417-458rrhcm 263 34 delipidation delipidation NN cord-009417-458rrhcm 263 35 , , , cord-009417-458rrhcm 263 36 and and CC cord-009417-458rrhcm 263 37 other other JJ cord-009417-458rrhcm 263 38 steps step NNS cord-009417-458rrhcm 263 39 to to TO cord-009417-458rrhcm 263 40 remove remove VB cord-009417-458rrhcm 263 41 aggregates aggregate NNS cord-009417-458rrhcm 263 42 and and CC cord-009417-458rrhcm 263 43 infectious infectious JJ cord-009417-458rrhcm 263 44 agents agent NNS cord-009417-458rrhcm 263 45 . . . cord-009417-458rrhcm 264 1 Intravenous intravenous JJ cord-009417-458rrhcm 264 2 IG ig NN cord-009417-458rrhcm 264 3 ( ( -LRB- cord-009417-458rrhcm 264 4 IVIG IVIG NNP cord-009417-458rrhcm 264 5 ) ) -RRB- cord-009417-458rrhcm 264 6 is be VBZ cord-009417-458rrhcm 264 7 available available JJ cord-009417-458rrhcm 264 8 in in IN cord-009417-458rrhcm 264 9 solution solution NN cord-009417-458rrhcm 264 10 or or CC cord-009417-458rrhcm 264 11 lyophilized lyophilize VBN cord-009417-458rrhcm 264 12 form form NN cord-009417-458rrhcm 264 13 , , , cord-009417-458rrhcm 264 14 with with IN cord-009417-458rrhcm 264 15 protein protein NN cord-009417-458rrhcm 264 16 content content NN cord-009417-458rrhcm 264 17 varying vary VBG cord-009417-458rrhcm 264 18 by by IN cord-009417-458rrhcm 264 19 mode mode NN cord-009417-458rrhcm 264 20 of of IN cord-009417-458rrhcm 264 21 preparation preparation NN cord-009417-458rrhcm 264 22 . . . cord-009417-458rrhcm 265 1 The the DT cord-009417-458rrhcm 265 2 available available JJ cord-009417-458rrhcm 265 3 products product NNS cord-009417-458rrhcm 265 4 vary vary VBP cord-009417-458rrhcm 265 5 slightly slightly RB cord-009417-458rrhcm 265 6 in in IN cord-009417-458rrhcm 265 7 the the DT cord-009417-458rrhcm 265 8 amounts amount NNS cord-009417-458rrhcm 265 9 of of IN cord-009417-458rrhcm 265 10 IgA IgA NNP cord-009417-458rrhcm 265 11 and and CC cord-009417-458rrhcm 265 12 IgM IgM NNP cord-009417-458rrhcm 265 13 contained contain VBD cord-009417-458rrhcm 265 14 in in IN cord-009417-458rrhcm 265 15 them -PRON- PRP cord-009417-458rrhcm 265 16 , , , cord-009417-458rrhcm 265 17 which which WDT cord-009417-458rrhcm 265 18 are be VBP cord-009417-458rrhcm 265 19 mostly mostly RB cord-009417-458rrhcm 265 20 present present JJ cord-009417-458rrhcm 265 21 in in IN cord-009417-458rrhcm 265 22 only only JJ cord-009417-458rrhcm 265 23 trace trace NN cord-009417-458rrhcm 265 24 quantities quantity NNS cord-009417-458rrhcm 265 25 . . . cord-009417-458rrhcm 266 1 IG IG NNP cord-009417-458rrhcm 266 2 preparations preparation NNS cord-009417-458rrhcm 266 3 can can MD cord-009417-458rrhcm 266 4 be be VB cord-009417-458rrhcm 266 5 used use VBN cord-009417-458rrhcm 266 6 to to TO cord-009417-458rrhcm 266 7 provide provide VB cord-009417-458rrhcm 266 8 passive passive JJ cord-009417-458rrhcm 266 9 antibody antibody NN cord-009417-458rrhcm 266 10 prophylaxis prophylaxis NN cord-009417-458rrhcm 266 11 or or CC cord-009417-458rrhcm 266 12 to to TO cord-009417-458rrhcm 266 13 supply supply VB cord-009417-458rrhcm 266 14 IG ig NN cord-009417-458rrhcm 266 15 in in IN cord-009417-458rrhcm 266 16 certain certain JJ cord-009417-458rrhcm 266 17 immunodeficiency immunodeficiency NN cord-009417-458rrhcm 266 18 states state NNS cord-009417-458rrhcm 266 19 . . . cord-009417-458rrhcm 267 1 Hyperimmune Hyperimmune NNP cord-009417-458rrhcm 267 2 globulins globulin NNS cord-009417-458rrhcm 267 3 may may MD cord-009417-458rrhcm 267 4 be be VB cord-009417-458rrhcm 267 5 used use VBN cord-009417-458rrhcm 267 6 to to TO cord-009417-458rrhcm 267 7 treat treat VB cord-009417-458rrhcm 267 8 active active JJ cord-009417-458rrhcm 267 9 infections infection NNS cord-009417-458rrhcm 267 10 in in IN cord-009417-458rrhcm 267 11 immunosuppressed immunosuppressed JJ cord-009417-458rrhcm 267 12 hosts host NNS cord-009417-458rrhcm 267 13 . . . cord-009417-458rrhcm 268 1 Recent recent JJ cord-009417-458rrhcm 268 2 applications application NNS cord-009417-458rrhcm 268 3 have have VBP cord-009417-458rrhcm 268 4 exploited exploit VBN cord-009417-458rrhcm 268 5 IG IG NNP cord-009417-458rrhcm 268 6 's 's POS cord-009417-458rrhcm 268 7 immunomodulatory immunomodulatory JJ cord-009417-458rrhcm 268 8 effects effect NNS cord-009417-458rrhcm 268 9 in in IN cord-009417-458rrhcm 268 10 treating treat VBG cord-009417-458rrhcm 268 11 a a DT cord-009417-458rrhcm 268 12 wide wide JJ cord-009417-458rrhcm 268 13 variety variety NN cord-009417-458rrhcm 268 14 of of IN cord-009417-458rrhcm 268 15 disorders disorder NNS cord-009417-458rrhcm 268 16 with with IN cord-009417-458rrhcm 268 17 an an DT cord-009417-458rrhcm 268 18 immune immune JJ cord-009417-458rrhcm 268 19 basis basis NN cord-009417-458rrhcm 268 20 . . . cord-009417-458rrhcm 269 1 The the DT cord-009417-458rrhcm 269 2 specifi specifi NN cord-009417-458rrhcm 269 3 c c NN cord-009417-458rrhcm 269 4 mechanism mechanism NN cord-009417-458rrhcm 269 5 of of IN cord-009417-458rrhcm 269 6 action action NN cord-009417-458rrhcm 269 7 of of IN cord-009417-458rrhcm 269 8 IVIG IVIG NNP cord-009417-458rrhcm 269 9 in in IN cord-009417-458rrhcm 269 10 such such JJ cord-009417-458rrhcm 269 11 conditions condition NNS cord-009417-458rrhcm 269 12 has have VBZ cord-009417-458rrhcm 269 13 not not RB cord-009417-458rrhcm 269 14 yet yet RB cord-009417-458rrhcm 269 15 been be VBN cord-009417-458rrhcm 269 16 identifi identifi VBN cord-009417-458rrhcm 269 17 ed ed NN cord-009417-458rrhcm 269 18 , , , cord-009417-458rrhcm 269 19 but but CC cord-009417-458rrhcm 269 20 possibilities possibility NNS cord-009417-458rrhcm 269 21 include include VBP cord-009417-458rrhcm 269 22 interference interference NN cord-009417-458rrhcm 269 23 with with IN cord-009417-458rrhcm 269 24 macrophage macrophage NN cord-009417-458rrhcm 269 25 Fc Fc NNP cord-009417-458rrhcm 269 26 receptor receptor NN cord-009417-458rrhcm 269 27 function function NN cord-009417-458rrhcm 269 28 , , , cord-009417-458rrhcm 269 29 neutralization neutralization NN cord-009417-458rrhcm 269 30 of of IN cord-009417-458rrhcm 269 31 anti anti JJ cord-009417-458rrhcm 269 32 - - JJ cord-009417-458rrhcm 269 33 idiotypic idiotypic JJ cord-009417-458rrhcm 269 34 antibodies antibody NNS cord-009417-458rrhcm 269 35 , , , cord-009417-458rrhcm 269 36 and and CC cord-009417-458rrhcm 269 37 interference interference NN cord-009417-458rrhcm 269 38 with with IN cord-009417-458rrhcm 269 39 the the DT cord-009417-458rrhcm 269 40 incorporation incorporation NN cord-009417-458rrhcm 269 41 of of IN cord-009417-458rrhcm 269 42 activated activate VBN cord-009417-458rrhcm 269 43 complement complement NN cord-009417-458rrhcm 269 44 fragments fragment NNS cord-009417-458rrhcm 269 45 into into IN cord-009417-458rrhcm 269 46 immune immune JJ cord-009417-458rrhcm 269 47 complexes complex NNS cord-009417-458rrhcm 269 48 . . . cord-009417-458rrhcm 270 1 A a DT cord-009417-458rrhcm 270 2 recent recent JJ cord-009417-458rrhcm 270 3 review review NN cord-009417-458rrhcm 270 4 more more RBR cord-009417-458rrhcm 270 5 completely completely RB cord-009417-458rrhcm 270 6 discusses discuss VBZ cord-009417-458rrhcm 270 7 the the DT cord-009417-458rrhcm 270 8 effects effect NNS cord-009417-458rrhcm 270 9 of of IN cord-009417-458rrhcm 270 10 IVIG IVIG NNP cord-009417-458rrhcm 270 11 on on IN cord-009417-458rrhcm 270 12 the the DT cord-009417-458rrhcm 270 13 immune immune JJ cord-009417-458rrhcm 270 14 system system NN cord-009417-458rrhcm 270 15 and and CC cord-009417-458rrhcm 270 16 its -PRON- PRP$ cord-009417-458rrhcm 270 17 potential potential JJ cord-009417-458rrhcm 270 18 uses use NNS cord-009417-458rrhcm 270 19 . . . cord-009417-458rrhcm 271 1 62 62 CD cord-009417-458rrhcm 271 2 RhIG rhig NN cord-009417-458rrhcm 271 3 is be VBZ cord-009417-458rrhcm 271 4 prepared prepare VBN cord-009417-458rrhcm 271 5 from from IN cord-009417-458rrhcm 271 6 pools pool NNS cord-009417-458rrhcm 271 7 of of IN cord-009417-458rrhcm 271 8 plasma plasma NN cord-009417-458rrhcm 271 9 obtained obtain VBN cord-009417-458rrhcm 271 10 from from IN cord-009417-458rrhcm 271 11 donors donor NNS cord-009417-458rrhcm 271 12 sensitized sensitize VBN cord-009417-458rrhcm 271 13 to to IN cord-009417-458rrhcm 271 14 the the DT cord-009417-458rrhcm 271 15 red red JJ cord-009417-458rrhcm 271 16 cell cell NN cord-009417-458rrhcm 271 17 antigen antigen NN cord-009417-458rrhcm 271 18 D d NN cord-009417-458rrhcm 271 19 from from IN cord-009417-458rrhcm 271 20 the the DT cord-009417-458rrhcm 271 21 Rh Rh NNP cord-009417-458rrhcm 271 22 group group NN cord-009417-458rrhcm 271 23 . . . cord-009417-458rrhcm 272 1 The the DT cord-009417-458rrhcm 272 2 standard standard JJ cord-009417-458rrhcm 272 3 - - HYPH cord-009417-458rrhcm 272 4 dose dose NN cord-009417-458rrhcm 272 5 vial vial NN cord-009417-458rrhcm 272 6 contains contain VBZ cord-009417-458rrhcm 272 7 primarily primarily RB cord-009417-458rrhcm 272 8 IgG IgG NNP cord-009417-458rrhcm 272 9 anti anti NNP cord-009417-458rrhcm 272 10 - - NNP cord-009417-458rrhcm 272 11 D d JJ cord-009417-458rrhcm 272 12 , , , cord-009417-458rrhcm 272 13 with with IN cord-009417-458rrhcm 272 14 a a DT cord-009417-458rrhcm 272 15 protein protein NN cord-009417-458rrhcm 272 16 content content NN cord-009417-458rrhcm 272 17 of of IN cord-009417-458rrhcm 272 18 300 300 CD cord-009417-458rrhcm 272 19 µg µg NN cord-009417-458rrhcm 272 20 in in IN cord-009417-458rrhcm 272 21 1 1 CD cord-009417-458rrhcm 272 22 mL. mL. NNS cord-009417-458rrhcm 272 23 This this DT cord-009417-458rrhcm 272 24 dose dose NN cord-009417-458rrhcm 272 25 will will MD cord-009417-458rrhcm 272 26 protect protect VB cord-009417-458rrhcm 272 27 against against IN cord-009417-458rrhcm 272 28 15 15 CD cord-009417-458rrhcm 272 29 mL mL NNS cord-009417-458rrhcm 272 30 of of IN cord-009417-458rrhcm 272 31 D D NNP cord-009417-458rrhcm 272 32 + + CC cord-009417-458rrhcm 272 33 red red JJ cord-009417-458rrhcm 272 34 cells cell NNS cord-009417-458rrhcm 272 35 or or CC cord-009417-458rrhcm 272 36 30 30 CD cord-009417-458rrhcm 272 37 mL ml NN cord-009417-458rrhcm 272 38 of of IN cord-009417-458rrhcm 272 39 WB WB NNP cord-009417-458rrhcm 272 40 . . . cord-009417-458rrhcm 273 1 63 63 CD cord-009417-458rrhcm 273 2 RhIG rhig NN cord-009417-458rrhcm 273 3 carries carry VBZ cord-009417-458rrhcm 273 4 no no DT cord-009417-458rrhcm 273 5 risk risk NN cord-009417-458rrhcm 273 6 of of IN cord-009417-458rrhcm 273 7 virus virus NN cord-009417-458rrhcm 273 8 transmission transmission NN cord-009417-458rrhcm 273 9 . . . cord-009417-458rrhcm 274 1 Although although IN cord-009417-458rrhcm 274 2 RhIG rhig NN cord-009417-458rrhcm 274 3 is be VBZ cord-009417-458rrhcm 274 4 used use VBN cord-009417-458rrhcm 274 5 primarily primarily RB cord-009417-458rrhcm 274 6 in in IN cord-009417-458rrhcm 274 7 obstetrics obstetric NNS cord-009417-458rrhcm 274 8 , , , cord-009417-458rrhcm 274 9 it -PRON- PRP cord-009417-458rrhcm 274 10 may may MD cord-009417-458rrhcm 274 11 also also RB cord-009417-458rrhcm 274 12 be be VB cord-009417-458rrhcm 274 13 indicated indicate VBN cord-009417-458rrhcm 274 14 to to TO cord-009417-458rrhcm 274 15 prevent prevent VB cord-009417-458rrhcm 274 16 alloimmunization alloimmunization NN cord-009417-458rrhcm 274 17 in in IN cord-009417-458rrhcm 274 18 Rh Rh NNP cord-009417-458rrhcm 274 19 - - HYPH cord-009417-458rrhcm 274 20 negative negative JJ cord-009417-458rrhcm 274 21 patients patient NNS cord-009417-458rrhcm 274 22 receiving receive VBG cord-009417-458rrhcm 274 23 small small JJ cord-009417-458rrhcm 274 24 amounts amount NNS cord-009417-458rrhcm 274 25 of of IN cord-009417-458rrhcm 274 26 Rh Rh NNP cord-009417-458rrhcm 274 27 - - HYPH cord-009417-458rrhcm 274 28 positive positive JJ cord-009417-458rrhcm 274 29 red red JJ cord-009417-458rrhcm 274 30 cells cell NNS cord-009417-458rrhcm 274 31 , , , cord-009417-458rrhcm 274 32 as as IN cord-009417-458rrhcm 274 33 in in IN cord-009417-458rrhcm 274 34 platelet platelet NN cord-009417-458rrhcm 274 35 concentrates concentrate VBZ cord-009417-458rrhcm 274 36 . . . cord-009417-458rrhcm 275 1 Routine routine JJ cord-009417-458rrhcm 275 2 prophylaxis prophylaxis NN cord-009417-458rrhcm 275 3 against against IN cord-009417-458rrhcm 275 4 large large JJ cord-009417-458rrhcm 275 5 numbers number NNS cord-009417-458rrhcm 275 6 of of IN cord-009417-458rrhcm 275 7 red red JJ cord-009417-458rrhcm 275 8 cells cell NNS cord-009417-458rrhcm 275 9 , , , cord-009417-458rrhcm 275 10 as as IN cord-009417-458rrhcm 275 11 in in IN cord-009417-458rrhcm 275 12 a a DT cord-009417-458rrhcm 275 13 unit unit NN cord-009417-458rrhcm 275 14 of of IN cord-009417-458rrhcm 275 15 Rh Rh NNP cord-009417-458rrhcm 275 16 - - HYPH cord-009417-458rrhcm 275 17 positive positive JJ cord-009417-458rrhcm 275 18 WB WB NNP cord-009417-458rrhcm 275 19 or or CC cord-009417-458rrhcm 275 20 PRBCs prbc NNS cord-009417-458rrhcm 275 21 given give VBN cord-009417-458rrhcm 275 22 by by IN cord-009417-458rrhcm 275 23 accident accident NN cord-009417-458rrhcm 275 24 to to IN cord-009417-458rrhcm 275 25 an an DT cord-009417-458rrhcm 275 26 Rh Rh NNP cord-009417-458rrhcm 275 27 - - HYPH cord-009417-458rrhcm 275 28 negative negative JJ cord-009417-458rrhcm 275 29 recipient recipient NN cord-009417-458rrhcm 275 30 , , , cord-009417-458rrhcm 275 31 is be VBZ cord-009417-458rrhcm 275 32 not not RB cord-009417-458rrhcm 275 33 reliable reliable JJ cord-009417-458rrhcm 275 34 and and CC cord-009417-458rrhcm 275 35 usually usually RB cord-009417-458rrhcm 275 36 involves involve VBZ cord-009417-458rrhcm 275 37 the the DT cord-009417-458rrhcm 275 38 administration administration NN cord-009417-458rrhcm 275 39 of of IN cord-009417-458rrhcm 275 40 large large JJ cord-009417-458rrhcm 275 41 amounts amount NNS cord-009417-458rrhcm 275 42 , , , cord-009417-458rrhcm 275 43 but but CC cord-009417-458rrhcm 275 44 instances instance NNS cord-009417-458rrhcm 275 45 of of IN cord-009417-458rrhcm 275 46 its -PRON- PRP$ cord-009417-458rrhcm 275 47 effective effective JJ cord-009417-458rrhcm 275 48 use use NN cord-009417-458rrhcm 275 49 in in IN cord-009417-458rrhcm 275 50 these these DT cord-009417-458rrhcm 275 51 circumstances circumstance NNS cord-009417-458rrhcm 275 52 have have VBP cord-009417-458rrhcm 275 53 been be VBN cord-009417-458rrhcm 275 54 reported report VBN cord-009417-458rrhcm 275 55 . . . cord-009417-458rrhcm 276 1 Higher high JJR cord-009417-458rrhcm 276 2 doses dose NNS cord-009417-458rrhcm 276 3 of of IN cord-009417-458rrhcm 276 4 intravenous intravenous JJ cord-009417-458rrhcm 276 5 RhIG rhig NN cord-009417-458rrhcm 276 6 have have VBP cord-009417-458rrhcm 276 7 been be VBN cord-009417-458rrhcm 276 8 used use VBN cord-009417-458rrhcm 276 9 in in IN cord-009417-458rrhcm 276 10 the the DT cord-009417-458rrhcm 276 11 treatment treatment NN cord-009417-458rrhcm 276 12 of of IN cord-009417-458rrhcm 276 13 ITP ITP NNP cord-009417-458rrhcm 276 14 . . . cord-009417-458rrhcm 277 1 Plasma plasma NN cord-009417-458rrhcm 277 2 - - HYPH cord-009417-458rrhcm 277 3 derived derive VBN cord-009417-458rrhcm 277 4 colloids colloid NNS cord-009417-458rrhcm 277 5 include include VBP cord-009417-458rrhcm 277 6 human human JJ cord-009417-458rrhcm 277 7 serum serum NN cord-009417-458rrhcm 277 8 albumin albumin NN cord-009417-458rrhcm 277 9 ( ( -LRB- cord-009417-458rrhcm 277 10 HSA HSA NNP cord-009417-458rrhcm 277 11 ) ) -RRB- cord-009417-458rrhcm 277 12 , , , cord-009417-458rrhcm 277 13 available available JJ cord-009417-458rrhcm 277 14 in in IN cord-009417-458rrhcm 277 15 5 5 CD cord-009417-458rrhcm 277 16 % % NN cord-009417-458rrhcm 277 17 and and CC cord-009417-458rrhcm 277 18 25 25 CD cord-009417-458rrhcm 277 19 % % NN cord-009417-458rrhcm 277 20 solutions solution NNS cord-009417-458rrhcm 277 21 , , , cord-009417-458rrhcm 277 22 and and CC cord-009417-458rrhcm 277 23 plasma plasma NN cord-009417-458rrhcm 277 24 protein protein NN cord-009417-458rrhcm 277 25 fraction fraction NN cord-009417-458rrhcm 277 26 ( ( -LRB- cord-009417-458rrhcm 277 27 PPF PPF NNP cord-009417-458rrhcm 277 28 ) ) -RRB- cord-009417-458rrhcm 277 29 , , , cord-009417-458rrhcm 277 30 available available JJ cord-009417-458rrhcm 277 31 in in IN cord-009417-458rrhcm 277 32 a a DT cord-009417-458rrhcm 277 33 5 5 CD cord-009417-458rrhcm 277 34 % % NN cord-009417-458rrhcm 277 35 solution solution NN cord-009417-458rrhcm 277 36 . . . cord-009417-458rrhcm 278 1 Both both DT cord-009417-458rrhcm 278 2 are be VBP cord-009417-458rrhcm 278 3 derived derive VBN cord-009417-458rrhcm 278 4 from from IN cord-009417-458rrhcm 278 5 pooled pool VBN cord-009417-458rrhcm 278 6 donor donor NN cord-009417-458rrhcm 278 7 plasma plasma NN cord-009417-458rrhcm 278 8 but but CC cord-009417-458rrhcm 278 9 are be VBP cord-009417-458rrhcm 278 10 essentially essentially RB cord-009417-458rrhcm 278 11 pathogen pathogen NN cord-009417-458rrhcm 278 12 - - HYPH cord-009417-458rrhcm 278 13 free free JJ cord-009417-458rrhcm 278 14 . . . cord-009417-458rrhcm 279 1 HSA HSA NNP cord-009417-458rrhcm 279 2 is be VBZ cord-009417-458rrhcm 279 3 composed compose VBN cord-009417-458rrhcm 279 4 of of IN cord-009417-458rrhcm 279 5 at at RB cord-009417-458rrhcm 279 6 least least RBS cord-009417-458rrhcm 279 7 96 96 CD cord-009417-458rrhcm 279 8 % % NN cord-009417-458rrhcm 279 9 albumin albumin NN cord-009417-458rrhcm 279 10 , , , cord-009417-458rrhcm 279 11 whereas whereas IN cord-009417-458rrhcm 279 12 PPF PPF NNP cord-009417-458rrhcm 279 13 is be VBZ cord-009417-458rrhcm 279 14 subjected subject VBN cord-009417-458rrhcm 279 15 to to IN cord-009417-458rrhcm 279 16 fewer few JJR cord-009417-458rrhcm 279 17 purifi purifi NNP cord-009417-458rrhcm 279 18 cation cation NN cord-009417-458rrhcm 279 19 steps step NNS cord-009417-458rrhcm 279 20 and and CC cord-009417-458rrhcm 279 21 contains contain VBZ cord-009417-458rrhcm 279 22 at at IN cord-009417-458rrhcm 279 23 least least RBS cord-009417-458rrhcm 279 24 83 83 CD cord-009417-458rrhcm 279 25 % % NN cord-009417-458rrhcm 279 26 albumin albumin NN cord-009417-458rrhcm 279 27 , , , cord-009417-458rrhcm 279 28 with with IN cord-009417-458rrhcm 279 29 correspondingly correspondingly RB cord-009417-458rrhcm 279 30 more more JJR cord-009417-458rrhcm 279 31 globulins globulin NNS cord-009417-458rrhcm 279 32 . . . cord-009417-458rrhcm 280 1 The the DT cord-009417-458rrhcm 280 2 5 5 CD cord-009417-458rrhcm 280 3 % % NN cord-009417-458rrhcm 280 4 solutions solution NNS cord-009417-458rrhcm 280 5 are be VBP cord-009417-458rrhcm 280 6 iso iso NN cord-009417-458rrhcm 280 7 - - HYPH cord-009417-458rrhcm 280 8 oncotic oncotic JJ cord-009417-458rrhcm 280 9 , , , cord-009417-458rrhcm 280 10 whereas whereas IN cord-009417-458rrhcm 280 11 the the DT cord-009417-458rrhcm 280 12 25 25 CD cord-009417-458rrhcm 280 13 % % NN cord-009417-458rrhcm 280 14 solution solution NN cord-009417-458rrhcm 280 15 of of IN cord-009417-458rrhcm 280 16 HSA HSA NNP cord-009417-458rrhcm 280 17 is be VBZ cord-009417-458rrhcm 280 18 hyperoncotic hyperoncotic JJ cord-009417-458rrhcm 280 19 and and CC cord-009417-458rrhcm 280 20 requires require VBZ cord-009417-458rrhcm 280 21 infusion infusion NN cord-009417-458rrhcm 280 22 with with IN cord-009417-458rrhcm 280 23 crystalloid crystalloid NNP cord-009417-458rrhcm 280 24 solutions solution NNS cord-009417-458rrhcm 280 25 . . . cord-009417-458rrhcm 281 1 Potential potential JJ cord-009417-458rrhcm 281 2 clinical clinical JJ cord-009417-458rrhcm 281 3 indications indication NNS cord-009417-458rrhcm 281 4 for for IN cord-009417-458rrhcm 281 5 colloid colloid NN cord-009417-458rrhcm 281 6 solutions solution NNS cord-009417-458rrhcm 281 7 include include VBP cord-009417-458rrhcm 281 8 hypovolemic hypovolemic JJ cord-009417-458rrhcm 281 9 shock shock NN cord-009417-458rrhcm 281 10 , , , cord-009417-458rrhcm 281 11 hypotension hypotension NN cord-009417-458rrhcm 281 12 associated associate VBN cord-009417-458rrhcm 281 13 with with IN cord-009417-458rrhcm 281 14 hypoproteinemia hypoproteinemia NN cord-009417-458rrhcm 281 15 in in IN cord-009417-458rrhcm 281 16 patients patient NNS cord-009417-458rrhcm 281 17 with with IN cord-009417-458rrhcm 281 18 liver liver NN cord-009417-458rrhcm 281 19 failure failure NN cord-009417-458rrhcm 281 20 or or CC cord-009417-458rrhcm 281 21 protein protein NN cord-009417-458rrhcm 281 22 - - HYPH cord-009417-458rrhcm 281 23 losing lose VBG cord-009417-458rrhcm 281 24 conditions condition NNS cord-009417-458rrhcm 281 25 , , , cord-009417-458rrhcm 281 26 as as IN cord-009417-458rrhcm 281 27 a a DT cord-009417-458rrhcm 281 28 replacement replacement NN cord-009417-458rrhcm 281 29 solution solution NN cord-009417-458rrhcm 281 30 in in IN cord-009417-458rrhcm 281 31 plasma plasma NN cord-009417-458rrhcm 281 32 exchange exchange NN cord-009417-458rrhcm 281 33 or or CC cord-009417-458rrhcm 281 34 exchange exchange NN cord-009417-458rrhcm 281 35 transfusion transfusion NN cord-009417-458rrhcm 281 36 , , , cord-009417-458rrhcm 281 37 and and CC cord-009417-458rrhcm 281 38 to to TO cord-009417-458rrhcm 281 39 facilitate facilitate VB cord-009417-458rrhcm 281 40 diuresis diuresis NN cord-009417-458rrhcm 281 41 in in IN cord-009417-458rrhcm 281 42 fl fl NNP cord-009417-458rrhcm 281 43 uidoverloaded uidoverloaded JJ cord-009417-458rrhcm 281 44 hypoproteinemic hypoproteinemic NNP cord-009417-458rrhcm 281 45 patients patient NNS cord-009417-458rrhcm 281 46 . . . cord-009417-458rrhcm 282 1 Albumin albumin NN cord-009417-458rrhcm 282 2 solutions solution NNS cord-009417-458rrhcm 282 3 are be VBP cord-009417-458rrhcm 282 4 not not RB cord-009417-458rrhcm 282 5 indicated indicate VBN cord-009417-458rrhcm 282 6 as as IN cord-009417-458rrhcm 282 7 a a DT cord-009417-458rrhcm 282 8 nutritional nutritional JJ cord-009417-458rrhcm 282 9 source source NN cord-009417-458rrhcm 282 10 to to TO cord-009417-458rrhcm 282 11 raise raise VB cord-009417-458rrhcm 282 12 serum serum NN cord-009417-458rrhcm 282 13 albumin albumin NN cord-009417-458rrhcm 282 14 . . . cord-009417-458rrhcm 283 1 Their -PRON- PRP$ cord-009417-458rrhcm 283 2 use use NN cord-009417-458rrhcm 283 3 in in IN cord-009417-458rrhcm 283 4 some some DT cord-009417-458rrhcm 283 5 indications indication NNS cord-009417-458rrhcm 283 6 , , , cord-009417-458rrhcm 283 7 particularly particularly RB cord-009417-458rrhcm 283 8 for for IN cord-009417-458rrhcm 283 9 resuscitation resuscitation NN cord-009417-458rrhcm 283 10 , , , cord-009417-458rrhcm 283 11 has have VBZ cord-009417-458rrhcm 283 12 become become VBN cord-009417-458rrhcm 283 13 controversial controversial JJ cord-009417-458rrhcm 283 14 , , , cord-009417-458rrhcm 283 15 and and CC cord-009417-458rrhcm 283 16 pulmonary pulmonary JJ cord-009417-458rrhcm 283 17 edema edema NN cord-009417-458rrhcm 283 18 has have VBZ cord-009417-458rrhcm 283 19 been be VBN cord-009417-458rrhcm 283 20 reported report VBN cord-009417-458rrhcm 283 21 in in IN cord-009417-458rrhcm 283 22 association association NN cord-009417-458rrhcm 283 23 with with IN cord-009417-458rrhcm 283 24 their -PRON- PRP$ cord-009417-458rrhcm 283 25 infusion infusion NN cord-009417-458rrhcm 283 26 . . . cord-009417-458rrhcm 284 1 64 64 CD cord-009417-458rrhcm 285 1 Although although IN cord-009417-458rrhcm 285 2 albumin albumin NN cord-009417-458rrhcm 285 3 solutions solution NNS cord-009417-458rrhcm 285 4 are be VBP cord-009417-458rrhcm 285 5 reasonably reasonably RB cord-009417-458rrhcm 285 6 safe safe JJ cord-009417-458rrhcm 285 7 products product NNS cord-009417-458rrhcm 285 8 to to TO cord-009417-458rrhcm 285 9 administer administer VB cord-009417-458rrhcm 285 10 , , , cord-009417-458rrhcm 285 11 expense expense NN cord-009417-458rrhcm 285 12 and and CC cord-009417-458rrhcm 285 13 limited limited JJ cord-009417-458rrhcm 285 14 availability availability NN cord-009417-458rrhcm 285 15 restrict restrict VBP cord-009417-458rrhcm 285 16 their -PRON- PRP$ cord-009417-458rrhcm 285 17 use use NN cord-009417-458rrhcm 285 18 . . . cord-009417-458rrhcm 286 1 Anaphylactic anaphylactic JJ cord-009417-458rrhcm 286 2 reactions reaction NNS cord-009417-458rrhcm 286 3 have have VBP cord-009417-458rrhcm 286 4 been be VBN cord-009417-458rrhcm 286 5 reported report VBN cord-009417-458rrhcm 286 6 in in IN cord-009417-458rrhcm 286 7 less less JJR cord-009417-458rrhcm 286 8 than than IN cord-009417-458rrhcm 286 9 0.1 0.1 CD cord-009417-458rrhcm 286 10 % % NN cord-009417-458rrhcm 286 11 of of IN cord-009417-458rrhcm 286 12 recipients recipient NNS cord-009417-458rrhcm 286 13 . . . cord-009417-458rrhcm 287 1 The the DT cord-009417-458rrhcm 287 2 use use NN cord-009417-458rrhcm 287 3 of of IN cord-009417-458rrhcm 287 4 PPF PPF NNP cord-009417-458rrhcm 287 5 has have VBZ cord-009417-458rrhcm 287 6 been be VBN cord-009417-458rrhcm 287 7 associated associate VBN cord-009417-458rrhcm 287 8 with with IN cord-009417-458rrhcm 287 9 severe severe JJ cord-009417-458rrhcm 287 10 hypotensive hypotensive JJ cord-009417-458rrhcm 287 11 episodes episode NNS cord-009417-458rrhcm 287 12 , , , cord-009417-458rrhcm 287 13 with with IN cord-009417-458rrhcm 287 14 Hageman Hageman NNP cord-009417-458rrhcm 287 15 factor factor NN cord-009417-458rrhcm 287 16 fragments fragment NNS cord-009417-458rrhcm 287 17 or or CC cord-009417-458rrhcm 287 18 prekallikrein prekallikrein NN cord-009417-458rrhcm 287 19 activator activator NN cord-009417-458rrhcm 287 20 being be VBG cord-009417-458rrhcm 287 21 demonstrated demonstrate VBN cord-009417-458rrhcm 287 22 , , , cord-009417-458rrhcm 287 23 65 65 CD cord-009417-458rrhcm 287 24 thus thus RB cord-009417-458rrhcm 287 25 making make VBG cord-009417-458rrhcm 287 26 PPF PPF NNP cord-009417-458rrhcm 287 27 a a DT cord-009417-458rrhcm 287 28 less less RBR cord-009417-458rrhcm 287 29 desirable desirable JJ cord-009417-458rrhcm 287 30 resuscitation resuscitation NN cord-009417-458rrhcm 287 31 fl fl IN cord-009417-458rrhcm 287 32 uid uid NN cord-009417-458rrhcm 287 33 and and CC cord-009417-458rrhcm 287 34 contraindicated contraindicate VBN cord-009417-458rrhcm 287 35 in in IN cord-009417-458rrhcm 287 36 cardiac cardiac JJ cord-009417-458rrhcm 287 37 surgery surgery NN cord-009417-458rrhcm 287 38 . . . cord-009417-458rrhcm 288 1 Granulocyte Granulocyte NNP cord-009417-458rrhcm 288 2 concentrates concentrate VBZ cord-009417-458rrhcm 288 3 for for IN cord-009417-458rrhcm 288 4 transfusion transfusion NN cord-009417-458rrhcm 288 5 are be VBP cord-009417-458rrhcm 288 6 obtained obtain VBN cord-009417-458rrhcm 288 7 from from IN cord-009417-458rrhcm 288 8 a a DT cord-009417-458rrhcm 288 9 single single JJ cord-009417-458rrhcm 288 10 donor donor NN cord-009417-458rrhcm 288 11 by by IN cord-009417-458rrhcm 288 12 cytapheresis cytapheresis NN cord-009417-458rrhcm 288 13 methods method NNS cord-009417-458rrhcm 288 14 , , , cord-009417-458rrhcm 288 15 which which WDT cord-009417-458rrhcm 288 16 generally generally RB cord-009417-458rrhcm 288 17 involve involve VBP cord-009417-458rrhcm 288 18 the the DT cord-009417-458rrhcm 288 19 administration administration NN cord-009417-458rrhcm 288 20 of of IN cord-009417-458rrhcm 288 21 hydroxyethyl hydroxyethyl NN cord-009417-458rrhcm 288 22 starch starch NN cord-009417-458rrhcm 288 23 and and CC cord-009417-458rrhcm 288 24 corticosteroids corticosteroid NNS cord-009417-458rrhcm 288 25 to to IN cord-009417-458rrhcm 288 26 the the DT cord-009417-458rrhcm 288 27 donor donor NN cord-009417-458rrhcm 288 28 to to TO cord-009417-458rrhcm 288 29 improve improve VB cord-009417-458rrhcm 288 30 granulocyte granulocyte NN cord-009417-458rrhcm 288 31 yield yield NN cord-009417-458rrhcm 288 32 . . . cord-009417-458rrhcm 289 1 Granulocyte Granulocyte NNP cord-009417-458rrhcm 289 2 colony colony NN cord-009417-458rrhcm 289 3 - - HYPH cord-009417-458rrhcm 289 4 stimulating stimulate VBG cord-009417-458rrhcm 289 5 factor factor NN cord-009417-458rrhcm 289 6 ( ( -LRB- cord-009417-458rrhcm 289 7 G G NNP cord-009417-458rrhcm 289 8 - - HYPH cord-009417-458rrhcm 289 9 CSF CSF NNP cord-009417-458rrhcm 289 10 ) ) -RRB- cord-009417-458rrhcm 289 11 has have VBZ cord-009417-458rrhcm 289 12 been be VBN cord-009417-458rrhcm 289 13 added add VBN cord-009417-458rrhcm 289 14 to to IN cord-009417-458rrhcm 289 15 some some DT cord-009417-458rrhcm 289 16 collection collection NN cord-009417-458rrhcm 289 17 regimens regimen NNS cord-009417-458rrhcm 289 18 and and CC cord-009417-458rrhcm 289 19 increases increase NNS cord-009417-458rrhcm 289 20 both both DT cord-009417-458rrhcm 289 21 cell cell NN cord-009417-458rrhcm 289 22 counts count NNS cord-009417-458rrhcm 289 23 and and CC cord-009417-458rrhcm 289 24 granulocyte granulocyte NN cord-009417-458rrhcm 289 25 survival survival NN cord-009417-458rrhcm 289 26 substantially substantially RB cord-009417-458rrhcm 289 27 . . . cord-009417-458rrhcm 290 1 Each each DT cord-009417-458rrhcm 290 2 collection collection NN cord-009417-458rrhcm 290 3 should should MD cord-009417-458rrhcm 290 4 contain contain VB cord-009417-458rrhcm 290 5 at at IN cord-009417-458rrhcm 290 6 least least RBS cord-009417-458rrhcm 290 7 10 10 CD cord-009417-458rrhcm 290 8 10 10 CD cord-009417-458rrhcm 290 9 granulocytes granulocyte NNS cord-009417-458rrhcm 290 10 1,2 1,2 CD cord-009417-458rrhcm 290 11 and and CC cord-009417-458rrhcm 290 12 is be VBZ cord-009417-458rrhcm 290 13 suspended suspend VBN cord-009417-458rrhcm 290 14 in in IN cord-009417-458rrhcm 290 15 approximately approximately RB cord-009417-458rrhcm 290 16 200 200 CD cord-009417-458rrhcm 290 17 mL ml NN cord-009417-458rrhcm 290 18 of of IN cord-009417-458rrhcm 290 19 plasma plasma NN cord-009417-458rrhcm 290 20 . . . cord-009417-458rrhcm 291 1 A a DT cord-009417-458rrhcm 291 2 signifi signifi NN cord-009417-458rrhcm 291 3 ca can MD cord-009417-458rrhcm 291 4 nt not RB cord-009417-458rrhcm 291 5 number number NN cord-009417-458rrhcm 291 6 of of IN cord-009417-458rrhcm 291 7 red red JJ cord-009417-458rrhcm 291 8 cells cell NNS cord-009417-458rrhcm 291 9 are be VBP cord-009417-458rrhcm 291 10 present present JJ cord-009417-458rrhcm 291 11 , , , cord-009417-458rrhcm 291 12 so so RB cord-009417-458rrhcm 291 13 crossmatching crossmatche VBG cord-009417-458rrhcm 291 14 for for IN cord-009417-458rrhcm 291 15 the the DT cord-009417-458rrhcm 291 16 recipient recipient NN cord-009417-458rrhcm 291 17 is be VBZ cord-009417-458rrhcm 291 18 required require VBN cord-009417-458rrhcm 291 19 . . . cord-009417-458rrhcm 292 1 Because because IN cord-009417-458rrhcm 292 2 of of IN cord-009417-458rrhcm 292 3 the the DT cord-009417-458rrhcm 292 4 potential potential JJ cord-009417-458rrhcm 292 5 risk risk NN cord-009417-458rrhcm 292 6 for for IN cord-009417-458rrhcm 292 7 graft graft NN cord-009417-458rrhcm 292 8 - - HYPH cord-009417-458rrhcm 292 9 versus versus IN cord-009417-458rrhcm 292 10 - - HYPH cord-009417-458rrhcm 292 11 host host NN cord-009417-458rrhcm 292 12 disease disease NN cord-009417-458rrhcm 292 13 ( ( -LRB- cord-009417-458rrhcm 292 14 GVHD GVHD NNP cord-009417-458rrhcm 292 15 ) ) -RRB- cord-009417-458rrhcm 292 16 , , , cord-009417-458rrhcm 292 17 granulocytes granulocyte NNS cord-009417-458rrhcm 292 18 are be VBP cord-009417-458rrhcm 292 19 usually usually RB cord-009417-458rrhcm 292 20 collected collect VBN cord-009417-458rrhcm 292 21 from from IN cord-009417-458rrhcm 292 22 HLA HLA NNP cord-009417-458rrhcm 292 23 - - HYPH cord-009417-458rrhcm 292 24 matched match VBN cord-009417-458rrhcm 292 25 donors donor NNS cord-009417-458rrhcm 292 26 . . . cord-009417-458rrhcm 293 1 Granulocytes granulocyte NNS cord-009417-458rrhcm 293 2 are be VBP cord-009417-458rrhcm 293 3 stored store VBN cord-009417-458rrhcm 293 4 at at IN cord-009417-458rrhcm 293 5 room room NN cord-009417-458rrhcm 293 6 temperature temperature NN cord-009417-458rrhcm 293 7 and and CC cord-009417-458rrhcm 293 8 must must MD cord-009417-458rrhcm 293 9 be be VB cord-009417-458rrhcm 293 10 transfused transfuse VBN cord-009417-458rrhcm 293 11 within within IN cord-009417-458rrhcm 293 12 24 24 CD cord-009417-458rrhcm 293 13 hours hour NNS cord-009417-458rrhcm 293 14 of of IN cord-009417-458rrhcm 293 15 collection collection NN cord-009417-458rrhcm 293 16 , , , cord-009417-458rrhcm 293 17 although although IN cord-009417-458rrhcm 293 18 sooner sooner RB cord-009417-458rrhcm 293 19 is be VBZ cord-009417-458rrhcm 293 20 better well JJR cord-009417-458rrhcm 293 21 because because IN cord-009417-458rrhcm 293 22 of of IN cord-009417-458rrhcm 293 23 rapid rapid JJ cord-009417-458rrhcm 293 24 deterioration deterioration NN cord-009417-458rrhcm 293 25 of of IN cord-009417-458rrhcm 293 26 the the DT cord-009417-458rrhcm 293 27 cells cell NNS cord-009417-458rrhcm 293 28 . . . cord-009417-458rrhcm 294 1 Patients patient NNS cord-009417-458rrhcm 294 2 who who WP cord-009417-458rrhcm 294 3 may may MD cord-009417-458rrhcm 294 4 benefi benefi VB cord-009417-458rrhcm 294 5 t t NN cord-009417-458rrhcm 294 6 from from IN cord-009417-458rrhcm 294 7 granulocyte granulocyte NN cord-009417-458rrhcm 294 8 transfusions transfusion NNS cord-009417-458rrhcm 294 9 include include VBP cord-009417-458rrhcm 294 10 those those DT cord-009417-458rrhcm 294 11 who who WP cord-009417-458rrhcm 294 12 are be VBP cord-009417-458rrhcm 294 13 neutropenic neutropenic JJ cord-009417-458rrhcm 294 14 ( ( -LRB- cord-009417-458rrhcm 294 15 absolute absolute JJ cord-009417-458rrhcm 294 16 neutrophil neutrophil NN cord-009417-458rrhcm 294 17 count count NN cord-009417-458rrhcm 294 18 of of IN cord-009417-458rrhcm 294 19 less less JJR cord-009417-458rrhcm 294 20 than than IN cord-009417-458rrhcm 294 21 0.5 0.5 CD cord-009417-458rrhcm 294 22 × × CD cord-009417-458rrhcm 294 23 10 10 CD cord-009417-458rrhcm 294 24 9 9 CD cord-009417-458rrhcm 294 25 /L /L . cord-009417-458rrhcm 294 26 ) ) -RRB- cord-009417-458rrhcm 294 27 and and CC cord-009417-458rrhcm 294 28 those those DT cord-009417-458rrhcm 294 29 who who WP cord-009417-458rrhcm 294 30 are be VBP cord-009417-458rrhcm 294 31 unresponsive unresponsive JJ cord-009417-458rrhcm 294 32 to to TO cord-009417-458rrhcm 294 33 appropriate appropriate VB cord-009417-458rrhcm 294 34 antibiotic antibiotic JJ cord-009417-458rrhcm 294 35 treatment treatment NN cord-009417-458rrhcm 294 36 but but CC cord-009417-458rrhcm 294 37 in in IN cord-009417-458rrhcm 294 38 whom whom WP cord-009417-458rrhcm 294 39 bone bone NN cord-009417-458rrhcm 294 40 marrow marrow NN cord-009417-458rrhcm 294 41 recovery recovery NN cord-009417-458rrhcm 294 42 is be VBZ cord-009417-458rrhcm 294 43 expected expect VBN cord-009417-458rrhcm 294 44 to to TO cord-009417-458rrhcm 294 45 occur occur VB cord-009417-458rrhcm 294 46 . . . cord-009417-458rrhcm 295 1 A a DT cord-009417-458rrhcm 295 2 course course NN cord-009417-458rrhcm 295 3 of of IN cord-009417-458rrhcm 295 4 therapy therapy NN cord-009417-458rrhcm 295 5 generally generally RB cord-009417-458rrhcm 295 6 involves involve VBZ cord-009417-458rrhcm 295 7 daily daily JJ cord-009417-458rrhcm 295 8 infusion infusion NN cord-009417-458rrhcm 295 9 for for IN cord-009417-458rrhcm 295 10 4 4 CD cord-009417-458rrhcm 295 11 to to TO cord-009417-458rrhcm 295 12 7 7 CD cord-009417-458rrhcm 295 13 days day NNS cord-009417-458rrhcm 295 14 . . . cord-009417-458rrhcm 296 1 Granulocytes granulocyte NNS cord-009417-458rrhcm 296 2 have have VBP cord-009417-458rrhcm 296 3 been be VBN cord-009417-458rrhcm 296 4 used use VBN cord-009417-458rrhcm 296 5 for for IN cord-009417-458rrhcm 296 6 progressive progressive JJ cord-009417-458rrhcm 296 7 fungal fungal JJ cord-009417-458rrhcm 296 8 infections infection NNS cord-009417-458rrhcm 296 9 in in IN cord-009417-458rrhcm 296 10 immunosuppressed immunosuppressed JJ cord-009417-458rrhcm 296 11 granulocytopenic granulocytopenic NN cord-009417-458rrhcm 296 12 patients patient NNS cord-009417-458rrhcm 296 13 , , , cord-009417-458rrhcm 296 14 in in IN cord-009417-458rrhcm 296 15 patients patient NNS cord-009417-458rrhcm 296 16 with with IN cord-009417-458rrhcm 296 17 defective defective JJ cord-009417-458rrhcm 296 18 leukocytes leukocyte NNS cord-009417-458rrhcm 296 19 ( ( -LRB- cord-009417-458rrhcm 296 20 e.g. e.g. RB cord-009417-458rrhcm 296 21 , , , cord-009417-458rrhcm 296 22 chronic chronic JJ cord-009417-458rrhcm 296 23 granulomatous granulomatous JJ cord-009417-458rrhcm 296 24 disease disease NN cord-009417-458rrhcm 296 25 ) ) -RRB- cord-009417-458rrhcm 296 26 , , , cord-009417-458rrhcm 296 27 and and CC cord-009417-458rrhcm 296 28 in in IN cord-009417-458rrhcm 296 29 the the DT cord-009417-458rrhcm 296 30 neonatal neonatal JJ cord-009417-458rrhcm 296 31 ICU ICU NNP cord-009417-458rrhcm 296 32 for for IN cord-009417-458rrhcm 296 33 neonatal neonatal JJ cord-009417-458rrhcm 296 34 sepsis sepsis NN cord-009417-458rrhcm 296 35 . . . cord-009417-458rrhcm 297 1 Randomized randomized JJ cord-009417-458rrhcm 297 2 trials trial NNS cord-009417-458rrhcm 297 3 had have VBD cord-009417-458rrhcm 297 4 suggested suggest VBN cord-009417-458rrhcm 297 5 that that IN cord-009417-458rrhcm 297 6 granulocyte granulocyte NN cord-009417-458rrhcm 297 7 transfusions transfusion NNS cord-009417-458rrhcm 297 8 under under IN cord-009417-458rrhcm 297 9 these these DT cord-009417-458rrhcm 297 10 circumstances circumstance NNS cord-009417-458rrhcm 297 11 can can MD cord-009417-458rrhcm 297 12 reduce reduce VB cord-009417-458rrhcm 297 13 mortality mortality NN cord-009417-458rrhcm 297 14 , , , cord-009417-458rrhcm 297 15 but but CC cord-009417-458rrhcm 297 16 such such JJ cord-009417-458rrhcm 297 17 trials trial NNS cord-009417-458rrhcm 297 18 have have VBP cord-009417-458rrhcm 297 19 not not RB cord-009417-458rrhcm 297 20 been be VBN cord-009417-458rrhcm 297 21 conducted conduct VBN cord-009417-458rrhcm 297 22 for for IN cord-009417-458rrhcm 297 23 more more JJR cord-009417-458rrhcm 297 24 than than IN cord-009417-458rrhcm 297 25 2 2 CD cord-009417-458rrhcm 297 26 decades decade NNS cord-009417-458rrhcm 297 27 . . . cord-009417-458rrhcm 298 1 66 66 CD cord-009417-458rrhcm 298 2 Effective effective JJ cord-009417-458rrhcm 298 3 antibiotic antibiotic JJ cord-009417-458rrhcm 298 4 regimens regimen NNS cord-009417-458rrhcm 298 5 and and CC cord-009417-458rrhcm 298 6 the the DT cord-009417-458rrhcm 298 7 signifi signifi NNP cord-009417-458rrhcm 298 8 ca can MD cord-009417-458rrhcm 298 9 nt not RB cord-009417-458rrhcm 299 1 adverse adverse JJ cord-009417-458rrhcm 299 2 effects effect NNS cord-009417-458rrhcm 299 3 associated associate VBN cord-009417-458rrhcm 299 4 with with IN cord-009417-458rrhcm 299 5 the the DT cord-009417-458rrhcm 299 6 use use NN cord-009417-458rrhcm 299 7 of of IN cord-009417-458rrhcm 299 8 granulocyte granulocyte NN cord-009417-458rrhcm 299 9 concentrates concentrate VBZ cord-009417-458rrhcm 299 10 , , , cord-009417-458rrhcm 299 11 including include VBG cord-009417-458rrhcm 299 12 pulmonary pulmonary JJ cord-009417-458rrhcm 299 13 insuffi insuffi NN cord-009417-458rrhcm 299 14 ciency ciency NN cord-009417-458rrhcm 299 15 related relate VBN cord-009417-458rrhcm 299 16 to to IN cord-009417-458rrhcm 299 17 alloimmunization alloimmunization NN cord-009417-458rrhcm 299 18 and and CC cord-009417-458rrhcm 299 19 CMV CMV NNP cord-009417-458rrhcm 299 20 infection infection NN cord-009417-458rrhcm 299 21 , , , cord-009417-458rrhcm 299 22 have have VBP cord-009417-458rrhcm 299 23 limited limit VBN cord-009417-458rrhcm 299 24 their -PRON- PRP$ cord-009417-458rrhcm 299 25 use use NN cord-009417-458rrhcm 299 26 in in IN cord-009417-458rrhcm 299 27 recent recent JJ cord-009417-458rrhcm 299 28 years year NNS cord-009417-458rrhcm 299 29 . . . cord-009417-458rrhcm 300 1 The the DT cord-009417-458rrhcm 300 2 decision decision NN cord-009417-458rrhcm 300 3 to to TO cord-009417-458rrhcm 300 4 transfuse transfuse VB cord-009417-458rrhcm 300 5 blood blood NN cord-009417-458rrhcm 300 6 components component NNS cord-009417-458rrhcm 300 7 , , , cord-009417-458rrhcm 300 8 like like IN cord-009417-458rrhcm 300 9 any any DT cord-009417-458rrhcm 300 10 therapeutic therapeutic JJ cord-009417-458rrhcm 300 11 maneuver maneuver NN cord-009417-458rrhcm 300 12 , , , cord-009417-458rrhcm 300 13 must must MD cord-009417-458rrhcm 300 14 be be VB cord-009417-458rrhcm 300 15 made make VBN cord-009417-458rrhcm 300 16 with with IN cord-009417-458rrhcm 300 17 full full JJ cord-009417-458rrhcm 300 18 awareness awareness NN cord-009417-458rrhcm 300 19 of of IN cord-009417-458rrhcm 300 20 the the DT cord-009417-458rrhcm 300 21 potential potential JJ cord-009417-458rrhcm 300 22 risk risk NN cord-009417-458rrhcm 300 23 to to IN cord-009417-458rrhcm 300 24 the the DT cord-009417-458rrhcm 300 25 recipient recipient NN cord-009417-458rrhcm 300 26 , , , cord-009417-458rrhcm 300 27 as as RB cord-009417-458rrhcm 300 28 well well RB cord-009417-458rrhcm 300 29 as as IN cord-009417-458rrhcm 300 30 the the DT cord-009417-458rrhcm 300 31 expected expect VBN cord-009417-458rrhcm 300 32 benefi benefi NNP cord-009417-458rrhcm 300 33 ts ts NNP cord-009417-458rrhcm 300 34 . . . cord-009417-458rrhcm 301 1 Public public JJ cord-009417-458rrhcm 301 2 expectations expectation NNS cord-009417-458rrhcm 301 3 of of IN cord-009417-458rrhcm 301 4 a a DT cord-009417-458rrhcm 301 5 zero zero CD cord-009417-458rrhcm 301 6 - - HYPH cord-009417-458rrhcm 301 7 risk risk NN cord-009417-458rrhcm 301 8 blood blood NN cord-009417-458rrhcm 301 9 supply supply NN cord-009417-458rrhcm 301 10 help help NN cord-009417-458rrhcm 301 11 raise raise VB cord-009417-458rrhcm 301 12 the the DT cord-009417-458rrhcm 301 13 acuity acuity NN cord-009417-458rrhcm 301 14 of of IN cord-009417-458rrhcm 301 15 physicians physician NNS cord-009417-458rrhcm 301 16 ' ' POS cord-009417-458rrhcm 301 17 decisions decision NNS cord-009417-458rrhcm 301 18 . . . cord-009417-458rrhcm 302 1 For for IN cord-009417-458rrhcm 302 2 some some DT cord-009417-458rrhcm 302 3 patients patient NNS cord-009417-458rrhcm 302 4 , , , cord-009417-458rrhcm 302 5 the the DT cord-009417-458rrhcm 302 6 benefi benefi NNP cord-009417-458rrhcm 302 7 t t NN cord-009417-458rrhcm 302 8 from from IN cord-009417-458rrhcm 302 9 transfusion transfusion NN cord-009417-458rrhcm 302 10 is be VBZ cord-009417-458rrhcm 302 11 so so RB cord-009417-458rrhcm 302 12 obvious obvious JJ cord-009417-458rrhcm 302 13 that that IN cord-009417-458rrhcm 302 14 the the DT cord-009417-458rrhcm 302 15 associated associate VBN cord-009417-458rrhcm 302 16 risks risk NNS cord-009417-458rrhcm 302 17 pale pale JJ cord-009417-458rrhcm 302 18 in in IN cord-009417-458rrhcm 302 19 comparison comparison NN cord-009417-458rrhcm 302 20 to to IN cord-009417-458rrhcm 302 21 the the DT cord-009417-458rrhcm 302 22 consequences consequence NNS cord-009417-458rrhcm 302 23 of of IN cord-009417-458rrhcm 302 24 withholding withhold VBG cord-009417-458rrhcm 302 25 transfusion transfusion NN cord-009417-458rrhcm 302 26 . . . cord-009417-458rrhcm 303 1 However however RB cord-009417-458rrhcm 303 2 , , , cord-009417-458rrhcm 303 3 the the DT cord-009417-458rrhcm 303 4 clinician clinician NN cord-009417-458rrhcm 303 5 's 's POS cord-009417-458rrhcm 303 6 knowledge knowledge NN cord-009417-458rrhcm 303 7 of of IN cord-009417-458rrhcm 303 8 the the DT cord-009417-458rrhcm 303 9 incidence incidence NN cord-009417-458rrhcm 303 10 and and CC cord-009417-458rrhcm 303 11 management management NN cord-009417-458rrhcm 303 12 of of IN cord-009417-458rrhcm 303 13 adverse adverse JJ cord-009417-458rrhcm 303 14 reactions reaction NNS cord-009417-458rrhcm 303 15 to to IN cord-009417-458rrhcm 303 16 transfusion transfusion NN cord-009417-458rrhcm 303 17 is be VBZ cord-009417-458rrhcm 303 18 vital vital JJ cord-009417-458rrhcm 303 19 , , , cord-009417-458rrhcm 303 20 not not RB cord-009417-458rrhcm 303 21 only only RB cord-009417-458rrhcm 303 22 to to TO cord-009417-458rrhcm 303 23 ensure ensure VB cord-009417-458rrhcm 303 24 the the DT cord-009417-458rrhcm 303 25 best good JJS cord-009417-458rrhcm 303 26 patient patient JJ cord-009417-458rrhcm 303 27 care care NN cord-009417-458rrhcm 303 28 but but CC cord-009417-458rrhcm 303 29 also also RB cord-009417-458rrhcm 303 30 to to TO cord-009417-458rrhcm 303 31 provide provide VB cord-009417-458rrhcm 303 32 appropriate appropriate JJ cord-009417-458rrhcm 303 33 patient patient JJ cord-009417-458rrhcm 303 34 education education NN cord-009417-458rrhcm 303 35 and and CC cord-009417-458rrhcm 303 36 true true JJ cord-009417-458rrhcm 303 37 informed informed JJ cord-009417-458rrhcm 303 38 consent consent NN cord-009417-458rrhcm 303 39 . . . cord-009417-458rrhcm 304 1 Almost almost RB cord-009417-458rrhcm 304 2 every every DT cord-009417-458rrhcm 304 3 patient patient NN cord-009417-458rrhcm 304 4 who who WP cord-009417-458rrhcm 304 5 receives receive VBZ cord-009417-458rrhcm 304 6 an an DT cord-009417-458rrhcm 304 7 allogeneic allogeneic NN cord-009417-458rrhcm 304 8 blood blood NN cord-009417-458rrhcm 304 9 transfusion transfusion NN cord-009417-458rrhcm 304 10 will will MD cord-009417-458rrhcm 304 11 experience experience VB cord-009417-458rrhcm 304 12 some some DT cord-009417-458rrhcm 304 13 adverse adverse JJ cord-009417-458rrhcm 304 14 reaction reaction NN cord-009417-458rrhcm 304 15 if if IN cord-009417-458rrhcm 304 16 such such JJ cord-009417-458rrhcm 304 17 universal universal JJ cord-009417-458rrhcm 304 18 effects effect NNS cord-009417-458rrhcm 304 19 as as IN cord-009417-458rrhcm 304 20 immunomodulation immunomodulation NN cord-009417-458rrhcm 304 21 and and CC cord-009417-458rrhcm 304 22 bone bone NN cord-009417-458rrhcm 304 23 marrow marrow NN cord-009417-458rrhcm 304 24 suppression suppression NN cord-009417-458rrhcm 304 25 are be VBP cord-009417-458rrhcm 304 26 considered consider VBN cord-009417-458rrhcm 304 27 . . . cord-009417-458rrhcm 305 1 Measurable measurable JJ cord-009417-458rrhcm 305 2 reactions reaction NNS cord-009417-458rrhcm 305 3 to to IN cord-009417-458rrhcm 305 4 transfusion transfusion NN cord-009417-458rrhcm 305 5 occur occur VBP cord-009417-458rrhcm 305 6 in in IN cord-009417-458rrhcm 305 7 about about RB cord-009417-458rrhcm 305 8 20 20 CD cord-009417-458rrhcm 305 9 % % NN cord-009417-458rrhcm 305 10 of of IN cord-009417-458rrhcm 305 11 patients patient NNS cord-009417-458rrhcm 305 12 ; ; : cord-009417-458rrhcm 305 13 more more RBR cord-009417-458rrhcm 305 14 serious serious JJ cord-009417-458rrhcm 305 15 adverse adverse JJ cord-009417-458rrhcm 305 16 responses response NNS cord-009417-458rrhcm 305 17 may may MD cord-009417-458rrhcm 305 18 be be VB cord-009417-458rrhcm 305 19 expected expect VBN cord-009417-458rrhcm 305 20 in in IN cord-009417-458rrhcm 305 21 only only RB cord-009417-458rrhcm 305 22 1 1 CD cord-009417-458rrhcm 305 23 % % NN cord-009417-458rrhcm 305 24 to to TO cord-009417-458rrhcm 305 25 2 2 CD cord-009417-458rrhcm 305 26 % % NN cord-009417-458rrhcm 305 27 of of IN cord-009417-458rrhcm 305 28 transfusions transfusion NNS cord-009417-458rrhcm 305 29 . . . cord-009417-458rrhcm 306 1 67 67 CD cord-009417-458rrhcm 307 1 The the DT cord-009417-458rrhcm 307 2 nature nature NN cord-009417-458rrhcm 307 3 of of IN cord-009417-458rrhcm 307 4 these these DT cord-009417-458rrhcm 307 5 adverse adverse JJ cord-009417-458rrhcm 307 6 reactions reaction NNS cord-009417-458rrhcm 307 7 ranges range VBZ cord-009417-458rrhcm 307 8 from from IN cord-009417-458rrhcm 307 9 those those DT cord-009417-458rrhcm 307 10 that that WDT cord-009417-458rrhcm 307 11 are be VBP cord-009417-458rrhcm 307 12 common common JJ cord-009417-458rrhcm 307 13 but but CC cord-009417-458rrhcm 307 14 clinically clinically RB cord-009417-458rrhcm 307 15 unimportant unimportant JJ cord-009417-458rrhcm 307 16 to to IN cord-009417-458rrhcm 307 17 those those DT cord-009417-458rrhcm 307 18 that that WDT cord-009417-458rrhcm 307 19 may may MD cord-009417-458rrhcm 307 20 cause cause VB cord-009417-458rrhcm 307 21 signifi signifi NNP cord-009417-458rrhcm 307 22 ca can MD cord-009417-458rrhcm 307 23 nt not RB cord-009417-458rrhcm 307 24 morbidity morbidity NN cord-009417-458rrhcm 307 25 or or CC cord-009417-458rrhcm 307 26 death death NN cord-009417-458rrhcm 307 27 ( ( -LRB- cord-009417-458rrhcm 307 28 Table Table NNP cord-009417-458rrhcm 307 29 80 80 CD cord-009417-458rrhcm 307 30 - - SYM cord-009417-458rrhcm 307 31 3 3 CD cord-009417-458rrhcm 307 32 ) ) -RRB- cord-009417-458rrhcm 307 33 . . . cord-009417-458rrhcm 308 1 Transfusion transfusion NN cord-009417-458rrhcm 308 2 in in IN cord-009417-458rrhcm 308 3 the the DT cord-009417-458rrhcm 308 4 ICU ICU NNP cord-009417-458rrhcm 308 5 is be VBZ cord-009417-458rrhcm 308 6 a a DT cord-009417-458rrhcm 308 7 common common JJ cord-009417-458rrhcm 308 8 and and CC cord-009417-458rrhcm 308 9 often often RB cord-009417-458rrhcm 308 10 lightly lightly RB cord-009417-458rrhcm 308 11 regarded regard VBN cord-009417-458rrhcm 308 12 event event NN cord-009417-458rrhcm 308 13 . . . cord-009417-458rrhcm 309 1 However however RB cord-009417-458rrhcm 309 2 , , , cord-009417-458rrhcm 309 3 because because IN cord-009417-458rrhcm 309 4 the the DT cord-009417-458rrhcm 309 5 signs sign NNS cord-009417-458rrhcm 309 6 and and CC cord-009417-458rrhcm 309 7 symptoms symptom NNS cord-009417-458rrhcm 309 8 of of IN cord-009417-458rrhcm 309 9 severe severe JJ cord-009417-458rrhcm 309 10 , , , cord-009417-458rrhcm 309 11 life life NN cord-009417-458rrhcm 309 12 - - HYPH cord-009417-458rrhcm 309 13 threatening threaten VBG cord-009417-458rrhcm 309 14 reactions reaction NNS cord-009417-458rrhcm 309 15 are be VBP cord-009417-458rrhcm 309 16 frequently frequently RB cord-009417-458rrhcm 309 17 indistinguishable indistinguishable JJ cord-009417-458rrhcm 309 18 from from IN cord-009417-458rrhcm 309 19 those those DT cord-009417-458rrhcm 309 20 of of IN cord-009417-458rrhcm 309 21 troublesome troublesome JJ cord-009417-458rrhcm 309 22 , , , cord-009417-458rrhcm 309 23 but but CC cord-009417-458rrhcm 309 24 less less JJR cord-009417-458rrhcm 309 25 signifi signifi NNP cord-009417-458rrhcm 309 26 ca can MD cord-009417-458rrhcm 309 27 nt not RB cord-009417-458rrhcm 309 28 reactions reaction NNS cord-009417-458rrhcm 309 29 , , . cord-009417-458rrhcm 310 1 every every DT cord-009417-458rrhcm 310 2 transfused transfuse VBN cord-009417-458rrhcm 310 3 patient patient NN cord-009417-458rrhcm 310 4 who who WP cord-009417-458rrhcm 310 5 experiences experience VBZ cord-009417-458rrhcm 310 6 a a DT cord-009417-458rrhcm 310 7 signifi signifi NN cord-009417-458rrhcm 310 8 ca can MD cord-009417-458rrhcm 310 9 nt not RB cord-009417-458rrhcm 310 10 change change VB cord-009417-458rrhcm 310 11 in in IN cord-009417-458rrhcm 310 12 condition condition NN cord-009417-458rrhcm 310 13 , , , cord-009417-458rrhcm 310 14 such such JJ cord-009417-458rrhcm 310 15 as as IN cord-009417-458rrhcm 310 16 an an DT cord-009417-458rrhcm 310 17 elevation elevation NN cord-009417-458rrhcm 310 18 in in IN cord-009417-458rrhcm 310 19 temperature temperature NN cord-009417-458rrhcm 310 20 , , , cord-009417-458rrhcm 310 21 change change NN cord-009417-458rrhcm 310 22 in in IN cord-009417-458rrhcm 310 23 pulse pulse NN cord-009417-458rrhcm 310 24 or or CC cord-009417-458rrhcm 310 25 blood blood NN cord-009417-458rrhcm 310 26 pressure pressure NN cord-009417-458rrhcm 310 27 , , , cord-009417-458rrhcm 310 28 dyspnea dyspnea NN cord-009417-458rrhcm 310 29 , , , cord-009417-458rrhcm 310 30 or or CC cord-009417-458rrhcm 310 31 pain pain NN cord-009417-458rrhcm 310 32 , , , cord-009417-458rrhcm 310 33 must must MD cord-009417-458rrhcm 310 34 be be VB cord-009417-458rrhcm 310 35 promptly promptly RB cord-009417-458rrhcm 310 36 and and CC cord-009417-458rrhcm 310 37 fully fully RB cord-009417-458rrhcm 310 38 evaluated evaluate VBN cord-009417-458rrhcm 310 39 to to TO cord-009417-458rrhcm 310 40 identify identify VB cord-009417-458rrhcm 310 41 the the DT cord-009417-458rrhcm 310 42 cause cause NN cord-009417-458rrhcm 310 43 of of IN cord-009417-458rrhcm 310 44 the the DT cord-009417-458rrhcm 310 45 reaction reaction NN cord-009417-458rrhcm 310 46 and and CC cord-009417-458rrhcm 310 47 to to IN cord-009417-458rrhcm 310 48 institute institute VB cord-009417-458rrhcm 310 49 treatment treatment NN cord-009417-458rrhcm 310 50 when when WRB cord-009417-458rrhcm 310 51 necessary necessary JJ cord-009417-458rrhcm 310 52 . . . cord-009417-458rrhcm 311 1 The the DT cord-009417-458rrhcm 311 2 basic basic JJ cord-009417-458rrhcm 311 3 approach approach NN cord-009417-458rrhcm 311 4 to to IN cord-009417-458rrhcm 311 5 all all DT cord-009417-458rrhcm 311 6 acute acute JJ cord-009417-458rrhcm 311 7 reactions reaction NNS cord-009417-458rrhcm 311 8 should should MD cord-009417-458rrhcm 311 9 be be VB cord-009417-458rrhcm 311 10 to to TO cord-009417-458rrhcm 311 11 maintain maintain VB cord-009417-458rrhcm 311 12 a a DT cord-009417-458rrhcm 311 13 high high JJ cord-009417-458rrhcm 311 14 index index NN cord-009417-458rrhcm 311 15 of of IN cord-009417-458rrhcm 311 16 suspicion suspicion NN cord-009417-458rrhcm 311 17 for for IN cord-009417-458rrhcm 311 18 acute acute JJ cord-009417-458rrhcm 311 19 hemolytic hemolytic JJ cord-009417-458rrhcm 311 20 reactions reaction NNS cord-009417-458rrhcm 311 21 by by IN cord-009417-458rrhcm 311 22 stopping stop VBG cord-009417-458rrhcm 311 23 the the DT cord-009417-458rrhcm 311 24 transfusion transfusion NN cord-009417-458rrhcm 311 25 immediately immediately RB cord-009417-458rrhcm 311 26 , , , cord-009417-458rrhcm 311 27 maintaining maintain VBG cord-009417-458rrhcm 311 28 venous venous JJ cord-009417-458rrhcm 311 29 access access NN cord-009417-458rrhcm 311 30 with with IN cord-009417-458rrhcm 311 31 intravenous intravenous JJ cord-009417-458rrhcm 311 32 fl fl NNP cord-009417-458rrhcm 311 33 uids uid NNS cord-009417-458rrhcm 311 34 , , , cord-009417-458rrhcm 311 35 and and CC cord-009417-458rrhcm 311 36 informing inform VBG cord-009417-458rrhcm 311 37 the the DT cord-009417-458rrhcm 311 38 blood blood NN cord-009417-458rrhcm 311 39 bank bank NN cord-009417-458rrhcm 311 40 laboratory laboratory NN cord-009417-458rrhcm 311 41 immediately immediately RB cord-009417-458rrhcm 311 42 so so IN cord-009417-458rrhcm 311 43 that that IN cord-009417-458rrhcm 311 44 the the DT cord-009417-458rrhcm 311 45 appropriate appropriate JJ cord-009417-458rrhcm 311 46 transfusion transfusion NN cord-009417-458rrhcm 311 47 reaction reaction NN cord-009417-458rrhcm 311 48 protocol protocol NN cord-009417-458rrhcm 311 49 can can MD cord-009417-458rrhcm 311 50 be be VB cord-009417-458rrhcm 311 51 in in IN cord-009417-458rrhcm 311 52 stituted stituted JJ cord-009417-458rrhcm 311 53 and and CC cord-009417-458rrhcm 311 54 post post JJ cord-009417-458rrhcm 311 55 - - JJ cord-009417-458rrhcm 311 56 transfusion transfusion NN cord-009417-458rrhcm 311 57 specimens specimen NNS cord-009417-458rrhcm 311 58 obtained obtain VBN cord-009417-458rrhcm 311 59 . . . cord-009417-458rrhcm 312 1 Early early JJ cord-009417-458rrhcm 312 2 recognition recognition NN cord-009417-458rrhcm 312 3 of of IN cord-009417-458rrhcm 312 4 severe severe JJ cord-009417-458rrhcm 312 5 transfusion transfusion NN cord-009417-458rrhcm 312 6 reactions reaction NNS cord-009417-458rrhcm 312 7 may may MD cord-009417-458rrhcm 312 8 be be VB cord-009417-458rrhcm 312 9 lifesaving lifesave VBG cord-009417-458rrhcm 312 10 . . . cord-009417-458rrhcm 313 1 The the DT cord-009417-458rrhcm 313 2 most most RBS cord-009417-458rrhcm 313 3 feared fear VBN cord-009417-458rrhcm 313 4 reaction reaction NN cord-009417-458rrhcm 313 5 to to IN cord-009417-458rrhcm 313 6 blood blood NN cord-009417-458rrhcm 313 7 transfusion transfusion NN cord-009417-458rrhcm 313 8 is be VBZ cord-009417-458rrhcm 313 9 intravascular intravascular JJ cord-009417-458rrhcm 313 10 hemolysis hemolysis NN cord-009417-458rrhcm 313 11 , , , cord-009417-458rrhcm 313 12 caused cause VBN cord-009417-458rrhcm 313 13 by by IN cord-009417-458rrhcm 313 14 the the DT cord-009417-458rrhcm 313 15 recipient recipient NN cord-009417-458rrhcm 313 16 's 's POS cord-009417-458rrhcm 313 17 complementfi complementfi NNP cord-009417-458rrhcm 313 18 xing xing NNP cord-009417-458rrhcm 313 19 antibodies antibody NNS cord-009417-458rrhcm 313 20 attaching attach VBG cord-009417-458rrhcm 313 21 to to IN cord-009417-458rrhcm 313 22 donor donor NN cord-009417-458rrhcm 313 23 RBCs rbc NNS cord-009417-458rrhcm 313 24 with with IN cord-009417-458rrhcm 313 25 resultant resultant JJ cord-009417-458rrhcm 313 26 RBC RBC NNP cord-009417-458rrhcm 313 27 lysis lysis NN cord-009417-458rrhcm 313 28 . . . cord-009417-458rrhcm 314 1 ABO ABO NNP cord-009417-458rrhcm 314 2 incompatibility incompatibility NN cord-009417-458rrhcm 314 3 is be VBZ cord-009417-458rrhcm 314 4 most most RBS cord-009417-458rrhcm 314 5 often often RB cord-009417-458rrhcm 314 6 implicated implicate VBN cord-009417-458rrhcm 314 7 in in IN cord-009417-458rrhcm 314 8 these these DT cord-009417-458rrhcm 314 9 incidents incident NNS cord-009417-458rrhcm 314 10 . . . cord-009417-458rrhcm 315 1 Intravascular Intravascular NNP cord-009417-458rrhcm 315 2 hemolysis hemolysis NN cord-009417-458rrhcm 315 3 is be VBZ cord-009417-458rrhcm 315 4 still still RB cord-009417-458rrhcm 315 5 the the DT cord-009417-458rrhcm 315 6 single single JJ cord-009417-458rrhcm 315 7 most most RBS cord-009417-458rrhcm 315 8 common common JJ cord-009417-458rrhcm 315 9 acute acute JJ cord-009417-458rrhcm 315 10 cause cause NN cord-009417-458rrhcm 315 11 of of IN cord-009417-458rrhcm 315 12 fatalities fatality NNS cord-009417-458rrhcm 315 13 associated associate VBN cord-009417-458rrhcm 315 14 with with IN cord-009417-458rrhcm 315 15 the the DT cord-009417-458rrhcm 315 16 transfusion transfusion NN cord-009417-458rrhcm 315 17 episode episode NN cord-009417-458rrhcm 315 18 . . . cord-009417-458rrhcm 316 1 68 68 CD cord-009417-458rrhcm 317 1 In in IN cord-009417-458rrhcm 317 2 addition addition NN cord-009417-458rrhcm 317 3 to to IN cord-009417-458rrhcm 317 4 hemolysis hemolysis NN cord-009417-458rrhcm 317 5 , , , cord-009417-458rrhcm 317 6 complement complement NN cord-009417-458rrhcm 317 7 activation activation NN cord-009417-458rrhcm 317 8 stimulates stimulate VBZ cord-009417-458rrhcm 317 9 the the DT cord-009417-458rrhcm 317 10 release release NN cord-009417-458rrhcm 317 11 of of IN cord-009417-458rrhcm 317 12 infl infl NNP cord-009417-458rrhcm 317 13 ammatory ammatory NNP cord-009417-458rrhcm 317 14 mediators mediator NNS cord-009417-458rrhcm 317 15 and and CC cord-009417-458rrhcm 317 16 cytokines cytokine NNS cord-009417-458rrhcm 317 17 and and CC cord-009417-458rrhcm 317 18 thereby thereby RB cord-009417-458rrhcm 317 19 leads lead VBZ cord-009417-458rrhcm 317 20 to to IN cord-009417-458rrhcm 317 21 hypotension hypotension NN cord-009417-458rrhcm 317 22 and and CC cord-009417-458rrhcm 317 23 vascular vascular JJ cord-009417-458rrhcm 317 24 collapse collapse NN cord-009417-458rrhcm 317 25 . . . cord-009417-458rrhcm 318 1 Activation activation NN cord-009417-458rrhcm 318 2 of of IN cord-009417-458rrhcm 318 3 the the DT cord-009417-458rrhcm 318 4 coagulation coagulation NN cord-009417-458rrhcm 318 5 system system NN cord-009417-458rrhcm 318 6 may may MD cord-009417-458rrhcm 318 7 result result VB cord-009417-458rrhcm 318 8 in in IN cord-009417-458rrhcm 318 9 DIC DIC NNP cord-009417-458rrhcm 318 10 . . . cord-009417-458rrhcm 319 1 Acute acute JJ cord-009417-458rrhcm 319 2 renal renal JJ cord-009417-458rrhcm 319 3 failure failure NN cord-009417-458rrhcm 319 4 may may MD cord-009417-458rrhcm 319 5 also also RB cord-009417-458rrhcm 319 6 occur occur VB cord-009417-458rrhcm 319 7 , , , cord-009417-458rrhcm 319 8 presumably presumably RB cord-009417-458rrhcm 319 9 on on IN cord-009417-458rrhcm 319 10 the the DT cord-009417-458rrhcm 319 11 basis basis NN cord-009417-458rrhcm 319 12 of of IN cord-009417-458rrhcm 319 13 immune immune JJ cord-009417-458rrhcm 319 14 complex complex JJ cord-009417-458rrhcm 319 15 interactions interaction NNS cord-009417-458rrhcm 319 16 . . . cord-009417-458rrhcm 320 1 Morbidity morbidity NN cord-009417-458rrhcm 320 2 and and CC cord-009417-458rrhcm 320 3 mortality mortality NN cord-009417-458rrhcm 320 4 are be VBP cord-009417-458rrhcm 320 5 directly directly RB cord-009417-458rrhcm 320 6 related relate VBN cord-009417-458rrhcm 320 7 to to IN cord-009417-458rrhcm 320 8 the the DT cord-009417-458rrhcm 320 9 quantity quantity NN cord-009417-458rrhcm 320 10 of of IN cord-009417-458rrhcm 320 11 incompatible incompatible JJ cord-009417-458rrhcm 320 12 blood blood NN cord-009417-458rrhcm 320 13 transfused transfuse VBN cord-009417-458rrhcm 320 14 , , , cord-009417-458rrhcm 320 15 which which WDT cord-009417-458rrhcm 320 16 is be VBZ cord-009417-458rrhcm 320 17 why why WRB cord-009417-458rrhcm 320 18 prompt prompt JJ cord-009417-458rrhcm 320 19 recognition recognition NN cord-009417-458rrhcm 320 20 and and CC cord-009417-458rrhcm 320 21 cessation cessation NN cord-009417-458rrhcm 320 22 of of IN cord-009417-458rrhcm 320 23 transfusion transfusion NN cord-009417-458rrhcm 320 24 can can MD cord-009417-458rrhcm 320 25 not not RB cord-009417-458rrhcm 320 26 be be VB cord-009417-458rrhcm 320 27 overemphasized overemphasize VBN cord-009417-458rrhcm 320 28 . . . cord-009417-458rrhcm 321 1 Misidentifi Misidentifi NNP cord-009417-458rrhcm 321 2 cation cation NN cord-009417-458rrhcm 321 3 of of IN cord-009417-458rrhcm 321 4 the the DT cord-009417-458rrhcm 321 5 patient patient NN cord-009417-458rrhcm 321 6 , , , cord-009417-458rrhcm 321 7 or or CC cord-009417-458rrhcm 321 8 " " `` cord-009417-458rrhcm 321 9 clerical clerical JJ cord-009417-458rrhcm 321 10 error error NN cord-009417-458rrhcm 321 11 , , , cord-009417-458rrhcm 321 12 " " '' cord-009417-458rrhcm 321 13 at at IN cord-009417-458rrhcm 321 14 any any DT cord-009417-458rrhcm 321 15 time time NN cord-009417-458rrhcm 321 16 beginning begin VBG cord-009417-458rrhcm 321 17 with with IN cord-009417-458rrhcm 321 18 the the DT cord-009417-458rrhcm 321 19 process process NN cord-009417-458rrhcm 321 20 of of IN cord-009417-458rrhcm 321 21 specimen specimen JJ cord-009417-458rrhcm 321 22 acquisition acquisition NN cord-009417-458rrhcm 321 23 through through IN cord-009417-458rrhcm 321 24 release release NN cord-009417-458rrhcm 321 25 of of IN cord-009417-458rrhcm 321 26 the the DT cord-009417-458rrhcm 321 27 unit unit NN cord-009417-458rrhcm 321 28 and and CC cord-009417-458rrhcm 321 29 initiation initiation NN cord-009417-458rrhcm 321 30 of of IN cord-009417-458rrhcm 321 31 infusion infusion NN cord-009417-458rrhcm 321 32 is be VBZ cord-009417-458rrhcm 321 33 the the DT cord-009417-458rrhcm 321 34 major major JJ cord-009417-458rrhcm 321 35 cause cause NN cord-009417-458rrhcm 321 36 of of IN cord-009417-458rrhcm 321 37 acute acute JJ cord-009417-458rrhcm 321 38 intravascular intravascular JJ cord-009417-458rrhcm 321 39 hemolysis hemolysis NN cord-009417-458rrhcm 321 40 . . . cord-009417-458rrhcm 322 1 69 69 CD cord-009417-458rrhcm 322 2 , , , cord-009417-458rrhcm 322 3 70 70 CD cord-009417-458rrhcm 323 1 This this DT cord-009417-458rrhcm 323 2 reaction reaction NN cord-009417-458rrhcm 323 3 is be VBZ cord-009417-458rrhcm 323 4 more more RBR cord-009417-458rrhcm 323 5 likely likely JJ cord-009417-458rrhcm 323 6 to to TO cord-009417-458rrhcm 323 7 occur occur VB cord-009417-458rrhcm 323 8 in in IN cord-009417-458rrhcm 323 9 critical critical JJ cord-009417-458rrhcm 323 10 care care NN cord-009417-458rrhcm 323 11 settings setting NNS cord-009417-458rrhcm 323 12 , , , cord-009417-458rrhcm 323 13 such such JJ cord-009417-458rrhcm 323 14 as as IN cord-009417-458rrhcm 323 15 the the DT cord-009417-458rrhcm 323 16 ICU ICU NNP cord-009417-458rrhcm 323 17 , , , cord-009417-458rrhcm 323 18 operating operating NN cord-009417-458rrhcm 323 19 room room NN cord-009417-458rrhcm 323 20 , , , cord-009417-458rrhcm 323 21 and and CC cord-009417-458rrhcm 323 22 emergency emergency NN cord-009417-458rrhcm 323 23 department department NN cord-009417-458rrhcm 323 24 , , , cord-009417-458rrhcm 323 25 than than IN cord-009417-458rrhcm 323 26 anywhere anywhere RB cord-009417-458rrhcm 323 27 else else RB cord-009417-458rrhcm 323 28 in in IN cord-009417-458rrhcm 323 29 the the DT cord-009417-458rrhcm 323 30 hospital hospital NN cord-009417-458rrhcm 323 31 . . . cord-009417-458rrhcm 324 1 It -PRON- PRP cord-009417-458rrhcm 324 2 is be VBZ cord-009417-458rrhcm 324 3 far far RB cord-009417-458rrhcm 324 4 preferable preferable JJ cord-009417-458rrhcm 324 5 to to TO cord-009417-458rrhcm 324 6 transfuse transfuse VB cord-009417-458rrhcm 324 7 uncrossmatched uncrossmatched JJ cord-009417-458rrhcm 324 8 group group NN cord-009417-458rrhcm 324 9 O o NN cord-009417-458rrhcm 324 10 red red JJ cord-009417-458rrhcm 324 11 cells cell NNS cord-009417-458rrhcm 324 12 than than IN cord-009417-458rrhcm 324 13 to to TO cord-009417-458rrhcm 324 14 chance chance VB cord-009417-458rrhcm 324 15 ABO ABO NNP cord-009417-458rrhcm 324 16 incompatibility incompatibility NN cord-009417-458rrhcm 324 17 caused cause VBN cord-009417-458rrhcm 324 18 by by IN cord-009417-458rrhcm 324 19 improper improper JJ cord-009417-458rrhcm 324 20 patient patient NN cord-009417-458rrhcm 324 21 and and CC cord-009417-458rrhcm 324 22 specimen specimen JJ cord-009417-458rrhcm 324 23 identifi identifi NNP cord-009417-458rrhcm 324 24 cation cation NN cord-009417-458rrhcm 324 25 procedures procedure NNS cord-009417-458rrhcm 324 26 . . . cord-009417-458rrhcm 325 1 The the DT cord-009417-458rrhcm 325 2 most most RBS cord-009417-458rrhcm 325 3 common common JJ cord-009417-458rrhcm 325 4 clinical clinical JJ cord-009417-458rrhcm 325 5 sign sign NN cord-009417-458rrhcm 325 6 of of IN cord-009417-458rrhcm 325 7 hemolysis hemolysis NN cord-009417-458rrhcm 325 8 is be VBZ cord-009417-458rrhcm 325 9 fever fever NN cord-009417-458rrhcm 325 10 , , , cord-009417-458rrhcm 325 11 with with IN cord-009417-458rrhcm 325 12 or or CC cord-009417-458rrhcm 325 13 without without IN cord-009417-458rrhcm 325 14 chills chill NNS cord-009417-458rrhcm 325 15 . . . cord-009417-458rrhcm 326 1 71 71 CD cord-009417-458rrhcm 326 2 Other other JJ cord-009417-458rrhcm 326 3 common common JJ cord-009417-458rrhcm 326 4 signs sign NNS cord-009417-458rrhcm 326 5 and and CC cord-009417-458rrhcm 326 6 symptoms symptom NNS cord-009417-458rrhcm 326 7 include include VBP cord-009417-458rrhcm 326 8 back back RB cord-009417-458rrhcm 326 9 or or CC cord-009417-458rrhcm 326 10 fl fl NNP cord-009417-458rrhcm 326 11 ank ank NNP cord-009417-458rrhcm 326 12 pain pain NN cord-009417-458rrhcm 326 13 , , , cord-009417-458rrhcm 326 14 anxiety anxiety NN cord-009417-458rrhcm 326 15 , , , cord-009417-458rrhcm 326 16 nausea nausea NN cord-009417-458rrhcm 326 17 , , , cord-009417-458rrhcm 326 18 lightheadedness lightheadedness NN cord-009417-458rrhcm 326 19 , , , cord-009417-458rrhcm 326 20 dyspnea dyspnea NN cord-009417-458rrhcm 326 21 , , , cord-009417-458rrhcm 326 22 and and CC cord-009417-458rrhcm 326 23 hemodynamic hemodynamic JJ cord-009417-458rrhcm 326 24 instability instability NN cord-009417-458rrhcm 326 25 . . . cord-009417-458rrhcm 327 1 In in IN cord-009417-458rrhcm 327 2 a a DT cord-009417-458rrhcm 327 3 comatose comatose JJ cord-009417-458rrhcm 327 4 or or CC cord-009417-458rrhcm 327 5 anesthetized anesthetize VBN cord-009417-458rrhcm 327 6 patient patient NN cord-009417-458rrhcm 327 7 , , , cord-009417-458rrhcm 327 8 many many JJ cord-009417-458rrhcm 327 9 of of IN cord-009417-458rrhcm 327 10 these these DT cord-009417-458rrhcm 327 11 symptoms symptom NNS cord-009417-458rrhcm 327 12 will will MD cord-009417-458rrhcm 327 13 not not RB cord-009417-458rrhcm 327 14 be be VB cord-009417-458rrhcm 327 15 evident evident JJ cord-009417-458rrhcm 327 16 ; ; : cord-009417-458rrhcm 327 17 therefore therefore RB cord-009417-458rrhcm 327 18 , , , cord-009417-458rrhcm 327 19 signs sign NNS cord-009417-458rrhcm 327 20 such such JJ cord-009417-458rrhcm 327 21 as as IN cord-009417-458rrhcm 327 22 hypotension hypotension NN cord-009417-458rrhcm 327 23 , , , cord-009417-458rrhcm 327 24 hemoglobinuria hemoglobinuria NNP cord-009417-458rrhcm 327 25 , , , cord-009417-458rrhcm 327 26 and and CC cord-009417-458rrhcm 327 27 diffuse diffuse VB cord-009417-458rrhcm 327 28 oozing oozing NN cord-009417-458rrhcm 327 29 from from IN cord-009417-458rrhcm 327 30 puncture puncture NN cord-009417-458rrhcm 327 31 sites site NNS cord-009417-458rrhcm 327 32 or or CC cord-009417-458rrhcm 327 33 incisions incision NNS cord-009417-458rrhcm 327 34 may may MD cord-009417-458rrhcm 327 35 be be VB cord-009417-458rrhcm 327 36 the the DT cord-009417-458rrhcm 327 37 only only JJ cord-009417-458rrhcm 327 38 notable notable JJ cord-009417-458rrhcm 327 39 features feature NNS cord-009417-458rrhcm 327 40 . . . cord-009417-458rrhcm 328 1 Immediate immediate JJ cord-009417-458rrhcm 328 2 management management NN cord-009417-458rrhcm 328 3 of of IN cord-009417-458rrhcm 328 4 hemolytic hemolytic JJ cord-009417-458rrhcm 328 5 transfusion transfusion NN cord-009417-458rrhcm 328 6 reactions reaction NNS cord-009417-458rrhcm 328 7 must must MD cord-009417-458rrhcm 328 8 include include VB cord-009417-458rrhcm 328 9 cessation cessation NN cord-009417-458rrhcm 328 10 of of IN cord-009417-458rrhcm 328 11 the the DT cord-009417-458rrhcm 328 12 transfusion transfusion NN cord-009417-458rrhcm 328 13 ; ; : cord-009417-458rrhcm 328 14 the the DT cord-009417-458rrhcm 328 15 remainder remainder NN cord-009417-458rrhcm 328 16 of of IN cord-009417-458rrhcm 328 17 care care NN cord-009417-458rrhcm 328 18 is be VBZ cord-009417-458rrhcm 328 19 supportive supportive JJ cord-009417-458rrhcm 328 20 . . . cord-009417-458rrhcm 329 1 Rapid rapid JJ cord-009417-458rrhcm 329 2 verifi verifi NNP cord-009417-458rrhcm 329 3 cation cation NN cord-009417-458rrhcm 329 4 of of IN cord-009417-458rrhcm 329 5 patient patient NNP cord-009417-458rrhcm 329 6 and and CC cord-009417-458rrhcm 329 7 unit unit NNP cord-009417-458rrhcm 329 8 identifi identifi NNP cord-009417-458rrhcm 329 9 cation cation NNP cord-009417-458rrhcm 329 10 must must MD cord-009417-458rrhcm 329 11 be be VB cord-009417-458rrhcm 329 12 made make VBN cord-009417-458rrhcm 329 13 , , , cord-009417-458rrhcm 329 14 not not RB cord-009417-458rrhcm 329 15 only only RB cord-009417-458rrhcm 329 16 to to IN cord-009417-458rrhcm 329 17 confi confi NNP cord-009417-458rrhcm 329 18 rm rm NNP cord-009417-458rrhcm 330 1 the the DT cord-009417-458rrhcm 330 2 suspected suspect VBN cord-009417-458rrhcm 330 3 reaction reaction NN cord-009417-458rrhcm 330 4 but but CC cord-009417-458rrhcm 330 5 also also RB cord-009417-458rrhcm 331 1 to to TO cord-009417-458rrhcm 331 2 prevent prevent VB cord-009417-458rrhcm 331 3 a a DT cord-009417-458rrhcm 331 4 second second JJ cord-009417-458rrhcm 331 5 patient patient NN cord-009417-458rrhcm 331 6 from from IN cord-009417-458rrhcm 331 7 receiving receive VBG cord-009417-458rrhcm 331 8 a a DT cord-009417-458rrhcm 331 9 reciprocally reciprocally RB cord-009417-458rrhcm 331 10 incompatible incompatible JJ cord-009417-458rrhcm 331 11 unit unit NN cord-009417-458rrhcm 331 12 if if IN cord-009417-458rrhcm 331 13 a a DT cord-009417-458rrhcm 331 14 clerical clerical JJ cord-009417-458rrhcm 331 15 error error NN cord-009417-458rrhcm 331 16 has have VBZ cord-009417-458rrhcm 331 17 been be VBN cord-009417-458rrhcm 331 18 made make VBN cord-009417-458rrhcm 331 19 . . . cord-009417-458rrhcm 332 1 Desired desire VBN cord-009417-458rrhcm 332 2 end end NN cord-009417-458rrhcm 332 3 points point NNS cord-009417-458rrhcm 332 4 of of IN cord-009417-458rrhcm 332 5 supportive supportive JJ cord-009417-458rrhcm 332 6 care care NN cord-009417-458rrhcm 332 7 include include VBP cord-009417-458rrhcm 332 8 maintenance maintenance NN cord-009417-458rrhcm 332 9 of of IN cord-009417-458rrhcm 332 10 blood blood NN cord-009417-458rrhcm 332 11 pressure pressure NN cord-009417-458rrhcm 332 12 , , , cord-009417-458rrhcm 332 13 high high JJ cord-009417-458rrhcm 332 14 urine urine NN cord-009417-458rrhcm 332 15 output output NN cord-009417-458rrhcm 332 16 , , , cord-009417-458rrhcm 332 17 and and CC cord-009417-458rrhcm 332 18 support support NN cord-009417-458rrhcm 332 19 of of IN cord-009417-458rrhcm 332 20 coagulopathy coagulopathy NN cord-009417-458rrhcm 332 21 or or CC cord-009417-458rrhcm 332 22 further further JJ cord-009417-458rrhcm 332 23 blood blood NN cord-009417-458rrhcm 332 24 loss loss NN cord-009417-458rrhcm 332 25 . . . cord-009417-458rrhcm 333 1 Steroids steroid NNS cord-009417-458rrhcm 333 2 , , , cord-009417-458rrhcm 333 3 heparin heparin NN cord-009417-458rrhcm 333 4 , , , cord-009417-458rrhcm 333 5 or or CC cord-009417-458rrhcm 333 6 other other JJ cord-009417-458rrhcm 333 7 specifi specifi NN cord-009417-458rrhcm 333 8 c c NN cord-009417-458rrhcm 333 9 pharmacologic pharmacologic JJ cord-009417-458rrhcm 333 10 interventions intervention NNS cord-009417-458rrhcm 333 11 have have VBP cord-009417-458rrhcm 333 12 no no DT cord-009417-458rrhcm 333 13 role role NN cord-009417-458rrhcm 333 14 in in IN cord-009417-458rrhcm 333 15 treatment treatment NN cord-009417-458rrhcm 333 16 . . . cord-009417-458rrhcm 334 1 Anaphylactic anaphylactic JJ cord-009417-458rrhcm 334 2 reactions reaction NNS cord-009417-458rrhcm 334 3 to to IN cord-009417-458rrhcm 334 4 blood blood NN cord-009417-458rrhcm 334 5 transfusions transfusion NNS cord-009417-458rrhcm 334 6 are be VBP cord-009417-458rrhcm 334 7 fortunately fortunately RB cord-009417-458rrhcm 334 8 rare rare JJ cord-009417-458rrhcm 334 9 but but CC cord-009417-458rrhcm 334 10 may may MD cord-009417-458rrhcm 334 11 be be VB cord-009417-458rrhcm 334 12 life life NN cord-009417-458rrhcm 334 13 - - HYPH cord-009417-458rrhcm 334 14 threatening threaten VBG cord-009417-458rrhcm 334 15 . . . cord-009417-458rrhcm 335 1 The the DT cord-009417-458rrhcm 335 2 usual usual JJ cord-009417-458rrhcm 335 3 cause cause NN cord-009417-458rrhcm 335 4 is be VBZ cord-009417-458rrhcm 335 5 recipient recipient NN cord-009417-458rrhcm 335 6 antibody antibody NN cord-009417-458rrhcm 335 7 to to IN cord-009417-458rrhcm 335 8 a a DT cord-009417-458rrhcm 335 9 component component NN cord-009417-458rrhcm 335 10 of of IN cord-009417-458rrhcm 335 11 plasma plasma NN cord-009417-458rrhcm 335 12 that that IN cord-009417-458rrhcm 335 13 the the DT cord-009417-458rrhcm 335 14 patient patient NN cord-009417-458rrhcm 335 15 lacks lack VBZ cord-009417-458rrhcm 335 16 , , , cord-009417-458rrhcm 335 17 most most RBS cord-009417-458rrhcm 335 18 commonly commonly RB cord-009417-458rrhcm 335 19 antibody antibody NN cord-009417-458rrhcm 335 20 to to IN cord-009417-458rrhcm 335 21 IgA IgA NNP cord-009417-458rrhcm 335 22 in in IN cord-009417-458rrhcm 335 23 IgAdefi IgAdefi NNP cord-009417-458rrhcm 335 24 cient cient NN cord-009417-458rrhcm 335 25 individuals individual NNS cord-009417-458rrhcm 335 26 . . . cord-009417-458rrhcm 336 1 72 72 CD cord-009417-458rrhcm 336 2 Signs sign NNS cord-009417-458rrhcm 336 3 and and CC cord-009417-458rrhcm 336 4 symptoms symptom NNS cord-009417-458rrhcm 336 5 include include VBP cord-009417-458rrhcm 336 6 severe severe JJ cord-009417-458rrhcm 336 7 malaise malaise NN cord-009417-458rrhcm 336 8 and and CC cord-009417-458rrhcm 336 9 anxiety anxiety NN cord-009417-458rrhcm 336 10 , , , cord-009417-458rrhcm 336 11 fl fl NNP cord-009417-458rrhcm 336 12 ushing ushing NN cord-009417-458rrhcm 336 13 , , , cord-009417-458rrhcm 336 14 dizziness dizziness NN cord-009417-458rrhcm 336 15 , , , cord-009417-458rrhcm 336 16 dyspnea dyspnea NN cord-009417-458rrhcm 336 17 , , , cord-009417-458rrhcm 336 18 bronchospasm bronchospasm NN cord-009417-458rrhcm 336 19 , , , cord-009417-458rrhcm 336 20 abdominal abdominal JJ cord-009417-458rrhcm 336 21 pain pain NN cord-009417-458rrhcm 336 22 , , , cord-009417-458rrhcm 336 23 vomiting vomiting NN cord-009417-458rrhcm 336 24 , , , cord-009417-458rrhcm 336 25 diarrhea diarrhea NN cord-009417-458rrhcm 336 26 , , , cord-009417-458rrhcm 336 27 hypotension hypotension NN cord-009417-458rrhcm 336 28 , , , cord-009417-458rrhcm 336 29 and and CC cord-009417-458rrhcm 336 30 eventually eventually RB cord-009417-458rrhcm 336 31 shock shock VB cord-009417-458rrhcm 336 32 . . . cord-009417-458rrhcm 337 1 Fever fever NN cord-009417-458rrhcm 337 2 and and CC cord-009417-458rrhcm 337 3 hemolysis hemolysis NN cord-009417-458rrhcm 337 4 do do VBP cord-009417-458rrhcm 337 5 not not RB cord-009417-458rrhcm 337 6 occur occur VB cord-009417-458rrhcm 337 7 . . . cord-009417-458rrhcm 338 1 Management management NN cord-009417-458rrhcm 338 2 includes include VBZ cord-009417-458rrhcm 338 3 immediate immediate JJ cord-009417-458rrhcm 338 4 cessation cessation NN cord-009417-458rrhcm 338 5 of of IN cord-009417-458rrhcm 338 6 transfusion transfusion NN cord-009417-458rrhcm 338 7 and and CC cord-009417-458rrhcm 338 8 standard standard JJ cord-009417-458rrhcm 338 9 therapy therapy NN cord-009417-458rrhcm 338 10 for for IN cord-009417-458rrhcm 338 11 anaphylaxis anaphylaxis NN cord-009417-458rrhcm 338 12 . . . cord-009417-458rrhcm 339 1 If if IN cord-009417-458rrhcm 339 2 anti anti JJ cord-009417-458rrhcm 339 3 - - JJ cord-009417-458rrhcm 339 4 IgA iga JJ cord-009417-458rrhcm 339 5 antibodies antibody NNS cord-009417-458rrhcm 339 6 are be VBP cord-009417-458rrhcm 339 7 determined determined JJ cord-009417-458rrhcm 339 8 to to TO cord-009417-458rrhcm 339 9 be be VB cord-009417-458rrhcm 339 10 the the DT cord-009417-458rrhcm 339 11 cause cause NN cord-009417-458rrhcm 339 12 of of IN cord-009417-458rrhcm 339 13 this this DT cord-009417-458rrhcm 339 14 reaction reaction NN cord-009417-458rrhcm 339 15 , , , cord-009417-458rrhcm 339 16 the the DT cord-009417-458rrhcm 339 17 patient patient NN cord-009417-458rrhcm 339 18 must must MD cord-009417-458rrhcm 339 19 receive receive VB cord-009417-458rrhcm 339 20 blood blood NN cord-009417-458rrhcm 339 21 components component NNS cord-009417-458rrhcm 339 22 donated donate VBN cord-009417-458rrhcm 339 23 by by IN cord-009417-458rrhcm 339 24 IgA IgA NNP cord-009417-458rrhcm 339 25 - - HYPH cord-009417-458rrhcm 339 26 defi defi NNP cord-009417-458rrhcm 339 27 cient cient NNP cord-009417-458rrhcm 339 28 individuals individual NNS cord-009417-458rrhcm 339 29 or or CC cord-009417-458rrhcm 339 30 , , , cord-009417-458rrhcm 339 31 if if IN cord-009417-458rrhcm 339 32 unavailable unavailable JJ cord-009417-458rrhcm 339 33 , , , cord-009417-458rrhcm 339 34 specially specially RB cord-009417-458rrhcm 339 35 prepared prepared JJ cord-009417-458rrhcm 339 36 washed wash VBN cord-009417-458rrhcm 339 37 RBCs rbc NNS cord-009417-458rrhcm 339 38 and and CC cord-009417-458rrhcm 339 39 platelet platelet NN cord-009417-458rrhcm 339 40 concentrates concentrate VBZ cord-009417-458rrhcm 339 41 . . . cord-009417-458rrhcm 340 1 Plasmaderived plasmaderived JJ cord-009417-458rrhcm 340 2 preparations preparation NNS cord-009417-458rrhcm 340 3 , , , cord-009417-458rrhcm 340 4 such such JJ cord-009417-458rrhcm 340 5 as as IN cord-009417-458rrhcm 340 6 albumin albumin NN cord-009417-458rrhcm 340 7 , , , cord-009417-458rrhcm 340 8 and and CC cord-009417-458rrhcm 340 9 IG IG NNP cord-009417-458rrhcm 340 10 contain contain VBP cord-009417-458rrhcm 340 11 varying vary VBG cord-009417-458rrhcm 340 12 amounts amount NNS cord-009417-458rrhcm 340 13 of of IN cord-009417-458rrhcm 340 14 IgA IgA NNP cord-009417-458rrhcm 340 15 and and CC cord-009417-458rrhcm 340 16 pose pose VBP cord-009417-458rrhcm 340 17 a a DT cord-009417-458rrhcm 340 18 substantial substantial JJ cord-009417-458rrhcm 340 19 risk risk NN cord-009417-458rrhcm 340 20 in in IN cord-009417-458rrhcm 340 21 these these DT cord-009417-458rrhcm 340 22 patients patient NNS cord-009417-458rrhcm 340 23 . . . cord-009417-458rrhcm 341 1 Febrile febrile JJ cord-009417-458rrhcm 341 2 nonhemolytic nonhemolytic JJ cord-009417-458rrhcm 341 3 reactions reaction NNS cord-009417-458rrhcm 341 4 ( ( -LRB- cord-009417-458rrhcm 341 5 FNHRs fnhr NNS cord-009417-458rrhcm 341 6 ) ) -RRB- cord-009417-458rrhcm 341 7 are be VBP cord-009417-458rrhcm 341 8 the the DT cord-009417-458rrhcm 341 9 most most RBS cord-009417-458rrhcm 341 10 commonly commonly RB cord-009417-458rrhcm 341 11 occurring occur VBG cord-009417-458rrhcm 341 12 immediate immediate JJ cord-009417-458rrhcm 341 13 transfusion transfusion NN cord-009417-458rrhcm 341 14 reaction reaction NN cord-009417-458rrhcm 341 15 . . . cord-009417-458rrhcm 342 1 These these DT cord-009417-458rrhcm 342 2 reactions reaction NNS cord-009417-458rrhcm 342 3 are be VBP cord-009417-458rrhcm 342 4 annoying annoying JJ cord-009417-458rrhcm 342 5 to to IN cord-009417-458rrhcm 342 6 the the DT cord-009417-458rrhcm 342 7 clinician clinician NN cord-009417-458rrhcm 342 8 , , , cord-009417-458rrhcm 342 9 patient patient JJ cord-009417-458rrhcm 342 10 , , , cord-009417-458rrhcm 342 11 and and CC cord-009417-458rrhcm 342 12 transfusion transfusion NN cord-009417-458rrhcm 342 13 service service NN cord-009417-458rrhcm 342 14 alike alike RB cord-009417-458rrhcm 342 15 in in IN cord-009417-458rrhcm 342 16 that that IN cord-009417-458rrhcm 342 17 they -PRON- PRP cord-009417-458rrhcm 342 18 can can MD cord-009417-458rrhcm 342 19 cause cause VB cord-009417-458rrhcm 342 20 signifi signifi NNP cord-009417-458rrhcm 342 21 ca can MD cord-009417-458rrhcm 342 22 nt not RB cord-009417-458rrhcm 342 23 discomfort discomfort VB cord-009417-458rrhcm 342 24 and and CC cord-009417-458rrhcm 342 25 , , , cord-009417-458rrhcm 342 26 because because IN cord-009417-458rrhcm 342 27 they -PRON- PRP cord-009417-458rrhcm 342 28 share share VBP cord-009417-458rrhcm 342 29 certain certain JJ cord-009417-458rrhcm 342 30 manifestations manifestation NNS cord-009417-458rrhcm 342 31 with with IN cord-009417-458rrhcm 342 32 acute acute JJ cord-009417-458rrhcm 342 33 hemolytic hemolytic JJ cord-009417-458rrhcm 342 34 reactions reaction NNS cord-009417-458rrhcm 342 35 , , , cord-009417-458rrhcm 342 36 must must MD cord-009417-458rrhcm 342 37 be be VB cord-009417-458rrhcm 342 38 investigated investigate VBN cord-009417-458rrhcm 342 39 in in IN cord-009417-458rrhcm 342 40 every every DT cord-009417-458rrhcm 342 41 instance instance NN cord-009417-458rrhcm 342 42 . . . cord-009417-458rrhcm 343 1 FNHRs fnhr NNS cord-009417-458rrhcm 343 2 occur occur VBP cord-009417-458rrhcm 343 3 in in IN cord-009417-458rrhcm 343 4 approximately approximately RB cord-009417-458rrhcm 343 5 0.5 0.5 CD cord-009417-458rrhcm 343 6 % % NN cord-009417-458rrhcm 343 7 to to IN cord-009417-458rrhcm 343 8 1.0 1.0 CD cord-009417-458rrhcm 343 9 % % NN cord-009417-458rrhcm 343 10 of of IN cord-009417-458rrhcm 343 11 transfusion transfusion NN cord-009417-458rrhcm 343 12 episodes episode NNS cord-009417-458rrhcm 343 13 . . . cord-009417-458rrhcm 344 1 73 73 CD cord-009417-458rrhcm 345 1 The the DT cord-009417-458rrhcm 345 2 etiologic etiologic JJ cord-009417-458rrhcm 345 3 factors factor NNS cord-009417-458rrhcm 345 4 are be VBP cord-009417-458rrhcm 345 5 probably probably RB cord-009417-458rrhcm 345 6 complex complex JJ cord-009417-458rrhcm 345 7 and and CC cord-009417-458rrhcm 345 8 multiple multiple JJ cord-009417-458rrhcm 345 9 , , , cord-009417-458rrhcm 345 10 but but CC cord-009417-458rrhcm 345 11 many many JJ cord-009417-458rrhcm 345 12 reactions reaction NNS cord-009417-458rrhcm 345 13 are be VBP cord-009417-458rrhcm 345 14 caused cause VBN cord-009417-458rrhcm 345 15 by by IN cord-009417-458rrhcm 345 16 the the DT cord-009417-458rrhcm 345 17 release release NN cord-009417-458rrhcm 345 18 of of IN cord-009417-458rrhcm 345 19 cytokines cytokine NNS cord-009417-458rrhcm 345 20 and and CC cord-009417-458rrhcm 345 21 pyrogens pyrogen NNS cord-009417-458rrhcm 345 22 , , , cord-009417-458rrhcm 345 23 either either CC cord-009417-458rrhcm 345 24 within within IN cord-009417-458rrhcm 345 25 the the DT cord-009417-458rrhcm 345 26 transfused transfuse VBN cord-009417-458rrhcm 345 27 unit unit NN cord-009417-458rrhcm 345 28 of of IN cord-009417-458rrhcm 345 29 blood blood NN cord-009417-458rrhcm 345 30 or or CC cord-009417-458rrhcm 345 31 as as IN cord-009417-458rrhcm 345 32 a a DT cord-009417-458rrhcm 345 33 result result NN cord-009417-458rrhcm 345 34 of of IN cord-009417-458rrhcm 345 35 recipient recipient NN cord-009417-458rrhcm 345 36 antibodies antibody NNS cord-009417-458rrhcm 345 37 to to IN cord-009417-458rrhcm 345 38 donor donor NN cord-009417-458rrhcm 345 39 leukocytes leukocyte NNS cord-009417-458rrhcm 345 40 . . . cord-009417-458rrhcm 346 1 Clinical clinical JJ cord-009417-458rrhcm 346 2 signs sign NNS cord-009417-458rrhcm 346 3 include include VBP cord-009417-458rrhcm 346 4 fever fever NN cord-009417-458rrhcm 346 5 , , , cord-009417-458rrhcm 346 6 with with IN cord-009417-458rrhcm 346 7 or or CC cord-009417-458rrhcm 346 8 without without IN cord-009417-458rrhcm 346 9 chills chill NNS cord-009417-458rrhcm 346 10 , , , cord-009417-458rrhcm 346 11 usually usually RB cord-009417-458rrhcm 346 12 beginning begin VBG cord-009417-458rrhcm 346 13 1 1 CD cord-009417-458rrhcm 346 14 to to IN cord-009417-458rrhcm 346 15 2 2 CD cord-009417-458rrhcm 346 16 hours hour NNS cord-009417-458rrhcm 346 17 after after IN cord-009417-458rrhcm 346 18 the the DT cord-009417-458rrhcm 346 19 start start NN cord-009417-458rrhcm 346 20 of of IN cord-009417-458rrhcm 346 21 the the DT cord-009417-458rrhcm 346 22 transfusion transfusion NN cord-009417-458rrhcm 346 23 but but CC cord-009417-458rrhcm 346 24 occasionally occasionally RB cord-009417-458rrhcm 346 25 delayed delay VBD cord-009417-458rrhcm 346 26 up up RP cord-009417-458rrhcm 346 27 to to IN cord-009417-458rrhcm 346 28 4 4 CD cord-009417-458rrhcm 346 29 to to TO cord-009417-458rrhcm 346 30 6 6 CD cord-009417-458rrhcm 346 31 hours hour NNS cord-009417-458rrhcm 346 32 . . . cord-009417-458rrhcm 347 1 Multiparous multiparous JJ cord-009417-458rrhcm 347 2 women woman NNS cord-009417-458rrhcm 347 3 and and CC cord-009417-458rrhcm 347 4 patients patient NNS cord-009417-458rrhcm 347 5 who who WP cord-009417-458rrhcm 347 6 are be VBP cord-009417-458rrhcm 347 7 multiply multiply RB cord-009417-458rrhcm 347 8 transfused transfuse VBN cord-009417-458rrhcm 347 9 are be VBP cord-009417-458rrhcm 347 10 particularly particularly RB cord-009417-458rrhcm 347 11 prone prone JJ cord-009417-458rrhcm 347 12 to to IN cord-009417-458rrhcm 347 13 FNHRs fnhr NNS cord-009417-458rrhcm 347 14 . . . cord-009417-458rrhcm 348 1 The the DT cord-009417-458rrhcm 348 2 transfusion transfusion NN cord-009417-458rrhcm 348 3 must must MD cord-009417-458rrhcm 348 4 be be VB cord-009417-458rrhcm 348 5 stopped stop VBN cord-009417-458rrhcm 348 6 and and CC cord-009417-458rrhcm 348 7 the the DT cord-009417-458rrhcm 348 8 appropriate appropriate JJ cord-009417-458rrhcm 348 9 transfusion transfusion NN cord-009417-458rrhcm 348 10 reaction reaction NN cord-009417-458rrhcm 348 11 evaluation evaluation NN cord-009417-458rrhcm 348 12 instituted institute VBN cord-009417-458rrhcm 348 13 . . . cord-009417-458rrhcm 349 1 Antipyretics antipyretic NNS cord-009417-458rrhcm 349 2 such such JJ cord-009417-458rrhcm 349 3 as as IN cord-009417-458rrhcm 349 4 acetaminophen acetaminophen NN cord-009417-458rrhcm 349 5 may may MD cord-009417-458rrhcm 349 6 be be VB cord-009417-458rrhcm 349 7 administered administer VBN cord-009417-458rrhcm 349 8 . . . cord-009417-458rrhcm 350 1 Though though IN cord-009417-458rrhcm 350 2 commonly commonly RB cord-009417-458rrhcm 350 3 used use VBN cord-009417-458rrhcm 350 4 , , , cord-009417-458rrhcm 350 5 antihistamines antihistamine NNS cord-009417-458rrhcm 350 6 such such JJ cord-009417-458rrhcm 350 7 as as IN cord-009417-458rrhcm 350 8 diphenhydramine diphenhydramine NN cord-009417-458rrhcm 350 9 are be VBP cord-009417-458rrhcm 350 10 neither neither CC cord-009417-458rrhcm 350 11 preventive preventive JJ cord-009417-458rrhcm 350 12 nor nor CC cord-009417-458rrhcm 350 13 therapeutic therapeutic JJ cord-009417-458rrhcm 350 14 . . . cord-009417-458rrhcm 351 1 Once once IN cord-009417-458rrhcm 351 2 acute acute JJ cord-009417-458rrhcm 351 3 hemolysis hemolysis NN cord-009417-458rrhcm 351 4 is be VBZ cord-009417-458rrhcm 351 5 excluded exclude VBN cord-009417-458rrhcm 351 6 , , , cord-009417-458rrhcm 351 7 transfusion transfusion NN cord-009417-458rrhcm 351 8 of of IN cord-009417-458rrhcm 351 9 a a DT cord-009417-458rrhcm 351 10 new new JJ cord-009417-458rrhcm 351 11 unit unit NN cord-009417-458rrhcm 351 12 may may MD cord-009417-458rrhcm 351 13 be be VB cord-009417-458rrhcm 351 14 instituted institute VBN cord-009417-458rrhcm 351 15 . . . cord-009417-458rrhcm 352 1 Most Most JJS cord-009417-458rrhcm 352 2 patients patient NNS cord-009417-458rrhcm 352 3 will will MD cord-009417-458rrhcm 352 4 not not RB cord-009417-458rrhcm 352 5 experience experience VB cord-009417-458rrhcm 352 6 a a DT cord-009417-458rrhcm 352 7 second second JJ cord-009417-458rrhcm 352 8 such such JJ cord-009417-458rrhcm 352 9 reaction reaction NN cord-009417-458rrhcm 352 10 . . . cord-009417-458rrhcm 353 1 73 73 CD cord-009417-458rrhcm 354 1 If if IN cord-009417-458rrhcm 354 2 repeated repeat VBN cord-009417-458rrhcm 354 3 reactions reaction NNS cord-009417-458rrhcm 354 4 become become VBP cord-009417-458rrhcm 354 5 problematic problematic JJ cord-009417-458rrhcm 354 6 , , , cord-009417-458rrhcm 354 7 leukocyte leukocyte NN cord-009417-458rrhcm 354 8 - - HYPH cord-009417-458rrhcm 354 9 depleted deplete VBN cord-009417-458rrhcm 354 10 blood blood NN cord-009417-458rrhcm 354 11 components component NNS cord-009417-458rrhcm 354 12 may may MD cord-009417-458rrhcm 354 13 be be VB cord-009417-458rrhcm 354 14 supplied supply VBN cord-009417-458rrhcm 354 15 . . . cord-009417-458rrhcm 355 1 The the DT cord-009417-458rrhcm 355 2 implementation implementation NN cord-009417-458rrhcm 355 3 of of IN cord-009417-458rrhcm 355 4 ULR ULR NNP cord-009417-458rrhcm 355 5 results result NNS cord-009417-458rrhcm 355 6 in in IN cord-009417-458rrhcm 355 7 a a DT cord-009417-458rrhcm 355 8 reduction reduction NN cord-009417-458rrhcm 355 9 in in IN cord-009417-458rrhcm 355 10 the the DT cord-009417-458rrhcm 355 11 frequency frequency NN cord-009417-458rrhcm 355 12 of of IN cord-009417-458rrhcm 355 13 all all DT cord-009417-458rrhcm 355 14 fevers fever NNS cord-009417-458rrhcm 355 15 seen see VBN cord-009417-458rrhcm 355 16 after after IN cord-009417-458rrhcm 355 17 transfusion transfusion NN cord-009417-458rrhcm 355 18 by by IN cord-009417-458rrhcm 355 19 only only RB cord-009417-458rrhcm 355 20 about about RB cord-009417-458rrhcm 355 21 12 12 CD cord-009417-458rrhcm 355 22 % % NN cord-009417-458rrhcm 355 23 . . . cord-009417-458rrhcm 356 1 74 74 CD cord-009417-458rrhcm 356 2 Hives hive NNS cord-009417-458rrhcm 356 3 and and CC cord-009417-458rrhcm 356 4 pruritus pruritus NN cord-009417-458rrhcm 356 5 are be VBP cord-009417-458rrhcm 356 6 relatively relatively RB cord-009417-458rrhcm 356 7 common common JJ cord-009417-458rrhcm 356 8 adverse adverse JJ cord-009417-458rrhcm 356 9 effects effect NNS cord-009417-458rrhcm 356 10 of of IN cord-009417-458rrhcm 356 11 transfusion transfusion NN cord-009417-458rrhcm 356 12 . . . cord-009417-458rrhcm 357 1 68 68 CD cord-009417-458rrhcm 358 1 They -PRON- PRP cord-009417-458rrhcm 358 2 are be VBP cord-009417-458rrhcm 358 3 a a DT cord-009417-458rrhcm 358 4 hypersensitivity hypersensitivity NN cord-009417-458rrhcm 358 5 reaction reaction NN cord-009417-458rrhcm 358 6 localized localize VBN cord-009417-458rrhcm 358 7 to to IN cord-009417-458rrhcm 358 8 the the DT cord-009417-458rrhcm 358 9 skin skin NN cord-009417-458rrhcm 358 10 , , , cord-009417-458rrhcm 358 11 and and CC cord-009417-458rrhcm 358 12 their -PRON- PRP$ cord-009417-458rrhcm 358 13 cause cause NN cord-009417-458rrhcm 358 14 is be VBZ cord-009417-458rrhcm 358 15 unknown unknown JJ cord-009417-458rrhcm 358 16 but but CC cord-009417-458rrhcm 358 17 may may MD cord-009417-458rrhcm 358 18 include include VB cord-009417-458rrhcm 358 19 both both DT cord-009417-458rrhcm 358 20 donor donor NN cord-009417-458rrhcm 358 21 and and CC cord-009417-458rrhcm 358 22 recipient recipient NN cord-009417-458rrhcm 358 23 characteristics characteristic NNS cord-009417-458rrhcm 358 24 . . . cord-009417-458rrhcm 359 1 These these DT cord-009417-458rrhcm 359 2 reactions reaction NNS cord-009417-458rrhcm 359 3 consist consist VBP cord-009417-458rrhcm 359 4 of of IN cord-009417-458rrhcm 359 5 localized localized JJ cord-009417-458rrhcm 359 6 or or CC cord-009417-458rrhcm 359 7 generalized generalize VBN cord-009417-458rrhcm 359 8 urticaria urticaria NN cord-009417-458rrhcm 359 9 beginning begin VBG cord-009417-458rrhcm 359 10 shortly shortly RB cord-009417-458rrhcm 359 11 after after IN cord-009417-458rrhcm 359 12 the the DT cord-009417-458rrhcm 359 13 start start NN cord-009417-458rrhcm 359 14 of of IN cord-009417-458rrhcm 359 15 transfusion transfusion NN cord-009417-458rrhcm 359 16 without without IN cord-009417-458rrhcm 359 17 other other JJ cord-009417-458rrhcm 359 18 signs sign NNS cord-009417-458rrhcm 359 19 or or CC cord-009417-458rrhcm 359 20 symptoms symptom NNS cord-009417-458rrhcm 359 21 of of IN cord-009417-458rrhcm 359 22 anaphylaxis anaphylaxis NN cord-009417-458rrhcm 359 23 or or CC cord-009417-458rrhcm 359 24 hemolysis hemolysis NN cord-009417-458rrhcm 359 25 . . . cord-009417-458rrhcm 360 1 The the DT cord-009417-458rrhcm 360 2 transfusion transfusion NN cord-009417-458rrhcm 360 3 should should MD cord-009417-458rrhcm 360 4 be be VB cord-009417-458rrhcm 360 5 temporarily temporarily RB cord-009417-458rrhcm 360 6 stopped stop VBN cord-009417-458rrhcm 360 7 , , , cord-009417-458rrhcm 360 8 and and CC cord-009417-458rrhcm 360 9 antihistamines antihistamine NNS cord-009417-458rrhcm 360 10 may may MD cord-009417-458rrhcm 360 11 be be VB cord-009417-458rrhcm 360 12 administered administer VBN cord-009417-458rrhcm 360 13 . . . cord-009417-458rrhcm 361 1 If if IN cord-009417-458rrhcm 361 2 the the DT cord-009417-458rrhcm 361 3 hives hive NNS cord-009417-458rrhcm 361 4 resolve resolve VBP cord-009417-458rrhcm 361 5 in in IN cord-009417-458rrhcm 361 6 a a DT cord-009417-458rrhcm 361 7 short short JJ cord-009417-458rrhcm 361 8 time time NN cord-009417-458rrhcm 361 9 , , , cord-009417-458rrhcm 361 10 the the DT cord-009417-458rrhcm 361 11 same same JJ cord-009417-458rrhcm 361 12 unit unit NN cord-009417-458rrhcm 361 13 of of IN cord-009417-458rrhcm 361 14 blood blood NN cord-009417-458rrhcm 361 15 may may MD cord-009417-458rrhcm 361 16 be be VB cord-009417-458rrhcm 361 17 cautiously cautiously RB cord-009417-458rrhcm 361 18 restarted restart VBN cord-009417-458rrhcm 361 19 . . . cord-009417-458rrhcm 362 1 If if IN cord-009417-458rrhcm 362 2 repeated repeat VBN cord-009417-458rrhcm 362 3 urticarial urticarial JJ cord-009417-458rrhcm 362 4 reactions reaction NNS cord-009417-458rrhcm 362 5 occur occur VBP cord-009417-458rrhcm 362 6 , , , cord-009417-458rrhcm 362 7 premedication premedication NN cord-009417-458rrhcm 362 8 with with IN cord-009417-458rrhcm 362 9 antihistamines antihistamine NNS cord-009417-458rrhcm 362 10 may may MD cord-009417-458rrhcm 362 11 be be VB cord-009417-458rrhcm 362 12 effective effective JJ cord-009417-458rrhcm 362 13 , , , cord-009417-458rrhcm 362 14 or or CC cord-009417-458rrhcm 362 15 blood blood NN cord-009417-458rrhcm 362 16 components component NNS cord-009417-458rrhcm 362 17 washed wash VBD cord-009417-458rrhcm 362 18 to to TO cord-009417-458rrhcm 362 19 remove remove VB cord-009417-458rrhcm 362 20 plasma plasma NN cord-009417-458rrhcm 362 21 may may MD cord-009417-458rrhcm 362 22 be be VB cord-009417-458rrhcm 362 23 required require VBN cord-009417-458rrhcm 362 24 . . . cord-009417-458rrhcm 363 1 Intravascular Intravascular NNP cord-009417-458rrhcm 363 2 volume volume NN cord-009417-458rrhcm 363 3 overexpansion overexpansion NN cord-009417-458rrhcm 363 4 is be VBZ cord-009417-458rrhcm 363 5 particularly particularly RB cord-009417-458rrhcm 363 6 likely likely JJ cord-009417-458rrhcm 363 7 to to TO cord-009417-458rrhcm 363 8 occur occur VB cord-009417-458rrhcm 363 9 in in IN cord-009417-458rrhcm 363 10 critical critical JJ cord-009417-458rrhcm 363 11 care care NN cord-009417-458rrhcm 363 12 patients patient NNS cord-009417-458rrhcm 363 13 with with IN cord-009417-458rrhcm 363 14 limited limited JJ cord-009417-458rrhcm 363 15 cardiac cardiac JJ cord-009417-458rrhcm 363 16 reserve reserve NN cord-009417-458rrhcm 363 17 . . . cord-009417-458rrhcm 364 1 Aside aside RB cord-009417-458rrhcm 364 2 from from IN cord-009417-458rrhcm 364 3 the the DT cord-009417-458rrhcm 364 4 inherent inherent JJ cord-009417-458rrhcm 364 5 volume volume NN cord-009417-458rrhcm 364 6 of of IN cord-009417-458rrhcm 364 7 the the DT cord-009417-458rrhcm 364 8 blood blood NN cord-009417-458rrhcm 364 9 components component NNS cord-009417-458rrhcm 364 10 , , , cord-009417-458rrhcm 364 11 the the DT cord-009417-458rrhcm 364 12 intravenous intravenous JJ cord-009417-458rrhcm 364 13 normal normal JJ cord-009417-458rrhcm 364 14 saline saline NN cord-009417-458rrhcm 364 15 concurrently concurrently RB cord-009417-458rrhcm 364 16 administered administer VBN cord-009417-458rrhcm 364 17 adds add VBZ cord-009417-458rrhcm 364 18 to to IN cord-009417-458rrhcm 364 19 the the DT cord-009417-458rrhcm 364 20 volume volume NN cord-009417-458rrhcm 364 21 load load NN cord-009417-458rrhcm 364 22 . . . cord-009417-458rrhcm 365 1 Unfortunately unfortunately RB cord-009417-458rrhcm 365 2 , , , cord-009417-458rrhcm 365 3 normal normal JJ cord-009417-458rrhcm 365 4 saline saline NN cord-009417-458rrhcm 365 5 solution solution NN cord-009417-458rrhcm 365 6 is be VBZ cord-009417-458rrhcm 365 7 the the DT cord-009417-458rrhcm 365 8 only only JJ cord-009417-458rrhcm 365 9 intravenous intravenous JJ cord-009417-458rrhcm 365 10 fl fl NNP cord-009417-458rrhcm 365 11 uid uid NNS cord-009417-458rrhcm 365 12 that that WDT cord-009417-458rrhcm 365 13 may may MD cord-009417-458rrhcm 365 14 be be VB cord-009417-458rrhcm 365 15 administered administer VBN cord-009417-458rrhcm 365 16 with with IN cord-009417-458rrhcm 365 17 blood blood NN cord-009417-458rrhcm 365 18 components component NNS cord-009417-458rrhcm 365 19 . . . cord-009417-458rrhcm 366 1 With with IN cord-009417-458rrhcm 366 2 careful careful JJ cord-009417-458rrhcm 366 3 attention attention NN cord-009417-458rrhcm 366 4 to to IN cord-009417-458rrhcm 366 5 transfusion transfusion NN cord-009417-458rrhcm 366 6 requirements requirement NNS cord-009417-458rrhcm 366 7 and and CC cord-009417-458rrhcm 366 8 the the DT cord-009417-458rrhcm 366 9 use use NN cord-009417-458rrhcm 366 10 of of IN cord-009417-458rrhcm 366 11 volume volume NN cord-009417-458rrhcm 366 12 reduction reduction NN cord-009417-458rrhcm 366 13 maneuvers maneuver NNS cord-009417-458rrhcm 366 14 available available JJ cord-009417-458rrhcm 366 15 to to IN cord-009417-458rrhcm 366 16 the the DT cord-009417-458rrhcm 366 17 transfusion transfusion NN cord-009417-458rrhcm 366 18 service service NN cord-009417-458rrhcm 366 19 , , , cord-009417-458rrhcm 366 20 volume volume NN cord-009417-458rrhcm 366 21 overload overload NN cord-009417-458rrhcm 366 22 can can MD cord-009417-458rrhcm 366 23 be be VB cord-009417-458rrhcm 366 24 minimized minimize VBN cord-009417-458rrhcm 366 25 in in IN cord-009417-458rrhcm 366 26 most most JJS cord-009417-458rrhcm 366 27 instances instance NNS cord-009417-458rrhcm 366 28 . . . cord-009417-458rrhcm 367 1 The the DT cord-009417-458rrhcm 367 2 frequency frequency NN cord-009417-458rrhcm 367 3 of of IN cord-009417-458rrhcm 367 4 this this DT cord-009417-458rrhcm 367 5 complication complication NN cord-009417-458rrhcm 367 6 of of IN cord-009417-458rrhcm 367 7 transfusion transfusion NN cord-009417-458rrhcm 367 8 is be VBZ cord-009417-458rrhcm 367 9 not not RB cord-009417-458rrhcm 367 10 reported report VBN cord-009417-458rrhcm 367 11 . . . cord-009417-458rrhcm 368 1 Delayed delayed JJ cord-009417-458rrhcm 368 2 hemolysis hemolysis NN cord-009417-458rrhcm 368 3 is be VBZ cord-009417-458rrhcm 368 4 an an DT cord-009417-458rrhcm 368 5 uncommon uncommon JJ cord-009417-458rrhcm 368 6 but but CC cord-009417-458rrhcm 368 7 probably probably RB cord-009417-458rrhcm 368 8 underrecognized underrecognize VBD cord-009417-458rrhcm 368 9 reaction reaction NN cord-009417-458rrhcm 368 10 to to IN cord-009417-458rrhcm 368 11 transfusion transfusion NN cord-009417-458rrhcm 368 12 that that WDT cord-009417-458rrhcm 368 13 results result VBZ cord-009417-458rrhcm 368 14 from from IN cord-009417-458rrhcm 368 15 the the DT cord-009417-458rrhcm 368 16 stimulation stimulation NN cord-009417-458rrhcm 368 17 of of IN cord-009417-458rrhcm 368 18 a a DT cord-009417-458rrhcm 368 19 primary primary JJ cord-009417-458rrhcm 368 20 or or CC cord-009417-458rrhcm 368 21 secondary secondary JJ cord-009417-458rrhcm 368 22 ( ( -LRB- cord-009417-458rrhcm 368 23 anamnestic anamnestic JJ cord-009417-458rrhcm 368 24 ) ) -RRB- cord-009417-458rrhcm 368 25 recipient recipient NN cord-009417-458rrhcm 368 26 antibody antibody NN cord-009417-458rrhcm 368 27 response response NN cord-009417-458rrhcm 368 28 to to IN cord-009417-458rrhcm 368 29 foreign foreign JJ cord-009417-458rrhcm 368 30 RBC RBC NNP cord-009417-458rrhcm 368 31 antigens antigen NNS cord-009417-458rrhcm 368 32 . . . cord-009417-458rrhcm 369 1 These these DT cord-009417-458rrhcm 369 2 antibodies antibody NNS cord-009417-458rrhcm 369 3 are be VBP cord-009417-458rrhcm 369 4 undetected undetected JJ cord-009417-458rrhcm 369 5 at at IN cord-009417-458rrhcm 369 6 the the DT cord-009417-458rrhcm 369 7 time time NN cord-009417-458rrhcm 369 8 of of IN cord-009417-458rrhcm 369 9 transfusion transfusion NN cord-009417-458rrhcm 369 10 but but CC cord-009417-458rrhcm 369 11 increase increase NN cord-009417-458rrhcm 369 12 after after IN cord-009417-458rrhcm 369 13 transfusion transfusion NN cord-009417-458rrhcm 369 14 in in IN cord-009417-458rrhcm 369 15 a a DT cord-009417-458rrhcm 369 16 manner manner NN cord-009417-458rrhcm 369 17 analogous analogous JJ cord-009417-458rrhcm 369 18 to to IN cord-009417-458rrhcm 369 19 the the DT cord-009417-458rrhcm 369 20 vaccination vaccination NN cord-009417-458rrhcm 369 21 " " `` cord-009417-458rrhcm 369 22 booster booster NN cord-009417-458rrhcm 369 23 " " '' cord-009417-458rrhcm 369 24 effect effect NN cord-009417-458rrhcm 369 25 . . . cord-009417-458rrhcm 370 1 These these DT cord-009417-458rrhcm 370 2 reactions reaction NNS cord-009417-458rrhcm 370 3 typically typically RB cord-009417-458rrhcm 370 4 occur occur VBP cord-009417-458rrhcm 370 5 3 3 CD cord-009417-458rrhcm 370 6 to to TO cord-009417-458rrhcm 370 7 14 14 CD cord-009417-458rrhcm 370 8 days day NNS cord-009417-458rrhcm 370 9 after after IN cord-009417-458rrhcm 370 10 transfusion transfusion NN cord-009417-458rrhcm 370 11 but but CC cord-009417-458rrhcm 370 12 are be VBP cord-009417-458rrhcm 370 13 unrecognized unrecognized JJ cord-009417-458rrhcm 370 14 because because IN cord-009417-458rrhcm 370 15 of of IN cord-009417-458rrhcm 370 16 the the DT cord-009417-458rrhcm 370 17 lack lack NN cord-009417-458rrhcm 370 18 of of IN cord-009417-458rrhcm 370 19 a a DT cord-009417-458rrhcm 370 20 clear clear JJ cord-009417-458rrhcm 370 21 temporal temporal JJ cord-009417-458rrhcm 370 22 association association NN cord-009417-458rrhcm 370 23 with with IN cord-009417-458rrhcm 370 24 transfusion transfusion NN cord-009417-458rrhcm 370 25 . . . cord-009417-458rrhcm 371 1 Fever fever NN cord-009417-458rrhcm 371 2 , , , cord-009417-458rrhcm 371 3 chills chill NNS cord-009417-458rrhcm 371 4 , , , cord-009417-458rrhcm 371 5 and and CC cord-009417-458rrhcm 371 6 an an DT cord-009417-458rrhcm 371 7 unexplained unexplained JJ cord-009417-458rrhcm 371 8 decline decline NN cord-009417-458rrhcm 371 9 in in IN cord-009417-458rrhcm 371 10 Hct Hct NNP cord-009417-458rrhcm 371 11 are be VBP cord-009417-458rrhcm 371 12 the the DT cord-009417-458rrhcm 371 13 usual usual JJ cord-009417-458rrhcm 371 14 signs sign NNS cord-009417-458rrhcm 371 15 . . . cord-009417-458rrhcm 372 1 75 75 CD cord-009417-458rrhcm 372 2 Transient transient JJ cord-009417-458rrhcm 372 3 elevation elevation NN cord-009417-458rrhcm 372 4 in in IN cord-009417-458rrhcm 372 5 bilirubin bilirubin NN cord-009417-458rrhcm 372 6 and and CC cord-009417-458rrhcm 372 7 lactate lactate NN cord-009417-458rrhcm 372 8 dehydrogenase dehydrogenase NN cord-009417-458rrhcm 372 9 may may MD cord-009417-458rrhcm 372 10 also also RB cord-009417-458rrhcm 372 11 occur occur VB cord-009417-458rrhcm 372 12 . . . cord-009417-458rrhcm 373 1 The the DT cord-009417-458rrhcm 373 2 diagnosis diagnosis NN cord-009417-458rrhcm 373 3 is be VBZ cord-009417-458rrhcm 373 4 established establish VBN cord-009417-458rrhcm 373 5 by by IN cord-009417-458rrhcm 373 6 a a DT cord-009417-458rrhcm 373 7 positive positive JJ cord-009417-458rrhcm 373 8 direct direct JJ cord-009417-458rrhcm 373 9 antiglobulin antiglobulin NN cord-009417-458rrhcm 373 10 ( ( -LRB- cord-009417-458rrhcm 373 11 Coombs Coombs NNP cord-009417-458rrhcm 373 12 ) ) -RRB- cord-009417-458rrhcm 373 13 test test NN cord-009417-458rrhcm 373 14 resulting result VBG cord-009417-458rrhcm 373 15 from from IN cord-009417-458rrhcm 373 16 recipient recipient NN cord-009417-458rrhcm 373 17 antibody antibody NN cord-009417-458rrhcm 373 18 coating coating NN cord-009417-458rrhcm 373 19 donor donor NN cord-009417-458rrhcm 373 20 RBCs rbc NNS cord-009417-458rrhcm 373 21 . . . cord-009417-458rrhcm 374 1 The the DT cord-009417-458rrhcm 374 2 antibody antibody NN cord-009417-458rrhcm 374 3 may may MD cord-009417-458rrhcm 374 4 be be VB cord-009417-458rrhcm 374 5 identifi identifi VBN cord-009417-458rrhcm 374 6 ed ed NNP cord-009417-458rrhcm 374 7 by by IN cord-009417-458rrhcm 374 8 eluting elute VBG cord-009417-458rrhcm 374 9 it -PRON- PRP cord-009417-458rrhcm 374 10 from from IN cord-009417-458rrhcm 374 11 the the DT cord-009417-458rrhcm 374 12 RBCs rbc NNS cord-009417-458rrhcm 374 13 or or CC cord-009417-458rrhcm 374 14 by by IN cord-009417-458rrhcm 374 15 demonstrating demonstrate VBG cord-009417-458rrhcm 374 16 it -PRON- PRP cord-009417-458rrhcm 374 17 within within IN cord-009417-458rrhcm 374 18 the the DT cord-009417-458rrhcm 374 19 recipient recipient NN cord-009417-458rrhcm 374 20 's 's POS cord-009417-458rrhcm 374 21 serum serum NN cord-009417-458rrhcm 374 22 . . . cord-009417-458rrhcm 375 1 The the DT cord-009417-458rrhcm 375 2 specifi specifi JJ cord-009417-458rrhcm 375 3 city city NN cord-009417-458rrhcm 375 4 of of IN cord-009417-458rrhcm 375 5 the the DT cord-009417-458rrhcm 375 6 antibody antibody NN cord-009417-458rrhcm 375 7 is be VBZ cord-009417-458rrhcm 375 8 often often RB cord-009417-458rrhcm 375 9 against against IN cord-009417-458rrhcm 375 10 such such JJ cord-009417-458rrhcm 375 11 RBC RBC NNP cord-009417-458rrhcm 375 12 antigens antigen NNS cord-009417-458rrhcm 375 13 as as IN cord-009417-458rrhcm 375 14 the the DT cord-009417-458rrhcm 375 15 Rh Rh NNP cord-009417-458rrhcm 375 16 family family NN cord-009417-458rrhcm 375 17 , , , cord-009417-458rrhcm 375 18 Kidd Kidd NNP cord-009417-458rrhcm 375 19 , , , cord-009417-458rrhcm 375 20 Duffy Duffy NNP cord-009417-458rrhcm 375 21 , , , cord-009417-458rrhcm 375 22 or or CC cord-009417-458rrhcm 375 23 Kell Kell NNP cord-009417-458rrhcm 375 24 systems system NNS cord-009417-458rrhcm 375 25 . . . cord-009417-458rrhcm 376 1 Hemolysis Hemolysis NNP cord-009417-458rrhcm 376 2 may may MD cord-009417-458rrhcm 376 3 not not RB cord-009417-458rrhcm 376 4 occur occur VB cord-009417-458rrhcm 376 5 , , , cord-009417-458rrhcm 376 6 but but CC cord-009417-458rrhcm 376 7 if if IN cord-009417-458rrhcm 376 8 it -PRON- PRP cord-009417-458rrhcm 376 9 does do VBZ cord-009417-458rrhcm 376 10 , , , cord-009417-458rrhcm 376 11 it -PRON- PRP cord-009417-458rrhcm 376 12 is be VBZ cord-009417-458rrhcm 376 13 likely likely JJ cord-009417-458rrhcm 376 14 to to TO cord-009417-458rrhcm 376 15 be be VB cord-009417-458rrhcm 376 16 extravascular extravascular JJ cord-009417-458rrhcm 376 17 and and CC cord-009417-458rrhcm 376 18 only only RB cord-009417-458rrhcm 376 19 rarely rarely RB cord-009417-458rrhcm 376 20 causes cause VBZ cord-009417-458rrhcm 376 21 renal renal JJ cord-009417-458rrhcm 376 22 failure failure NN cord-009417-458rrhcm 376 23 or or CC cord-009417-458rrhcm 376 24 DIC DIC NNP cord-009417-458rrhcm 376 25 . . . cord-009417-458rrhcm 377 1 Prevention prevention NN cord-009417-458rrhcm 377 2 of of IN cord-009417-458rrhcm 377 3 these these DT cord-009417-458rrhcm 377 4 reactions reaction NNS cord-009417-458rrhcm 377 5 is be VBZ cord-009417-458rrhcm 377 6 diffi diffi JJ cord-009417-458rrhcm 377 7 cult cult NN cord-009417-458rrhcm 377 8 . . . cord-009417-458rrhcm 378 1 Alloimmunization alloimmunization NN cord-009417-458rrhcm 378 2 to to IN cord-009417-458rrhcm 378 3 foreign foreign JJ cord-009417-458rrhcm 378 4 RBC RBC NNP cord-009417-458rrhcm 378 5 antigens antigen NNS cord-009417-458rrhcm 378 6 occurs occur VBZ cord-009417-458rrhcm 378 7 in in IN cord-009417-458rrhcm 378 8 approximately approximately RB cord-009417-458rrhcm 378 9 1 1 CD cord-009417-458rrhcm 378 10 % % NN cord-009417-458rrhcm 378 11 of of IN cord-009417-458rrhcm 378 12 transfusions transfusion NNS cord-009417-458rrhcm 378 13 . . . cord-009417-458rrhcm 379 1 67 67 CD cord-009417-458rrhcm 379 2 Detection detection NN cord-009417-458rrhcm 379 3 of of IN cord-009417-458rrhcm 379 4 delayed delay VBN cord-009417-458rrhcm 379 5 antibodies antibody NNS cord-009417-458rrhcm 379 6 is be VBZ cord-009417-458rrhcm 379 7 the the DT cord-009417-458rrhcm 379 8 purpose purpose NN cord-009417-458rrhcm 379 9 for for IN cord-009417-458rrhcm 379 10 requiring require VBG cord-009417-458rrhcm 379 11 a a DT cord-009417-458rrhcm 379 12 new new JJ cord-009417-458rrhcm 379 13 blood blood NN cord-009417-458rrhcm 379 14 bank bank NN cord-009417-458rrhcm 379 15 specimen specimen NN cord-009417-458rrhcm 379 16 every every DT cord-009417-458rrhcm 379 17 72 72 CD cord-009417-458rrhcm 379 18 hours hour NNS cord-009417-458rrhcm 379 19 if if IN cord-009417-458rrhcm 379 20 the the DT cord-009417-458rrhcm 379 21 patient patient NN cord-009417-458rrhcm 379 22 has have VBZ cord-009417-458rrhcm 379 23 recently recently RB cord-009417-458rrhcm 379 24 been be VBN cord-009417-458rrhcm 379 25 transfused transfuse VBN cord-009417-458rrhcm 379 26 . . . cord-009417-458rrhcm 380 1 Permanent permanent JJ cord-009417-458rrhcm 380 2 transfusion transfusion NN cord-009417-458rrhcm 380 3 records record NNS cord-009417-458rrhcm 380 4 should should MD cord-009417-458rrhcm 380 5 record record VB cord-009417-458rrhcm 380 6 the the DT cord-009417-458rrhcm 380 7 occurrence occurrence NN cord-009417-458rrhcm 380 8 of of IN cord-009417-458rrhcm 380 9 delayed delay VBN cord-009417-458rrhcm 380 10 antibodies antibody NNS cord-009417-458rrhcm 380 11 , , , cord-009417-458rrhcm 380 12 even even RB cord-009417-458rrhcm 380 13 though though IN cord-009417-458rrhcm 380 14 they -PRON- PRP cord-009417-458rrhcm 380 15 may may MD cord-009417-458rrhcm 380 16 not not RB cord-009417-458rrhcm 380 17 be be VB cord-009417-458rrhcm 380 18 apparent apparent JJ cord-009417-458rrhcm 380 19 at at IN cord-009417-458rrhcm 380 20 a a DT cord-009417-458rrhcm 380 21 later later JJ cord-009417-458rrhcm 380 22 crossmatch crossmatch NN cord-009417-458rrhcm 380 23 . . . cord-009417-458rrhcm 381 1 Access access NN cord-009417-458rrhcm 381 2 to to IN cord-009417-458rrhcm 381 3 transfusion transfusion NN cord-009417-458rrhcm 381 4 databases database NNS cord-009417-458rrhcm 381 5 is be VBZ cord-009417-458rrhcm 381 6 critical critical JJ cord-009417-458rrhcm 381 7 for for IN cord-009417-458rrhcm 381 8 the the DT cord-009417-458rrhcm 381 9 care care NN cord-009417-458rrhcm 381 10 of of IN cord-009417-458rrhcm 381 11 patients patient NNS cord-009417-458rrhcm 381 12 with with IN cord-009417-458rrhcm 381 13 a a DT cord-009417-458rrhcm 381 14 past past JJ cord-009417-458rrhcm 381 15 history history NN cord-009417-458rrhcm 381 16 of of IN cord-009417-458rrhcm 381 17 transfusion transfusion NN cord-009417-458rrhcm 381 18 . . . cord-009417-458rrhcm 382 1 Transfusion transfusion NN cord-009417-458rrhcm 382 2 - - HYPH cord-009417-458rrhcm 382 3 related relate VBN cord-009417-458rrhcm 382 4 acute acute JJ cord-009417-458rrhcm 382 5 lung lung NN cord-009417-458rrhcm 382 6 injury injury NN cord-009417-458rrhcm 382 7 ( ( -LRB- cord-009417-458rrhcm 382 8 TRALI TRALI NNP cord-009417-458rrhcm 382 9 ) ) -RRB- cord-009417-458rrhcm 382 10 is be VBZ cord-009417-458rrhcm 382 11 an an DT cord-009417-458rrhcm 382 12 uncommon uncommon JJ cord-009417-458rrhcm 382 13 ( ( -LRB- cord-009417-458rrhcm 382 14 0.02 0.02 CD cord-009417-458rrhcm 382 15 % % NN cord-009417-458rrhcm 382 16 ) ) -RRB- cord-009417-458rrhcm 382 17 76 76 CD cord-009417-458rrhcm 382 18 but but CC cord-009417-458rrhcm 382 19 serious serious JJ cord-009417-458rrhcm 382 20 adverse adverse JJ cord-009417-458rrhcm 382 21 effect effect NN cord-009417-458rrhcm 382 22 of of IN cord-009417-458rrhcm 382 23 transfusion transfusion NN cord-009417-458rrhcm 382 24 that that WDT cord-009417-458rrhcm 382 25 has have VBZ cord-009417-458rrhcm 382 26 only only RB cord-009417-458rrhcm 382 27 recently recently RB cord-009417-458rrhcm 382 28 been be VBN cord-009417-458rrhcm 382 29 gaining gain VBG cord-009417-458rrhcm 382 30 recognition recognition NN cord-009417-458rrhcm 382 31 . . . cord-009417-458rrhcm 383 1 Similar similar JJ cord-009417-458rrhcm 383 2 reactions reaction NNS cord-009417-458rrhcm 383 3 have have VBP cord-009417-458rrhcm 383 4 been be VBN cord-009417-458rrhcm 383 5 called call VBN cord-009417-458rrhcm 383 6 pulmonary pulmonary JJ cord-009417-458rrhcm 383 7 leukoagglutinin leukoagglutinin NNP cord-009417-458rrhcm 383 8 reaction reaction NN cord-009417-458rrhcm 383 9 or or CC cord-009417-458rrhcm 383 10 noncardiogenic noncardiogenic JJ cord-009417-458rrhcm 383 11 pulmonary pulmonary JJ cord-009417-458rrhcm 383 12 edema edema NN cord-009417-458rrhcm 383 13 . . . cord-009417-458rrhcm 384 1 These these DT cord-009417-458rrhcm 384 2 reactions reaction NNS cord-009417-458rrhcm 384 3 consist consist VBP cord-009417-458rrhcm 384 4 of of IN cord-009417-458rrhcm 384 5 acute acute JJ cord-009417-458rrhcm 384 6 respiratory respiratory JJ cord-009417-458rrhcm 384 7 distress distress NN cord-009417-458rrhcm 384 8 syndrome syndrome NN cord-009417-458rrhcm 384 9 ( ( -LRB- cord-009417-458rrhcm 384 10 ARDS ARDS NNP cord-009417-458rrhcm 384 11 ) ) -RRB- cord-009417-458rrhcm 384 12 , , , cord-009417-458rrhcm 384 13 which which WDT cord-009417-458rrhcm 384 14 develops develop VBZ cord-009417-458rrhcm 384 15 1 1 CD cord-009417-458rrhcm 384 16 to to TO cord-009417-458rrhcm 384 17 6 6 CD cord-009417-458rrhcm 384 18 hours hour NNS cord-009417-458rrhcm 384 19 after after IN cord-009417-458rrhcm 384 20 transfusion transfusion NN cord-009417-458rrhcm 384 21 . . . cord-009417-458rrhcm 385 1 Signs sign NNS cord-009417-458rrhcm 385 2 and and CC cord-009417-458rrhcm 385 3 symptoms symptom NNS cord-009417-458rrhcm 385 4 include include VBP cord-009417-458rrhcm 385 5 bilateral bilateral JJ cord-009417-458rrhcm 385 6 pulmonary pulmonary JJ cord-009417-458rrhcm 385 7 infi infi NNP cord-009417-458rrhcm 385 8 ltrates ltrates NNP cord-009417-458rrhcm 385 9 , , , cord-009417-458rrhcm 385 10 hypoxemia hypoxemia NN cord-009417-458rrhcm 385 11 , , , cord-009417-458rrhcm 385 12 fever fever NN cord-009417-458rrhcm 385 13 , , , cord-009417-458rrhcm 385 14 and and CC cord-009417-458rrhcm 385 15 occasionally occasionally RB cord-009417-458rrhcm 385 16 hypotension hypotension NN cord-009417-458rrhcm 385 17 . . . cord-009417-458rrhcm 386 1 Monitored monitored JJ cord-009417-458rrhcm 386 2 patients patient NNS cord-009417-458rrhcm 386 3 are be VBP cord-009417-458rrhcm 386 4 found find VBN cord-009417-458rrhcm 386 5 to to TO cord-009417-458rrhcm 386 6 have have VB cord-009417-458rrhcm 386 7 normal normal JJ cord-009417-458rrhcm 386 8 or or CC cord-009417-458rrhcm 386 9 low low JJ cord-009417-458rrhcm 386 10 pulmonary pulmonary JJ cord-009417-458rrhcm 386 11 wedge wedge NN cord-009417-458rrhcm 386 12 pressure pressure NN cord-009417-458rrhcm 386 13 and and CC cord-009417-458rrhcm 386 14 central central JJ cord-009417-458rrhcm 386 15 venous venous JJ cord-009417-458rrhcm 386 16 pressure pressure NN cord-009417-458rrhcm 386 17 , , , cord-009417-458rrhcm 386 18 as as IN cord-009417-458rrhcm 386 19 contrasted contrast VBN cord-009417-458rrhcm 386 20 with with IN cord-009417-458rrhcm 386 21 patients patient NNS cord-009417-458rrhcm 386 22 experiencing experience VBG cord-009417-458rrhcm 386 23 volume volume NN cord-009417-458rrhcm 386 24 overload overload NN cord-009417-458rrhcm 386 25 . . . cord-009417-458rrhcm 387 1 If if IN cord-009417-458rrhcm 387 2 adequate adequate JJ cord-009417-458rrhcm 387 3 respiratory respiratory JJ cord-009417-458rrhcm 387 4 support support NN cord-009417-458rrhcm 387 5 and and CC cord-009417-458rrhcm 387 6 oxygenation oxygenation NN cord-009417-458rrhcm 387 7 are be VBP cord-009417-458rrhcm 387 8 established establish VBN cord-009417-458rrhcm 387 9 promptly promptly RB cord-009417-458rrhcm 387 10 , , , cord-009417-458rrhcm 387 11 spontaneous spontaneous JJ cord-009417-458rrhcm 387 12 resolution resolution NN cord-009417-458rrhcm 387 13 generally generally RB cord-009417-458rrhcm 387 14 occurs occur VBZ cord-009417-458rrhcm 387 15 within within IN cord-009417-458rrhcm 387 16 1 1 CD cord-009417-458rrhcm 387 17 to to IN cord-009417-458rrhcm 387 18 4 4 CD cord-009417-458rrhcm 387 19 days day NNS cord-009417-458rrhcm 387 20 . . . cord-009417-458rrhcm 388 1 Deaths death NNS cord-009417-458rrhcm 388 2 have have VBP cord-009417-458rrhcm 388 3 nonetheless nonetheless RB cord-009417-458rrhcm 388 4 occurred occur VBN cord-009417-458rrhcm 388 5 , , , cord-009417-458rrhcm 388 6 particularly particularly RB cord-009417-458rrhcm 388 7 with with IN cord-009417-458rrhcm 388 8 a a DT cord-009417-458rrhcm 388 9 delay delay NN cord-009417-458rrhcm 388 10 in in IN cord-009417-458rrhcm 388 11 diagnosis diagnosis NN cord-009417-458rrhcm 388 12 . . . cord-009417-458rrhcm 389 1 77 77 CD cord-009417-458rrhcm 389 2 , , , cord-009417-458rrhcm 389 3 78 78 CD cord-009417-458rrhcm 389 4 Episodes episode NNS cord-009417-458rrhcm 389 5 of of IN cord-009417-458rrhcm 389 6 TRALI TRALI NNP cord-009417-458rrhcm 389 7 appear appear VBP cord-009417-458rrhcm 389 8 to to TO cord-009417-458rrhcm 389 9 have have VB cord-009417-458rrhcm 389 10 several several JJ cord-009417-458rrhcm 389 11 possible possible JJ cord-009417-458rrhcm 389 12 causative causative JJ cord-009417-458rrhcm 389 13 mechanisms mechanism NNS cord-009417-458rrhcm 389 14 . . . cord-009417-458rrhcm 390 1 Some some DT cord-009417-458rrhcm 390 2 cases case NNS cord-009417-458rrhcm 390 3 may may MD cord-009417-458rrhcm 390 4 be be VB cord-009417-458rrhcm 390 5 caused cause VBN cord-009417-458rrhcm 390 6 by by IN cord-009417-458rrhcm 390 7 donor donor NN cord-009417-458rrhcm 390 8 antibodies antibody NNS cord-009417-458rrhcm 390 9 reacting react VBG cord-009417-458rrhcm 390 10 with with IN cord-009417-458rrhcm 390 11 recipient recipient NN cord-009417-458rrhcm 390 12 neutrophil neutrophil NN cord-009417-458rrhcm 390 13 or or CC cord-009417-458rrhcm 390 14 HLA HLA NNP cord-009417-458rrhcm 390 15 antigens antigen NNS cord-009417-458rrhcm 390 16 . . . cord-009417-458rrhcm 391 1 79 79 CD cord-009417-458rrhcm 391 2 Plasma plasma NN cord-009417-458rrhcm 391 3 factors factor NNS cord-009417-458rrhcm 391 4 related relate VBN cord-009417-458rrhcm 391 5 to to IN cord-009417-458rrhcm 391 6 blood blood NN cord-009417-458rrhcm 391 7 storage storage NN cord-009417-458rrhcm 391 8 have have VBP cord-009417-458rrhcm 391 9 also also RB cord-009417-458rrhcm 391 10 been be VBN cord-009417-458rrhcm 391 11 implicated implicate VBN cord-009417-458rrhcm 391 12 , , , cord-009417-458rrhcm 391 13 such such JJ cord-009417-458rrhcm 391 14 as as IN cord-009417-458rrhcm 391 15 lipid lipid NN cord-009417-458rrhcm 391 16 substances substance NNS cord-009417-458rrhcm 391 17 from from IN cord-009417-458rrhcm 391 18 deterioration deterioration NN cord-009417-458rrhcm 391 19 of of IN cord-009417-458rrhcm 391 20 donor donor NN cord-009417-458rrhcm 391 21 cell cell NN cord-009417-458rrhcm 391 22 membranes membrane NNS cord-009417-458rrhcm 391 23 that that WDT cord-009417-458rrhcm 391 24 prime prime JJ cord-009417-458rrhcm 391 25 recipient recipient NN cord-009417-458rrhcm 391 26 neu neu NNP cord-009417-458rrhcm 391 27 - - HYPH cord-009417-458rrhcm 391 28 trophils trophils NNP cord-009417-458rrhcm 391 29 , , , cord-009417-458rrhcm 391 30 which which WDT cord-009417-458rrhcm 391 31 then then RB cord-009417-458rrhcm 391 32 damage damage VBP cord-009417-458rrhcm 391 33 the the DT cord-009417-458rrhcm 391 34 pulmonary pulmonary JJ cord-009417-458rrhcm 391 35 vasculature vasculature NN cord-009417-458rrhcm 391 36 and and CC cord-009417-458rrhcm 391 37 lead lead VB cord-009417-458rrhcm 391 38 to to IN cord-009417-458rrhcm 391 39 increased increase VBN cord-009417-458rrhcm 391 40 capillary capillary JJ cord-009417-458rrhcm 391 41 permeability permeability NN cord-009417-458rrhcm 391 42 and and CC cord-009417-458rrhcm 391 43 an an DT cord-009417-458rrhcm 391 44 ARDSlike ardslike NN cord-009417-458rrhcm 391 45 syndrome syndrome NN cord-009417-458rrhcm 391 46 . . . cord-009417-458rrhcm 392 1 80 80 CD cord-009417-458rrhcm 392 2 Other other JJ cord-009417-458rrhcm 392 3 clinical clinical JJ cord-009417-458rrhcm 392 4 factors factor NNS cord-009417-458rrhcm 392 5 may may MD cord-009417-458rrhcm 392 6 contribute contribute VB cord-009417-458rrhcm 392 7 to to IN cord-009417-458rrhcm 392 8 increased increase VBN cord-009417-458rrhcm 392 9 risk risk NN cord-009417-458rrhcm 392 10 , , , cord-009417-458rrhcm 392 11 such such JJ cord-009417-458rrhcm 392 12 as as IN cord-009417-458rrhcm 392 13 cardiac cardiac JJ cord-009417-458rrhcm 392 14 bypass bypass NN cord-009417-458rrhcm 392 15 surgery surgery NN cord-009417-458rrhcm 392 16 or or CC cord-009417-458rrhcm 392 17 other other JJ cord-009417-458rrhcm 392 18 procedures procedure NNS cord-009417-458rrhcm 392 19 . . . cord-009417-458rrhcm 393 1 In in IN cord-009417-458rrhcm 393 2 the the DT cord-009417-458rrhcm 393 3 antibody antibody NN cord-009417-458rrhcm 393 4 model model NN cord-009417-458rrhcm 393 5 at at IN cord-009417-458rrhcm 393 6 least least JJS cord-009417-458rrhcm 393 7 , , , cord-009417-458rrhcm 393 8 the the DT cord-009417-458rrhcm 393 9 implicated implicate VBN cord-009417-458rrhcm 393 10 antibody antibody NN cord-009417-458rrhcm 393 11 is be VBZ cord-009417-458rrhcm 393 12 unique unique JJ cord-009417-458rrhcm 393 13 to to IN cord-009417-458rrhcm 393 14 the the DT cord-009417-458rrhcm 393 15 donor donor NN cord-009417-458rrhcm 393 16 and and CC cord-009417-458rrhcm 393 17 the the DT cord-009417-458rrhcm 393 18 affl affl NNP cord-009417-458rrhcm 393 19 icted icte VBN cord-009417-458rrhcm 393 20 recipient recipient NN cord-009417-458rrhcm 393 21 will will MD cord-009417-458rrhcm 393 22 probably probably RB cord-009417-458rrhcm 393 23 not not RB cord-009417-458rrhcm 393 24 experience experience VB cord-009417-458rrhcm 393 25 another another DT cord-009417-458rrhcm 393 26 such such JJ cord-009417-458rrhcm 393 27 reaction reaction NN cord-009417-458rrhcm 393 28 , , , cord-009417-458rrhcm 393 29 provided provide VBD cord-009417-458rrhcm 393 30 that that IN cord-009417-458rrhcm 393 31 the the DT cord-009417-458rrhcm 393 32 recipient recipient NN cord-009417-458rrhcm 393 33 is be VBZ cord-009417-458rrhcm 393 34 not not RB cord-009417-458rrhcm 393 35 exposed expose VBN cord-009417-458rrhcm 393 36 to to IN cord-009417-458rrhcm 393 37 the the DT cord-009417-458rrhcm 393 38 same same JJ cord-009417-458rrhcm 393 39 donor donor NN cord-009417-458rrhcm 393 40 . . . cord-009417-458rrhcm 394 1 TRALI TRALI NNP cord-009417-458rrhcm 394 2 is be VBZ cord-009417-458rrhcm 394 3 undoubtedly undoubtedly RB cord-009417-458rrhcm 394 4 under under RB cord-009417-458rrhcm 394 5 - - HYPH cord-009417-458rrhcm 394 6 recognized recognize VBN cord-009417-458rrhcm 394 7 in in IN cord-009417-458rrhcm 394 8 the the DT cord-009417-458rrhcm 394 9 critical critical JJ cord-009417-458rrhcm 394 10 care care NN cord-009417-458rrhcm 394 11 setting setting NN cord-009417-458rrhcm 394 12 and and CC cord-009417-458rrhcm 394 13 may may MD cord-009417-458rrhcm 394 14 frequently frequently RB cord-009417-458rrhcm 394 15 be be VB cord-009417-458rrhcm 394 16 confused confuse VBN cord-009417-458rrhcm 394 17 with with IN cord-009417-458rrhcm 394 18 fl fl NNP cord-009417-458rrhcm 394 19 uid uid NN cord-009417-458rrhcm 394 20 overload overload NN cord-009417-458rrhcm 394 21 or or CC cord-009417-458rrhcm 394 22 cardiogenic cardiogenic JJ cord-009417-458rrhcm 394 23 pulmonary pulmonary JJ cord-009417-458rrhcm 394 24 edema edema NN cord-009417-458rrhcm 394 25 . . . cord-009417-458rrhcm 395 1 Transfusion transfusion NN cord-009417-458rrhcm 395 2 - - HYPH cord-009417-458rrhcm 395 3 associated associate VBN cord-009417-458rrhcm 395 4 GVHD GVHD NNP cord-009417-458rrhcm 396 1 ( ( -LRB- cord-009417-458rrhcm 396 2 TA TA NNP cord-009417-458rrhcm 396 3 - - HYPH cord-009417-458rrhcm 396 4 GVHD GVHD NNP cord-009417-458rrhcm 396 5 ) ) -RRB- cord-009417-458rrhcm 396 6 is be VBZ cord-009417-458rrhcm 396 7 a a DT cord-009417-458rrhcm 396 8 welldocumented welldocumented NN cord-009417-458rrhcm 396 9 , , , cord-009417-458rrhcm 396 10 but but CC cord-009417-458rrhcm 396 11 probably probably RB cord-009417-458rrhcm 396 12 under under RB cord-009417-458rrhcm 396 13 - - HYPH cord-009417-458rrhcm 396 14 recognized recognize VBN cord-009417-458rrhcm 396 15 , , , cord-009417-458rrhcm 396 16 highly highly RB cord-009417-458rrhcm 396 17 lethal lethal JJ cord-009417-458rrhcm 396 18 immunologic immunologic JJ cord-009417-458rrhcm 396 19 complication complication NN cord-009417-458rrhcm 396 20 of of IN cord-009417-458rrhcm 396 21 blood blood NN cord-009417-458rrhcm 396 22 transfusion transfusion NN cord-009417-458rrhcm 396 23 . . . cord-009417-458rrhcm 397 1 81 81 CD cord-009417-458rrhcm 398 1 Immunocompromised immunocompromise VBN cord-009417-458rrhcm 398 2 patients patient NNS cord-009417-458rrhcm 398 3 infused infuse VBN cord-009417-458rrhcm 398 4 with with IN cord-009417-458rrhcm 398 5 blood blood NN cord-009417-458rrhcm 398 6 components component NNS cord-009417-458rrhcm 398 7 containing contain VBG cord-009417-458rrhcm 398 8 viable viable JJ cord-009417-458rrhcm 398 9 donor donor NN cord-009417-458rrhcm 398 10 lymphocytes lymphocyte NNS cord-009417-458rrhcm 398 11 are be VBP cord-009417-458rrhcm 398 12 at at IN cord-009417-458rrhcm 398 13 risk risk NN cord-009417-458rrhcm 398 14 for for IN cord-009417-458rrhcm 398 15 engraftment engraftment NN cord-009417-458rrhcm 398 16 of of IN cord-009417-458rrhcm 398 17 the the DT cord-009417-458rrhcm 398 18 allogeneic allogeneic NN cord-009417-458rrhcm 398 19 lymphocytes lymphocyte NNS cord-009417-458rrhcm 398 20 and and CC cord-009417-458rrhcm 398 21 ensuing ensue VBG cord-009417-458rrhcm 398 22 rejection rejection NN cord-009417-458rrhcm 398 23 of of IN cord-009417-458rrhcm 398 24 recipient recipient NN cord-009417-458rrhcm 398 25 ( ( -LRB- cord-009417-458rrhcm 398 26 host host NN cord-009417-458rrhcm 398 27 ) ) -RRB- cord-009417-458rrhcm 398 28 tissues tissue NNS cord-009417-458rrhcm 398 29 . . . cord-009417-458rrhcm 399 1 Transfusion transfusion NN cord-009417-458rrhcm 399 2 recipients recipient NNS cord-009417-458rrhcm 399 3 who who WP cord-009417-458rrhcm 399 4 are be VBP cord-009417-458rrhcm 399 5 at at IN cord-009417-458rrhcm 399 6 highest high JJS cord-009417-458rrhcm 399 7 risk risk NN cord-009417-458rrhcm 399 8 include include VBP cord-009417-458rrhcm 399 9 neonates neonate NNS cord-009417-458rrhcm 399 10 , , , cord-009417-458rrhcm 399 11 especially especially RB cord-009417-458rrhcm 399 12 the the DT cord-009417-458rrhcm 399 13 very very RB cord-009417-458rrhcm 399 14 premature premature JJ cord-009417-458rrhcm 399 15 , , , cord-009417-458rrhcm 399 16 bone bone NN cord-009417-458rrhcm 399 17 marrow marrow NN cord-009417-458rrhcm 399 18 and and CC cord-009417-458rrhcm 399 19 organ organ NN cord-009417-458rrhcm 399 20 transplant transplant NN cord-009417-458rrhcm 399 21 recipients recipient NNS cord-009417-458rrhcm 399 22 , , , cord-009417-458rrhcm 399 23 and and CC cord-009417-458rrhcm 399 24 leukemia leukemia NN cord-009417-458rrhcm 399 25 and and CC cord-009417-458rrhcm 399 26 lymphoma lymphoma NN cord-009417-458rrhcm 399 27 patients patient NNS cord-009417-458rrhcm 399 28 . . . cord-009417-458rrhcm 400 1 TA TA NNP cord-009417-458rrhcm 400 2 - - HYPH cord-009417-458rrhcm 400 3 GVHD GVHD NNP cord-009417-458rrhcm 400 4 has have VBZ cord-009417-458rrhcm 400 5 also also RB cord-009417-458rrhcm 400 6 been be VBN cord-009417-458rrhcm 400 7 reported report VBN cord-009417-458rrhcm 400 8 in in IN cord-009417-458rrhcm 400 9 patients patient NNS cord-009417-458rrhcm 400 10 after after IN cord-009417-458rrhcm 400 11 cardiac cardiac JJ cord-009417-458rrhcm 400 12 surgery surgery NN cord-009417-458rrhcm 400 13 who who WP cord-009417-458rrhcm 400 14 received receive VBD cord-009417-458rrhcm 400 15 designated designated JJ cord-009417-458rrhcm 400 16 donor donor NN cord-009417-458rrhcm 400 17 blood blood NN cord-009417-458rrhcm 400 18 from from IN cord-009417-458rrhcm 400 19 relatives relative NNS cord-009417-458rrhcm 400 20 ; ; : cord-009417-458rrhcm 400 21 presumably presumably RB cord-009417-458rrhcm 400 22 , , , cord-009417-458rrhcm 400 23 the the DT cord-009417-458rrhcm 400 24 HLA HLA NNP cord-009417-458rrhcm 400 25 antigenic antigenic JJ cord-009417-458rrhcm 400 26 differences difference NNS cord-009417-458rrhcm 400 27 between between IN cord-009417-458rrhcm 400 28 donor donor NN cord-009417-458rrhcm 400 29 and and CC cord-009417-458rrhcm 400 30 recipient recipient NN cord-009417-458rrhcm 400 31 were be VBD cord-009417-458rrhcm 400 32 insuffi insuffi NNP cord-009417-458rrhcm 400 33 cient cient NNP cord-009417-458rrhcm 400 34 to to TO cord-009417-458rrhcm 400 35 stimulate stimulate VB cord-009417-458rrhcm 400 36 a a DT cord-009417-458rrhcm 400 37 recipient recipient NN cord-009417-458rrhcm 400 38 immune immune JJ cord-009417-458rrhcm 400 39 response response NN cord-009417-458rrhcm 400 40 but but CC cord-009417-458rrhcm 400 41 suffi suffi NNP cord-009417-458rrhcm 400 42 cient cient NNP cord-009417-458rrhcm 400 43 to to TO cord-009417-458rrhcm 400 44 elicit elicit VB cord-009417-458rrhcm 400 45 a a DT cord-009417-458rrhcm 400 46 donor donor NN cord-009417-458rrhcm 400 47 immune immune JJ cord-009417-458rrhcm 400 48 response response NN cord-009417-458rrhcm 400 49 . . . cord-009417-458rrhcm 401 1 82 82 CD cord-009417-458rrhcm 402 1 The the DT cord-009417-458rrhcm 402 2 onset onset NN cord-009417-458rrhcm 402 3 of of IN cord-009417-458rrhcm 402 4 TA TA NNP cord-009417-458rrhcm 402 5 - - HYPH cord-009417-458rrhcm 402 6 GVHD GVHD NNP cord-009417-458rrhcm 402 7 is be VBZ cord-009417-458rrhcm 402 8 usually usually RB cord-009417-458rrhcm 402 9 within within IN cord-009417-458rrhcm 402 10 8 8 CD cord-009417-458rrhcm 402 11 to to TO cord-009417-458rrhcm 402 12 30 30 CD cord-009417-458rrhcm 402 13 days day NNS cord-009417-458rrhcm 402 14 after after IN cord-009417-458rrhcm 402 15 transfusion transfusion NN cord-009417-458rrhcm 402 16 , , , cord-009417-458rrhcm 402 17 and and CC cord-009417-458rrhcm 402 18 it -PRON- PRP cord-009417-458rrhcm 402 19 is be VBZ cord-009417-458rrhcm 402 20 manifested manifest VBN cord-009417-458rrhcm 402 21 as as IN cord-009417-458rrhcm 402 22 fever fever NN cord-009417-458rrhcm 402 23 and and CC cord-009417-458rrhcm 402 24 rash rash NN cord-009417-458rrhcm 402 25 , , , cord-009417-458rrhcm 402 26 followed follow VBN cord-009417-458rrhcm 402 27 by by IN cord-009417-458rrhcm 402 28 diarrhea diarrhea NN cord-009417-458rrhcm 402 29 and and CC cord-009417-458rrhcm 402 30 evidence evidence NN cord-009417-458rrhcm 402 31 of of IN cord-009417-458rrhcm 402 32 liver liver NN cord-009417-458rrhcm 402 33 and and CC cord-009417-458rrhcm 402 34 bone bone NN cord-009417-458rrhcm 402 35 marrow marrow NN cord-009417-458rrhcm 402 36 injury injury NN cord-009417-458rrhcm 402 37 . . . cord-009417-458rrhcm 403 1 TA TA NNP cord-009417-458rrhcm 403 2 - - HYPH cord-009417-458rrhcm 403 3 GVHD GVHD NNP cord-009417-458rrhcm 403 4 differs differ VBZ cord-009417-458rrhcm 403 5 from from IN cord-009417-458rrhcm 403 6 that that DT cord-009417-458rrhcm 403 7 seen see VBN cord-009417-458rrhcm 403 8 in in IN cord-009417-458rrhcm 403 9 bone bone NN cord-009417-458rrhcm 403 10 marrow marrow NN cord-009417-458rrhcm 403 11 transplantation transplantation NN cord-009417-458rrhcm 403 12 ( ( -LRB- cord-009417-458rrhcm 403 13 BMT BMT NNP cord-009417-458rrhcm 403 14 ) ) -RRB- cord-009417-458rrhcm 403 15 by by IN cord-009417-458rrhcm 403 16 its -PRON- PRP$ cord-009417-458rrhcm 403 17 involvement involvement NN cord-009417-458rrhcm 403 18 of of IN cord-009417-458rrhcm 403 19 the the DT cord-009417-458rrhcm 403 20 marrow marrow NN cord-009417-458rrhcm 403 21 and and CC cord-009417-458rrhcm 403 22 by by IN cord-009417-458rrhcm 403 23 far far RB cord-009417-458rrhcm 403 24 greater great JJR cord-009417-458rrhcm 403 25 mortality mortality NN cord-009417-458rrhcm 403 26 . . . cord-009417-458rrhcm 404 1 Treatment treatment NN cord-009417-458rrhcm 404 2 is be VBZ cord-009417-458rrhcm 404 3 largely largely RB cord-009417-458rrhcm 404 4 ineffective ineffective JJ cord-009417-458rrhcm 404 5 , , , cord-009417-458rrhcm 404 6 and and CC cord-009417-458rrhcm 404 7 mortality mortality NN cord-009417-458rrhcm 404 8 exceeds exceed VBZ cord-009417-458rrhcm 404 9 90 90 CD cord-009417-458rrhcm 404 10 % % NN cord-009417-458rrhcm 404 11 . . . cord-009417-458rrhcm 405 1 Irradiation irradiation NN cord-009417-458rrhcm 405 2 of of IN cord-009417-458rrhcm 405 3 blood blood NN cord-009417-458rrhcm 405 4 components component NNS cord-009417-458rrhcm 405 5 at at IN cord-009417-458rrhcm 405 6 25 25 CD cord-009417-458rrhcm 405 7 Gy Gy NNP cord-009417-458rrhcm 405 8 prevents prevent VBZ cord-009417-458rrhcm 405 9 TA TA NNP cord-009417-458rrhcm 405 10 - - HYPH cord-009417-458rrhcm 405 11 GVHD GVHD NNP cord-009417-458rrhcm 405 12 by by IN cord-009417-458rrhcm 405 13 eliminating eliminate VBG cord-009417-458rrhcm 405 14 the the DT cord-009417-458rrhcm 405 15 donor donor NN cord-009417-458rrhcm 405 16 lymphocyte lymphocyte NN cord-009417-458rrhcm 405 17 mitogenic mitogenic NNP cord-009417-458rrhcm 405 18 response response NN cord-009417-458rrhcm 405 19 . . . cord-009417-458rrhcm 406 1 All all DT cord-009417-458rrhcm 406 2 cellular cellular JJ cord-009417-458rrhcm 406 3 blood blood NN cord-009417-458rrhcm 406 4 components component NNS cord-009417-458rrhcm 406 5 should should MD cord-009417-458rrhcm 406 6 be be VB cord-009417-458rrhcm 406 7 irradiated irradiate VBN cord-009417-458rrhcm 406 8 before before IN cord-009417-458rrhcm 406 9 transfusion transfusion NN cord-009417-458rrhcm 406 10 to to IN cord-009417-458rrhcm 406 11 high high JJ cord-009417-458rrhcm 406 12 - - HYPH cord-009417-458rrhcm 406 13 risk risk NN cord-009417-458rrhcm 406 14 patients patient NNS cord-009417-458rrhcm 406 15 . . . cord-009417-458rrhcm 407 1 The the DT cord-009417-458rrhcm 407 2 functions function NNS cord-009417-458rrhcm 407 3 of of IN cord-009417-458rrhcm 407 4 the the DT cord-009417-458rrhcm 407 5 cellular cellular JJ cord-009417-458rrhcm 407 6 components component NNS cord-009417-458rrhcm 407 7 of of IN cord-009417-458rrhcm 407 8 blood blood NN cord-009417-458rrhcm 407 9 are be VBP cord-009417-458rrhcm 407 10 unaffected unaffected JJ cord-009417-458rrhcm 407 11 , , , cord-009417-458rrhcm 407 12 although although IN cord-009417-458rrhcm 407 13 damage damage NN cord-009417-458rrhcm 407 14 to to IN cord-009417-458rrhcm 407 15 RBC RBC NNP cord-009417-458rrhcm 407 16 membranes membrane NNS cord-009417-458rrhcm 407 17 limits limit NNS cord-009417-458rrhcm 407 18 postirradiation postirradiation NN cord-009417-458rrhcm 407 19 storage storage NN cord-009417-458rrhcm 407 20 of of IN cord-009417-458rrhcm 407 21 PRBCs prbc NNS cord-009417-458rrhcm 407 22 . . . cord-009417-458rrhcm 408 1 83 83 CD cord-009417-458rrhcm 408 2 Blood blood NN cord-009417-458rrhcm 408 3 donated donate VBN cord-009417-458rrhcm 408 4 by by IN cord-009417-458rrhcm 408 5 a a DT cord-009417-458rrhcm 408 6 relative relative NN cord-009417-458rrhcm 408 7 for for IN cord-009417-458rrhcm 408 8 any any DT cord-009417-458rrhcm 408 9 patient patient NN cord-009417-458rrhcm 408 10 should should MD cord-009417-458rrhcm 408 11 be be VB cord-009417-458rrhcm 408 12 irradiated irradiate VBN cord-009417-458rrhcm 408 13 , , , cord-009417-458rrhcm 408 14 as as IN cord-009417-458rrhcm 408 15 should should MD cord-009417-458rrhcm 408 16 HLA HLA NNP cord-009417-458rrhcm 408 17 - - HYPH cord-009417-458rrhcm 408 18 matched match VBN cord-009417-458rrhcm 408 19 or or CC cord-009417-458rrhcm 408 20 crossmatched crossmatched JJ cord-009417-458rrhcm 408 21 platelet platelet NN cord-009417-458rrhcm 408 22 products product NNS cord-009417-458rrhcm 408 23 . . . cord-009417-458rrhcm 409 1 Allogeneic allogeneic IN cord-009417-458rrhcm 409 2 blood blood NN cord-009417-458rrhcm 409 3 transfusion transfusion NN cord-009417-458rrhcm 409 4 has have VBZ cord-009417-458rrhcm 409 5 been be VBN cord-009417-458rrhcm 409 6 shown show VBN cord-009417-458rrhcm 409 7 to to TO cord-009417-458rrhcm 409 8 modulate modulate VB cord-009417-458rrhcm 409 9 and and CC cord-009417-458rrhcm 409 10 suppress suppress VB cord-009417-458rrhcm 409 11 the the DT cord-009417-458rrhcm 409 12 recipient recipient NN cord-009417-458rrhcm 409 13 's 's POS cord-009417-458rrhcm 409 14 immune immune JJ cord-009417-458rrhcm 409 15 response response NN cord-009417-458rrhcm 409 16 , , , cord-009417-458rrhcm 409 17 an an DT cord-009417-458rrhcm 409 18 effect effect NN cord-009417-458rrhcm 409 19 fi fi NN cord-009417-458rrhcm 409 20 rst rst NNP cord-009417-458rrhcm 409 21 noted note VBN cord-009417-458rrhcm 409 22 with with IN cord-009417-458rrhcm 409 23 kidney kidney NN cord-009417-458rrhcm 409 24 transplantation transplantation NN cord-009417-458rrhcm 409 25 . . . cord-009417-458rrhcm 410 1 84 84 CD cord-009417-458rrhcm 410 2 Immunosuppression Immunosuppression NNP cord-009417-458rrhcm 410 3 in in IN cord-009417-458rrhcm 410 4 a a DT cord-009417-458rrhcm 410 5 critical critical JJ cord-009417-458rrhcm 410 6 care care NN cord-009417-458rrhcm 410 7 setting setting NN cord-009417-458rrhcm 410 8 is be VBZ cord-009417-458rrhcm 410 9 generally generally RB cord-009417-458rrhcm 410 10 undesirable undesirable JJ cord-009417-458rrhcm 410 11 , , , cord-009417-458rrhcm 410 12 but but CC cord-009417-458rrhcm 410 13 whether whether IN cord-009417-458rrhcm 410 14 transfusion transfusion NN cord-009417-458rrhcm 410 15 has have VBZ cord-009417-458rrhcm 410 16 a a DT cord-009417-458rrhcm 410 17 signifi signifi NN cord-009417-458rrhcm 410 18 ca can MD cord-009417-458rrhcm 410 19 nt not RB cord-009417-458rrhcm 410 20 impact impact NN cord-009417-458rrhcm 410 21 is be VBZ cord-009417-458rrhcm 410 22 debated debate VBN cord-009417-458rrhcm 410 23 . . . cord-009417-458rrhcm 411 1 Ongoing ongoing JJ cord-009417-458rrhcm 411 2 clinical clinical JJ cord-009417-458rrhcm 411 3 issues issue NNS cord-009417-458rrhcm 411 4 center center VBP cord-009417-458rrhcm 411 5 around around RB cord-009417-458rrhcm 411 6 two two CD cord-009417-458rrhcm 411 7 areas area NNS cord-009417-458rrhcm 411 8 of of IN cord-009417-458rrhcm 411 9 controversy controversy NN cord-009417-458rrhcm 411 10 : : : cord-009417-458rrhcm 411 11 the the DT cord-009417-458rrhcm 411 12 putative putative JJ cord-009417-458rrhcm 411 13 association association NN cord-009417-458rrhcm 411 14 between between IN cord-009417-458rrhcm 411 15 blood blood NN cord-009417-458rrhcm 411 16 transfusion transfusion NN cord-009417-458rrhcm 411 17 and and CC cord-009417-458rrhcm 411 18 increased increase VBN cord-009417-458rrhcm 411 19 numbers number NNS cord-009417-458rrhcm 411 20 of of IN cord-009417-458rrhcm 411 21 postoperative postoperative JJ cord-009417-458rrhcm 411 22 infections infection NNS cord-009417-458rrhcm 411 23 and and CC cord-009417-458rrhcm 411 24 increased increase VBN cord-009417-458rrhcm 411 25 and and CC cord-009417-458rrhcm 411 26 more more JJR cord-009417-458rrhcm 411 27 rapid rapid JJ cord-009417-458rrhcm 411 28 rates rate NNS cord-009417-458rrhcm 411 29 of of IN cord-009417-458rrhcm 411 30 tumor tumor NN cord-009417-458rrhcm 411 31 recurrence recurrence NN cord-009417-458rrhcm 411 32 in in IN cord-009417-458rrhcm 411 33 surgical surgical JJ cord-009417-458rrhcm 411 34 oncology oncology NN cord-009417-458rrhcm 411 35 patients patient NNS cord-009417-458rrhcm 411 36 with with IN cord-009417-458rrhcm 411 37 certain certain JJ cord-009417-458rrhcm 411 38 malignancies malignancy NNS cord-009417-458rrhcm 411 39 . . . cord-009417-458rrhcm 412 1 There there EX cord-009417-458rrhcm 412 2 has have VBZ cord-009417-458rrhcm 412 3 been be VBN cord-009417-458rrhcm 412 4 no no DT cord-009417-458rrhcm 412 5 resolution resolution NN cord-009417-458rrhcm 412 6 of of IN cord-009417-458rrhcm 412 7 either either DT cord-009417-458rrhcm 412 8 issue issue NN cord-009417-458rrhcm 412 9 despite despite IN cord-009417-458rrhcm 412 10 a a DT cord-009417-458rrhcm 412 11 few few JJ cord-009417-458rrhcm 412 12 prospective prospective JJ cord-009417-458rrhcm 412 13 trials trial NNS cord-009417-458rrhcm 412 14 having have VBG cord-009417-458rrhcm 412 15 been be VBN cord-009417-458rrhcm 412 16 performed perform VBN cord-009417-458rrhcm 412 17 . . . cord-009417-458rrhcm 413 1 The the DT cord-009417-458rrhcm 413 2 largest large JJS cord-009417-458rrhcm 413 3 pro pro JJ cord-009417-458rrhcm 413 4 - - JJ cord-009417-458rrhcm 413 5 spective spective JJ cord-009417-458rrhcm 413 6 trial trial NN cord-009417-458rrhcm 413 7 of of IN cord-009417-458rrhcm 413 8 colorectal colorectal JJ cord-009417-458rrhcm 413 9 cancer cancer NN cord-009417-458rrhcm 413 10 resection resection NN cord-009417-458rrhcm 413 11 , , , cord-009417-458rrhcm 413 12 for for IN cord-009417-458rrhcm 413 13 example example NN cord-009417-458rrhcm 413 14 , , , cord-009417-458rrhcm 413 15 is be VBZ cord-009417-458rrhcm 413 16 negative negative JJ cord-009417-458rrhcm 413 17 , , , cord-009417-458rrhcm 413 18 85 85 CD cord-009417-458rrhcm 413 19 but but CC cord-009417-458rrhcm 413 20 a a DT cord-009417-458rrhcm 413 21 meta meta JJ cord-009417-458rrhcm 413 22 - - HYPH cord-009417-458rrhcm 413 23 analysis analysis NN cord-009417-458rrhcm 413 24 of of IN cord-009417-458rrhcm 413 25 the the DT cord-009417-458rrhcm 413 26 extant extant JJ cord-009417-458rrhcm 413 27 data data NN cord-009417-458rrhcm 413 28 suggests suggest VBZ cord-009417-458rrhcm 413 29 that that IN cord-009417-458rrhcm 413 30 an an DT cord-009417-458rrhcm 413 31 adverse adverse JJ cord-009417-458rrhcm 413 32 effect effect NN cord-009417-458rrhcm 413 33 on on IN cord-009417-458rrhcm 413 34 recurrence recurrence NN cord-009417-458rrhcm 413 35 does do VBZ cord-009417-458rrhcm 413 36 exist exist VB cord-009417-458rrhcm 413 37 . . . cord-009417-458rrhcm 414 1 86 86 CD cord-009417-458rrhcm 415 1 Similarly similarly RB cord-009417-458rrhcm 415 2 , , , cord-009417-458rrhcm 415 3 most most JJS cord-009417-458rrhcm 415 4 of of IN cord-009417-458rrhcm 415 5 the the DT cord-009417-458rrhcm 415 6 randomized randomized JJ cord-009417-458rrhcm 415 7 trials trial NNS cord-009417-458rrhcm 415 8 of of IN cord-009417-458rrhcm 415 9 postoperative postoperative JJ cord-009417-458rrhcm 415 10 or or CC cord-009417-458rrhcm 415 11 critical critical JJ cord-009417-458rrhcm 415 12 care care NN cord-009417-458rrhcm 415 13 unit unit NN cord-009417-458rrhcm 415 14 infections infection NNS cord-009417-458rrhcm 415 15 are be VBP cord-009417-458rrhcm 415 16 too too RB cord-009417-458rrhcm 415 17 small small JJ cord-009417-458rrhcm 415 18 to to TO cord-009417-458rrhcm 415 19 indicate indicate VB cord-009417-458rrhcm 415 20 an an DT cord-009417-458rrhcm 415 21 effect effect NN cord-009417-458rrhcm 415 22 of of IN cord-009417-458rrhcm 415 23 transfusion transfusion NN cord-009417-458rrhcm 415 24 , , , cord-009417-458rrhcm 415 25 but but CC cord-009417-458rrhcm 415 26 all all DT cord-009417-458rrhcm 415 27 point point NN cord-009417-458rrhcm 415 28 in in IN cord-009417-458rrhcm 415 29 the the DT cord-009417-458rrhcm 415 30 direction direction NN cord-009417-458rrhcm 415 31 of of IN cord-009417-458rrhcm 415 32 an an DT cord-009417-458rrhcm 415 33 adverse adverse JJ cord-009417-458rrhcm 415 34 effect effect NN cord-009417-458rrhcm 415 35 . . . cord-009417-458rrhcm 416 1 87 87 CD cord-009417-458rrhcm 416 2 , , , cord-009417-458rrhcm 416 3 88 88 CD cord-009417-458rrhcm 416 4 Controversy controversy NN cord-009417-458rrhcm 416 5 will will MD cord-009417-458rrhcm 416 6 continue continue VB cord-009417-458rrhcm 416 7 until until IN cord-009417-458rrhcm 416 8 larger large JJR cord-009417-458rrhcm 416 9 randomized randomized JJ cord-009417-458rrhcm 416 10 trials trial NNS cord-009417-458rrhcm 416 11 are be VBP cord-009417-458rrhcm 416 12 conducted conduct VBN cord-009417-458rrhcm 416 13 . . . cord-009417-458rrhcm 417 1 The the DT cord-009417-458rrhcm 417 2 precise precise JJ cord-009417-458rrhcm 417 3 mechanism mechanism NN cord-009417-458rrhcm 417 4 of of IN cord-009417-458rrhcm 417 5 the the DT cord-009417-458rrhcm 417 6 immunosuppression immunosuppression NN cord-009417-458rrhcm 417 7 induced induce VBN cord-009417-458rrhcm 417 8 by by IN cord-009417-458rrhcm 417 9 allogeneic allogeneic NN cord-009417-458rrhcm 417 10 transfusion transfusion NN cord-009417-458rrhcm 417 11 has have VBZ cord-009417-458rrhcm 417 12 not not RB cord-009417-458rrhcm 417 13 yet yet RB cord-009417-458rrhcm 417 14 been be VBN cord-009417-458rrhcm 417 15 delineated delineate VBN cord-009417-458rrhcm 417 16 , , , cord-009417-458rrhcm 417 17 and and CC cord-009417-458rrhcm 417 18 several several JJ cord-009417-458rrhcm 417 19 mechanisms mechanism NNS cord-009417-458rrhcm 417 20 may may MD cord-009417-458rrhcm 417 21 be be VB cord-009417-458rrhcm 417 22 involved involve VBN cord-009417-458rrhcm 417 23 . . . cord-009417-458rrhcm 418 1 89 89 CD cord-009417-458rrhcm 418 2 Alterations alteration NNS cord-009417-458rrhcm 418 3 identifi identifi NNP cord-009417-458rrhcm 418 4 ed ed NN cord-009417-458rrhcm 418 5 in in RP cord-009417-458rrhcm 419 1 laboratory laboratory NN cord-009417-458rrhcm 419 2 and and CC cord-009417-458rrhcm 419 3 clinical clinical JJ cord-009417-458rrhcm 419 4 transfusion transfusion NN cord-009417-458rrhcm 419 5 recipients recipient NNS cord-009417-458rrhcm 419 6 have have VBP cord-009417-458rrhcm 419 7 included include VBN cord-009417-458rrhcm 419 8 depression depression NN cord-009417-458rrhcm 419 9 of of IN cord-009417-458rrhcm 419 10 the the DT cord-009417-458rrhcm 419 11 T T NNP cord-009417-458rrhcm 419 12 - - HYPH cord-009417-458rrhcm 419 13 helper/ helper/ NNP cord-009417-458rrhcm 420 1 Tsuppressor Tsuppressor NNP cord-009417-458rrhcm 420 2 lymphocyte lymphocyte NN cord-009417-458rrhcm 420 3 ratio ratio NN cord-009417-458rrhcm 420 4 , , , cord-009417-458rrhcm 420 5 decreased decrease VBD cord-009417-458rrhcm 420 6 natural natural JJ cord-009417-458rrhcm 420 7 killer killer NN cord-009417-458rrhcm 420 8 cell cell NN cord-009417-458rrhcm 420 9 activity activity NN cord-009417-458rrhcm 420 10 , , , cord-009417-458rrhcm 420 11 diminished diminish VBN cord-009417-458rrhcm 420 12 interleukin-2 interleukin-2 IN cord-009417-458rrhcm 420 13 generation generation NN cord-009417-458rrhcm 420 14 , , , cord-009417-458rrhcm 420 15 formation formation NN cord-009417-458rrhcm 420 16 of of IN cord-009417-458rrhcm 420 17 anti anti JJ cord-009417-458rrhcm 420 18 - - JJ cord-009417-458rrhcm 420 19 idiotype idiotype JJ cord-009417-458rrhcm 420 20 antibodies antibody NNS cord-009417-458rrhcm 420 21 , , , cord-009417-458rrhcm 420 22 impairment impairment NN cord-009417-458rrhcm 420 23 of of IN cord-009417-458rrhcm 420 24 phagocytic phagocytic JJ cord-009417-458rrhcm 420 25 cell cell NN cord-009417-458rrhcm 420 26 function function NN cord-009417-458rrhcm 420 27 , , , cord-009417-458rrhcm 420 28 and and CC cord-009417-458rrhcm 420 29 chronic chronic JJ cord-009417-458rrhcm 420 30 persistence persistence NN cord-009417-458rrhcm 420 31 of of IN cord-009417-458rrhcm 420 32 donor donor NN cord-009417-458rrhcm 420 33 lymphocytes lymphocyte NNS cord-009417-458rrhcm 420 34 ( ( -LRB- cord-009417-458rrhcm 420 35 microchimerism microchimerism NNP cord-009417-458rrhcm 420 36 ) ) -RRB- cord-009417-458rrhcm 420 37 , , , cord-009417-458rrhcm 420 38 suggestive suggestive JJ cord-009417-458rrhcm 420 39 of of IN cord-009417-458rrhcm 420 40 low low JJ cord-009417-458rrhcm 420 41 - - HYPH cord-009417-458rrhcm 420 42 level level NN cord-009417-458rrhcm 420 43 GVHD GVHD NNP cord-009417-458rrhcm 420 44 . . . cord-009417-458rrhcm 421 1 Difficulties difficulty NNS cord-009417-458rrhcm 421 2 in in IN cord-009417-458rrhcm 421 3 analysis analysis NN cord-009417-458rrhcm 421 4 of of IN cord-009417-458rrhcm 421 5 human human JJ cord-009417-458rrhcm 421 6 data datum NNS cord-009417-458rrhcm 421 7 arise arise VBP cord-009417-458rrhcm 421 8 because because IN cord-009417-458rrhcm 421 9 patients patient NNS cord-009417-458rrhcm 421 10 requiring require VBG cord-009417-458rrhcm 421 11 blood blood NN cord-009417-458rrhcm 421 12 transfusions transfusion NNS cord-009417-458rrhcm 421 13 have have VBP cord-009417-458rrhcm 421 14 conditions condition NNS cord-009417-458rrhcm 421 15 that that WDT cord-009417-458rrhcm 421 16 themselves -PRON- PRP cord-009417-458rrhcm 421 17 induce induce VBP cord-009417-458rrhcm 421 18 immune immune JJ cord-009417-458rrhcm 421 19 changes change NNS cord-009417-458rrhcm 421 20 . . . cord-009417-458rrhcm 422 1 There there EX cord-009417-458rrhcm 422 2 is be VBZ cord-009417-458rrhcm 422 3 some some DT cord-009417-458rrhcm 422 4 evidence evidence NN cord-009417-458rrhcm 422 5 , , , cord-009417-458rrhcm 422 6 bolstered bolster VBN cord-009417-458rrhcm 422 7 by by IN cord-009417-458rrhcm 422 8 the the DT cord-009417-458rrhcm 422 9 results result NNS cord-009417-458rrhcm 422 10 of of IN cord-009417-458rrhcm 422 11 two two CD cord-009417-458rrhcm 422 12 large large JJ cord-009417-458rrhcm 422 13 clinical clinical JJ cord-009417-458rrhcm 422 14 trials trial NNS cord-009417-458rrhcm 422 15 , , , cord-009417-458rrhcm 422 16 to to TO cord-009417-458rrhcm 422 17 suggest suggest VB cord-009417-458rrhcm 422 18 that that IN cord-009417-458rrhcm 422 19 leukocyte leukocyte NN cord-009417-458rrhcm 422 20 reduction reduction NN cord-009417-458rrhcm 422 21 of of IN cord-009417-458rrhcm 422 22 blood blood NN cord-009417-458rrhcm 422 23 components component NNS cord-009417-458rrhcm 422 24 reduces reduce VBZ cord-009417-458rrhcm 422 25 or or CC cord-009417-458rrhcm 422 26 eliminates eliminate VBZ cord-009417-458rrhcm 422 27 this this DT cord-009417-458rrhcm 422 28 immunosuppressive immunosuppressive JJ cord-009417-458rrhcm 422 29 effect effect NN cord-009417-458rrhcm 422 30 . . . cord-009417-458rrhcm 423 1 90 90 CD cord-009417-458rrhcm 423 2 Proponents proponent NNS cord-009417-458rrhcm 423 3 of of IN cord-009417-458rrhcm 423 4 this this DT cord-009417-458rrhcm 423 5 viewpoint viewpoint NN cord-009417-458rrhcm 423 6 argue argue VBP cord-009417-458rrhcm 423 7 that that IN cord-009417-458rrhcm 423 8 for for IN cord-009417-458rrhcm 423 9 this this DT cord-009417-458rrhcm 423 10 reason reason NN cord-009417-458rrhcm 423 11 , , , cord-009417-458rrhcm 423 12 ULR ULR NNP cord-009417-458rrhcm 423 13 would would MD cord-009417-458rrhcm 423 14 benefi benefi VB cord-009417-458rrhcm 423 15 t t NNP cord-009417-458rrhcm 423 16 most most JJS cord-009417-458rrhcm 423 17 patients patient NNS cord-009417-458rrhcm 423 18 receiving receive VBG cord-009417-458rrhcm 423 19 blood blood NN cord-009417-458rrhcm 423 20 transfusions transfusion NNS cord-009417-458rrhcm 423 21 and and CC cord-009417-458rrhcm 423 22 lead lead VB cord-009417-458rrhcm 423 23 to to IN cord-009417-458rrhcm 423 24 fewer few JJR cord-009417-458rrhcm 423 25 infections infection NNS cord-009417-458rrhcm 423 26 , , , cord-009417-458rrhcm 423 27 tumor tumor NN cord-009417-458rrhcm 423 28 recurrences recurrence NNS cord-009417-458rrhcm 423 29 , , , cord-009417-458rrhcm 423 30 and and CC cord-009417-458rrhcm 423 31 other other JJ cord-009417-458rrhcm 423 32 related relate VBN cord-009417-458rrhcm 423 33 putative putative JJ cord-009417-458rrhcm 423 34 risks risk NNS cord-009417-458rrhcm 423 35 of of IN cord-009417-458rrhcm 423 36 transfusion transfusion NN cord-009417-458rrhcm 423 37 , , , cord-009417-458rrhcm 423 38 all all DT cord-009417-458rrhcm 423 39 potentially potentially RB cord-009417-458rrhcm 423 40 resulting result VBG cord-009417-458rrhcm 423 41 in in IN cord-009417-458rrhcm 423 42 saving save VBG cord-009417-458rrhcm 423 43 lives life NNS cord-009417-458rrhcm 423 44 and and CC cord-009417-458rrhcm 423 45 cost cost NN cord-009417-458rrhcm 423 46 . . . cord-009417-458rrhcm 424 1 Prospective prospective JJ cord-009417-458rrhcm 424 2 trials trial NNS cord-009417-458rrhcm 424 3 will will MD cord-009417-458rrhcm 424 4 be be VB cord-009417-458rrhcm 424 5 extremely extremely RB cord-009417-458rrhcm 424 6 important important JJ cord-009417-458rrhcm 424 7 . . . cord-009417-458rrhcm 425 1 91 91 CD cord-009417-458rrhcm 425 2 Public public JJ cord-009417-458rrhcm 425 3 awareness awareness NN cord-009417-458rrhcm 425 4 of of IN cord-009417-458rrhcm 425 5 transfusion transfusion NN cord-009417-458rrhcm 425 6 - - HYPH cord-009417-458rrhcm 425 7 associated associate VBN cord-009417-458rrhcm 425 8 acquired acquire VBD cord-009417-458rrhcm 426 1 immunodefi immunodefi NNP cord-009417-458rrhcm 426 2 ciency ciency NNP cord-009417-458rrhcm 426 3 syndrome syndrome NNP cord-009417-458rrhcm 426 4 ( ( -LRB- cord-009417-458rrhcm 426 5 AIDS AIDS NNP cord-009417-458rrhcm 426 6 ) ) -RRB- cord-009417-458rrhcm 426 7 has have VBZ cord-009417-458rrhcm 426 8 done do VBN cord-009417-458rrhcm 426 9 more more JJR cord-009417-458rrhcm 426 10 to to TO cord-009417-458rrhcm 426 11 revolutionize revolutionize VB cord-009417-458rrhcm 426 12 transfusion transfusion NN cord-009417-458rrhcm 426 13 practice practice NN cord-009417-458rrhcm 426 14 than than IN cord-009417-458rrhcm 426 15 any any DT cord-009417-458rrhcm 426 16 other other JJ cord-009417-458rrhcm 426 17 transfusion transfusion NN cord-009417-458rrhcm 426 18 risk risk NN cord-009417-458rrhcm 426 19 by by IN cord-009417-458rrhcm 426 20 resulting result VBG cord-009417-458rrhcm 426 21 in in IN cord-009417-458rrhcm 426 22 more more JJR cord-009417-458rrhcm 426 23 conservative conservative JJ cord-009417-458rrhcm 426 24 blood blood NN cord-009417-458rrhcm 426 25 use use NN cord-009417-458rrhcm 426 26 , , , cord-009417-458rrhcm 426 27 more more RBR cord-009417-458rrhcm 426 28 stringent stringent JJ cord-009417-458rrhcm 426 29 donor donor NN cord-009417-458rrhcm 426 30 selection selection NN cord-009417-458rrhcm 426 31 criteria criterion NNS cord-009417-458rrhcm 426 32 , , , cord-009417-458rrhcm 426 33 and and CC cord-009417-458rrhcm 426 34 improved improved JJ cord-009417-458rrhcm 426 35 screening screening NN cord-009417-458rrhcm 426 36 tests test NNS cord-009417-458rrhcm 426 37 . . . cord-009417-458rrhcm 427 1 The the DT cord-009417-458rrhcm 427 2 result result NN cord-009417-458rrhcm 427 3 is be VBZ cord-009417-458rrhcm 427 4 that that IN cord-009417-458rrhcm 427 5 viral viral JJ cord-009417-458rrhcm 427 6 transmission transmission NN cord-009417-458rrhcm 427 7 rates rate NNS cord-009417-458rrhcm 427 8 are be VBP cord-009417-458rrhcm 427 9 now now RB cord-009417-458rrhcm 427 10 diffi diffi JJ cord-009417-458rrhcm 427 11 cult cult NN cord-009417-458rrhcm 427 12 to to TO cord-009417-458rrhcm 427 13 measure measure VB cord-009417-458rrhcm 427 14 , , , cord-009417-458rrhcm 427 15 and and CC cord-009417-458rrhcm 427 16 the the DT cord-009417-458rrhcm 427 17 risk risk NN cord-009417-458rrhcm 427 18 of of IN cord-009417-458rrhcm 427 19 transfusionrelated transfusionrelated JJ cord-009417-458rrhcm 427 20 infectious infectious JJ cord-009417-458rrhcm 427 21 diseases disease NNS cord-009417-458rrhcm 427 22 is be VBZ cord-009417-458rrhcm 427 23 lower low JJR cord-009417-458rrhcm 427 24 than than IN cord-009417-458rrhcm 427 25 ever ever RB cord-009417-458rrhcm 427 26 . . . cord-009417-458rrhcm 428 1 92 92 CD cord-009417-458rrhcm 429 1 The the DT cord-009417-458rrhcm 429 2 current current JJ cord-009417-458rrhcm 429 3 best good JJS cord-009417-458rrhcm 429 4 estimate estimate NN cord-009417-458rrhcm 429 5 is be VBZ cord-009417-458rrhcm 429 6 that that IN cord-009417-458rrhcm 429 7 3 3 CD cord-009417-458rrhcm 429 8 to to TO cord-009417-458rrhcm 429 9 4 4 CD cord-009417-458rrhcm 429 10 units unit NNS cord-009417-458rrhcm 429 11 per per IN cord-009417-458rrhcm 429 12 10,000 10,000 CD cord-009417-458rrhcm 429 13 will will MD cord-009417-458rrhcm 429 14 transmit transmit VB cord-009417-458rrhcm 429 15 some some DT cord-009417-458rrhcm 429 16 kind kind NN cord-009417-458rrhcm 429 17 of of IN cord-009417-458rrhcm 429 18 infection infection NN cord-009417-458rrhcm 429 19 93 93 CD cord-009417-458rrhcm 429 20 if if IN cord-009417-458rrhcm 429 21 agents agent NNS cord-009417-458rrhcm 429 22 such such JJ cord-009417-458rrhcm 429 23 as as IN cord-009417-458rrhcm 429 24 CMV CMV NNP cord-009417-458rrhcm 429 25 or or CC cord-009417-458rrhcm 429 26 Epstein Epstein NNP cord-009417-458rrhcm 429 27 - - HYPH cord-009417-458rrhcm 429 28 Barr Barr NNP cord-009417-458rrhcm 429 29 virus virus NN cord-009417-458rrhcm 429 30 are be VBP cord-009417-458rrhcm 429 31 included include VBN cord-009417-458rrhcm 429 32 . . . cord-009417-458rrhcm 430 1 Bacterial bacterial JJ cord-009417-458rrhcm 430 2 infection infection NN cord-009417-458rrhcm 430 3 has have VBZ cord-009417-458rrhcm 430 4 become become VBN cord-009417-458rrhcm 430 5 the the DT cord-009417-458rrhcm 430 6 most most RBS cord-009417-458rrhcm 430 7 common common JJ cord-009417-458rrhcm 430 8 infectious infectious JJ cord-009417-458rrhcm 430 9 risk risk NN cord-009417-458rrhcm 430 10 thanks thank NNS cord-009417-458rrhcm 430 11 to to IN cord-009417-458rrhcm 430 12 increasingly increasingly RB cord-009417-458rrhcm 430 13 sensitive sensitive JJ cord-009417-458rrhcm 430 14 donor donor NN cord-009417-458rrhcm 430 15 screening screening NN cord-009417-458rrhcm 430 16 tests test NNS cord-009417-458rrhcm 430 17 , , , cord-009417-458rrhcm 430 18 including include VBG cord-009417-458rrhcm 430 19 nucleic nucleic JJ cord-009417-458rrhcm 430 20 acid acid NN cord-009417-458rrhcm 430 21 testing testing NN cord-009417-458rrhcm 430 22 ( ( -LRB- cord-009417-458rrhcm 430 23 NAT NAT NNP cord-009417-458rrhcm 430 24 ) ) -RRB- cord-009417-458rrhcm 430 25 to to TO cord-009417-458rrhcm 430 26 detect detect VB cord-009417-458rrhcm 430 27 viral viral JJ cord-009417-458rrhcm 430 28 DNA dna NN cord-009417-458rrhcm 430 29 or or CC cord-009417-458rrhcm 430 30 RNA RNA NNP cord-009417-458rrhcm 430 31 , , , cord-009417-458rrhcm 430 32 which which WDT cord-009417-458rrhcm 430 33 has have VBZ cord-009417-458rrhcm 430 34 shortened shorten VBN cord-009417-458rrhcm 430 35 the the DT cord-009417-458rrhcm 430 36 infectious infectious JJ cord-009417-458rrhcm 430 37 period period NN cord-009417-458rrhcm 430 38 and and CC cord-009417-458rrhcm 430 39 reduced reduce VBD cord-009417-458rrhcm 430 40 the the DT cord-009417-458rrhcm 430 41 risk risk NN cord-009417-458rrhcm 430 42 for for IN cord-009417-458rrhcm 430 43 post post JJ cord-009417-458rrhcm 430 44 - - JJ cord-009417-458rrhcm 430 45 transfusion transfusion JJ cord-009417-458rrhcm 430 46 hepatitis hepatitis NN cord-009417-458rrhcm 430 47 ( ( -LRB- cord-009417-458rrhcm 430 48 PTH PTH NNP cord-009417-458rrhcm 430 49 ) ) -RRB- cord-009417-458rrhcm 430 50 and and CC cord-009417-458rrhcm 430 51 other other JJ cord-009417-458rrhcm 430 52 viral viral JJ cord-009417-458rrhcm 430 53 infections infection NNS cord-009417-458rrhcm 430 54 . . . cord-009417-458rrhcm 431 1 Several several JJ cord-009417-458rrhcm 431 2 fatalities fatality NNS cord-009417-458rrhcm 431 3 are be VBP cord-009417-458rrhcm 431 4 reported report VBN cord-009417-458rrhcm 431 5 yearly yearly RB cord-009417-458rrhcm 431 6 from from IN cord-009417-458rrhcm 431 7 the the DT cord-009417-458rrhcm 431 8 transfusion transfusion NN cord-009417-458rrhcm 431 9 of of IN cord-009417-458rrhcm 431 10 blood blood NN cord-009417-458rrhcm 431 11 components component NNS cord-009417-458rrhcm 431 12 contaminated contaminate VBN cord-009417-458rrhcm 431 13 with with IN cord-009417-458rrhcm 431 14 viable viable JJ cord-009417-458rrhcm 431 15 , , , cord-009417-458rrhcm 431 16 proliferating proliferate VBG cord-009417-458rrhcm 431 17 bacteria bacteria NNS cord-009417-458rrhcm 431 18 , , , cord-009417-458rrhcm 431 19 with with IN cord-009417-458rrhcm 431 20 or or CC cord-009417-458rrhcm 431 21 without without IN cord-009417-458rrhcm 431 22 the the DT cord-009417-458rrhcm 431 23 accumulation accumulation NN cord-009417-458rrhcm 431 24 of of IN cord-009417-458rrhcm 431 25 endotoxin endotoxin NN cord-009417-458rrhcm 431 26 . . . cord-009417-458rrhcm 432 1 94 94 CD cord-009417-458rrhcm 432 2 Platelet platelet NN cord-009417-458rrhcm 432 3 concentrates concentrate VBZ cord-009417-458rrhcm 432 4 , , , cord-009417-458rrhcm 432 5 because because IN cord-009417-458rrhcm 432 6 they -PRON- PRP cord-009417-458rrhcm 432 7 must must MD cord-009417-458rrhcm 432 8 be be VB cord-009417-458rrhcm 432 9 stored store VBN cord-009417-458rrhcm 432 10 at at IN cord-009417-458rrhcm 432 11 room room NN cord-009417-458rrhcm 432 12 temperature temperature NN cord-009417-458rrhcm 432 13 , , , cord-009417-458rrhcm 432 14 are be VBP cord-009417-458rrhcm 432 15 particularly particularly RB cord-009417-458rrhcm 432 16 prone prone JJ cord-009417-458rrhcm 432 17 to to IN cord-009417-458rrhcm 432 18 bacterial bacterial JJ cord-009417-458rrhcm 432 19 growth growth NN cord-009417-458rrhcm 432 20 , , , cord-009417-458rrhcm 432 21 with with IN cord-009417-458rrhcm 432 22 a a DT cord-009417-458rrhcm 432 23 reported report VBN cord-009417-458rrhcm 432 24 incidence incidence NN cord-009417-458rrhcm 432 25 of of IN cord-009417-458rrhcm 432 26 6 6 CD cord-009417-458rrhcm 432 27 in in IN cord-009417-458rrhcm 432 28 10,000 10,000 CD cord-009417-458rrhcm 432 29 transfusions transfusion NNS cord-009417-458rrhcm 432 30 . . . cord-009417-458rrhcm 433 1 95 95 CD cord-009417-458rrhcm 433 2 Organisms organism NNS cord-009417-458rrhcm 433 3 isolated isolate VBN cord-009417-458rrhcm 433 4 from from IN cord-009417-458rrhcm 433 5 platelets platelet NNS cord-009417-458rrhcm 433 6 and and CC cord-009417-458rrhcm 433 7 implicated implicate VBN cord-009417-458rrhcm 433 8 in in IN cord-009417-458rrhcm 433 9 fatal fatal JJ cord-009417-458rrhcm 433 10 transfusion transfusion NN cord-009417-458rrhcm 433 11 reactions reaction NNS cord-009417-458rrhcm 433 12 include include VBP cord-009417-458rrhcm 433 13 Staphylococcus Staphylococcus NNP cord-009417-458rrhcm 433 14 and and CC cord-009417-458rrhcm 433 15 Streptococcus Streptococcus NNP cord-009417-458rrhcm 433 16 species specie NNS cord-009417-458rrhcm 433 17 and and CC cord-009417-458rrhcm 433 18 gram gram NN cord-009417-458rrhcm 433 19 - - HYPH cord-009417-458rrhcm 433 20 negative negative JJ cord-009417-458rrhcm 433 21 bacilli bacilli NN cord-009417-458rrhcm 433 22 . . . cord-009417-458rrhcm 434 1 Fatalities fatality NNS cord-009417-458rrhcm 434 2 resulting result VBG cord-009417-458rrhcm 434 3 from from IN cord-009417-458rrhcm 434 4 bacterial bacterial JJ cord-009417-458rrhcm 434 5 contamination contamination NN cord-009417-458rrhcm 434 6 of of IN cord-009417-458rrhcm 434 7 refrigerated refrigerated JJ cord-009417-458rrhcm 434 8 RBCs rbc NNS cord-009417-458rrhcm 434 9 have have VBP cord-009417-458rrhcm 434 10 occurred occur VBN cord-009417-458rrhcm 434 11 as as RB cord-009417-458rrhcm 434 12 well well RB cord-009417-458rrhcm 434 13 and and CC cord-009417-458rrhcm 434 14 more more RBR cord-009417-458rrhcm 434 15 often often RB cord-009417-458rrhcm 434 16 involve involve VBP cord-009417-458rrhcm 434 17 cryophilic cryophilic JJ cord-009417-458rrhcm 434 18 bacteria bacteria NNS cord-009417-458rrhcm 434 19 . . . cord-009417-458rrhcm 435 1 RBC RBC NNP cord-009417-458rrhcm 435 2 transfusions transfusion NNS cord-009417-458rrhcm 435 3 contaminated contaminate VBN cord-009417-458rrhcm 435 4 by by IN cord-009417-458rrhcm 435 5 Yersinia Yersinia NNP cord-009417-458rrhcm 435 6 enterocolitica enterocolitica NNP cord-009417-458rrhcm 435 7 have have VBP cord-009417-458rrhcm 435 8 been be VBN cord-009417-458rrhcm 435 9 consistently consistently RB cord-009417-458rrhcm 435 10 reported report VBN cord-009417-458rrhcm 435 11 for for IN cord-009417-458rrhcm 435 12 a a DT cord-009417-458rrhcm 435 13 decade decade NN cord-009417-458rrhcm 435 14 . . . cord-009417-458rrhcm 436 1 96 96 CD cord-009417-458rrhcm 436 2 Transfusion transfusion NN cord-009417-458rrhcm 436 3 reactions reaction NNS cord-009417-458rrhcm 436 4 caused cause VBN cord-009417-458rrhcm 436 5 by by IN cord-009417-458rrhcm 436 6 bacterial bacterial JJ cord-009417-458rrhcm 436 7 or or CC cord-009417-458rrhcm 436 8 endotoxin endotoxin NN cord-009417-458rrhcm 436 9 contamination contamination NN cord-009417-458rrhcm 436 10 are be VBP cord-009417-458rrhcm 436 11 fortunately fortunately RB cord-009417-458rrhcm 436 12 quite quite RB cord-009417-458rrhcm 436 13 rare rare JJ cord-009417-458rrhcm 436 14 , , , cord-009417-458rrhcm 436 15 but but CC cord-009417-458rrhcm 436 16 mortality mortality NN cord-009417-458rrhcm 436 17 exceeds exceed VBZ cord-009417-458rrhcm 436 18 60 60 CD cord-009417-458rrhcm 436 19 % % NN cord-009417-458rrhcm 436 20 . . . cord-009417-458rrhcm 437 1 Signs sign NNS cord-009417-458rrhcm 437 2 and and CC cord-009417-458rrhcm 437 3 symptoms symptom NNS cord-009417-458rrhcm 437 4 of of IN cord-009417-458rrhcm 437 5 reactions reaction NNS cord-009417-458rrhcm 437 6 caused cause VBN cord-009417-458rrhcm 437 7 by by IN cord-009417-458rrhcm 437 8 microbial microbial JJ cord-009417-458rrhcm 437 9 contamination contamination NN cord-009417-458rrhcm 437 10 overlap overlap VBP cord-009417-458rrhcm 437 11 those those DT cord-009417-458rrhcm 437 12 of of IN cord-009417-458rrhcm 437 13 hemolytic hemolytic JJ cord-009417-458rrhcm 437 14 transfusion transfusion NN cord-009417-458rrhcm 437 15 reactions reaction NNS cord-009417-458rrhcm 437 16 and and CC cord-009417-458rrhcm 437 17 consist consist VBP cord-009417-458rrhcm 437 18 primarily primarily RB cord-009417-458rrhcm 437 19 of of IN cord-009417-458rrhcm 437 20 fever fever NN cord-009417-458rrhcm 437 21 and and CC cord-009417-458rrhcm 437 22 hypotension hypotension NN cord-009417-458rrhcm 437 23 , , , cord-009417-458rrhcm 437 24 along along IN cord-009417-458rrhcm 437 25 with with IN cord-009417-458rrhcm 437 26 other other JJ cord-009417-458rrhcm 437 27 signs sign NNS cord-009417-458rrhcm 437 28 of of IN cord-009417-458rrhcm 437 29 endotoxic endotoxic JJ cord-009417-458rrhcm 437 30 shock shock NN cord-009417-458rrhcm 437 31 . . . cord-009417-458rrhcm 438 1 If if IN cord-009417-458rrhcm 438 2 recognized recognize VBN cord-009417-458rrhcm 438 3 promptly promptly RB cord-009417-458rrhcm 438 4 , , , cord-009417-458rrhcm 438 5 a a DT cord-009417-458rrhcm 438 6 Gram Gram NNP cord-009417-458rrhcm 438 7 stain stain NN cord-009417-458rrhcm 438 8 of of IN cord-009417-458rrhcm 438 9 the the DT cord-009417-458rrhcm 438 10 implicated implicated JJ cord-009417-458rrhcm 438 11 unit unit NN cord-009417-458rrhcm 438 12 can can MD cord-009417-458rrhcm 438 13 be be VB cord-009417-458rrhcm 438 14 prepared prepare VBN cord-009417-458rrhcm 438 15 immediately immediately RB cord-009417-458rrhcm 438 16 and and CC cord-009417-458rrhcm 438 17 , , , cord-009417-458rrhcm 438 18 if if IN cord-009417-458rrhcm 438 19 positive positive JJ cord-009417-458rrhcm 438 20 , , , cord-009417-458rrhcm 438 21 appropriate appropriate JJ cord-009417-458rrhcm 438 22 antibiotic antibiotic JJ cord-009417-458rrhcm 438 23 and and CC cord-009417-458rrhcm 438 24 supportive supportive JJ cord-009417-458rrhcm 438 25 therapy therapy NN cord-009417-458rrhcm 438 26 instituted institute VBD cord-009417-458rrhcm 438 27 . . . cord-009417-458rrhcm 439 1 Autologous autologous JJ cord-009417-458rrhcm 439 2 blood blood NN cord-009417-458rrhcm 439 3 components component NNS cord-009417-458rrhcm 439 4 may may MD cord-009417-458rrhcm 439 5 also also RB cord-009417-458rrhcm 439 6 be be VB cord-009417-458rrhcm 439 7 contaminated contaminate VBN cord-009417-458rrhcm 439 8 at at IN cord-009417-458rrhcm 439 9 the the DT cord-009417-458rrhcm 439 10 time time NN cord-009417-458rrhcm 439 11 of of IN cord-009417-458rrhcm 439 12 collection collection NN cord-009417-458rrhcm 439 13 ; ; : cord-009417-458rrhcm 439 14 therefore therefore RB cord-009417-458rrhcm 439 15 , , , cord-009417-458rrhcm 439 16 reactions reaction NNS cord-009417-458rrhcm 439 17 occurring occur VBG cord-009417-458rrhcm 439 18 in in IN cord-009417-458rrhcm 439 19 patients patient NNS cord-009417-458rrhcm 439 20 who who WP cord-009417-458rrhcm 439 21 are be VBP cord-009417-458rrhcm 439 22 receiving receive VBG cord-009417-458rrhcm 439 23 their -PRON- PRP$ cord-009417-458rrhcm 439 24 own own JJ cord-009417-458rrhcm 439 25 blood blood NN cord-009417-458rrhcm 439 26 should should MD cord-009417-458rrhcm 439 27 not not RB cord-009417-458rrhcm 439 28 be be VB cord-009417-458rrhcm 439 29 dismissed dismiss VBN cord-009417-458rrhcm 439 30 but but CC cord-009417-458rrhcm 439 31 instead instead RB cord-009417-458rrhcm 439 32 should should MD cord-009417-458rrhcm 439 33 be be VB cord-009417-458rrhcm 439 34 evaluated evaluate VBN cord-009417-458rrhcm 439 35 as as RB cord-009417-458rrhcm 439 36 fully fully RB cord-009417-458rrhcm 439 37 as as IN cord-009417-458rrhcm 439 38 though though IN cord-009417-458rrhcm 439 39 the the DT cord-009417-458rrhcm 439 40 patients patient NNS cord-009417-458rrhcm 439 41 had have VBD cord-009417-458rrhcm 439 42 received receive VBN cord-009417-458rrhcm 439 43 allogeneic allogeneic IN cord-009417-458rrhcm 439 44 blood blood NN cord-009417-458rrhcm 439 45 . . . cord-009417-458rrhcm 440 1 The the DT cord-009417-458rrhcm 440 2 success success NN cord-009417-458rrhcm 440 3 of of IN cord-009417-458rrhcm 440 4 viral viral JJ cord-009417-458rrhcm 440 5 screening screening NN cord-009417-458rrhcm 440 6 measures measure NNS cord-009417-458rrhcm 440 7 is be VBZ cord-009417-458rrhcm 440 8 most most RBS cord-009417-458rrhcm 440 9 clearly clearly RB cord-009417-458rrhcm 440 10 illustrated illustrate VBN cord-009417-458rrhcm 440 11 by by IN cord-009417-458rrhcm 440 12 the the DT cord-009417-458rrhcm 440 13 fall fall NN cord-009417-458rrhcm 440 14 in in IN cord-009417-458rrhcm 440 15 the the DT cord-009417-458rrhcm 440 16 risk risk NN cord-009417-458rrhcm 440 17 for for IN cord-009417-458rrhcm 440 18 PTH PTH NNP cord-009417-458rrhcm 440 19 over over IN cord-009417-458rrhcm 440 20 the the DT cord-009417-458rrhcm 440 21 past past JJ cord-009417-458rrhcm 440 22 2 2 CD cord-009417-458rrhcm 440 23 decades decade NNS cord-009417-458rrhcm 440 24 . . . cord-009417-458rrhcm 441 1 Although although IN cord-009417-458rrhcm 441 2 PTH PTH NNP cord-009417-458rrhcm 441 3 continues continue VBZ cord-009417-458rrhcm 441 4 to to TO cord-009417-458rrhcm 441 5 be be VB cord-009417-458rrhcm 441 6 a a DT cord-009417-458rrhcm 441 7 signifi signifi NN cord-009417-458rrhcm 441 8 ca can MD cord-009417-458rrhcm 441 9 nt not RB cord-009417-458rrhcm 441 10 cause cause VB cord-009417-458rrhcm 441 11 of of IN cord-009417-458rrhcm 441 12 morbidity morbidity NN cord-009417-458rrhcm 441 13 and and CC cord-009417-458rrhcm 441 14 mortality mortality NN cord-009417-458rrhcm 441 15 , , , cord-009417-458rrhcm 441 16 the the DT cord-009417-458rrhcm 441 17 nature nature NN cord-009417-458rrhcm 441 18 of of IN cord-009417-458rrhcm 441 19 PTH PTH NNP cord-009417-458rrhcm 441 20 has have VBZ cord-009417-458rrhcm 441 21 changed change VBN cord-009417-458rrhcm 441 22 through through IN cord-009417-458rrhcm 441 23 the the DT cord-009417-458rrhcm 441 24 years year NNS cord-009417-458rrhcm 441 25 with with IN cord-009417-458rrhcm 441 26 the the DT cord-009417-458rrhcm 441 27 stepwise stepwise JJ cord-009417-458rrhcm 441 28 institution institution NN cord-009417-458rrhcm 441 29 of of IN cord-009417-458rrhcm 441 30 various various JJ cord-009417-458rrhcm 441 31 donor donor NN cord-009417-458rrhcm 441 32 screening screening NN cord-009417-458rrhcm 441 33 measures measure NNS cord-009417-458rrhcm 441 34 . . . cord-009417-458rrhcm 442 1 The the DT cord-009417-458rrhcm 442 2 elimination elimination NN cord-009417-458rrhcm 442 3 of of IN cord-009417-458rrhcm 442 4 paid pay VBN cord-009417-458rrhcm 442 5 donors donor NNS cord-009417-458rrhcm 442 6 in in IN cord-009417-458rrhcm 442 7 1972 1972 CD cord-009417-458rrhcm 442 8 and and CC cord-009417-458rrhcm 442 9 the the DT cord-009417-458rrhcm 442 10 successive successive JJ cord-009417-458rrhcm 442 11 introduction introduction NN cord-009417-458rrhcm 442 12 of of IN cord-009417-458rrhcm 442 13 immunologic immunologic JJ cord-009417-458rrhcm 442 14 tests test NNS cord-009417-458rrhcm 442 15 for for IN cord-009417-458rrhcm 442 16 hepatitis hepatitis NN cord-009417-458rrhcm 442 17 B B NNP cord-009417-458rrhcm 442 18 have have VBP cord-009417-458rrhcm 442 19 resulted result VBN cord-009417-458rrhcm 442 20 in in IN cord-009417-458rrhcm 442 21 a a DT cord-009417-458rrhcm 442 22 steady steady JJ cord-009417-458rrhcm 442 23 reduction reduction NN cord-009417-458rrhcm 442 24 in in IN cord-009417-458rrhcm 442 25 the the DT cord-009417-458rrhcm 442 26 rates rate NNS cord-009417-458rrhcm 442 27 of of IN cord-009417-458rrhcm 442 28 PTH PTH NNP cord-009417-458rrhcm 442 29 caused cause VBN cord-009417-458rrhcm 442 30 by by IN cord-009417-458rrhcm 442 31 hepatitis hepatitis NNP cord-009417-458rrhcm 442 32 B B NNP cord-009417-458rrhcm 442 33 virus virus NN cord-009417-458rrhcm 442 34 ( ( -LRB- cord-009417-458rrhcm 442 35 HBV HBV NNP cord-009417-458rrhcm 442 36 ) ) -RRB- cord-009417-458rrhcm 442 37 to to IN cord-009417-458rrhcm 442 38 approximately approximately RB cord-009417-458rrhcm 442 39 17 17 CD cord-009417-458rrhcm 442 40 per per IN cord-009417-458rrhcm 442 41 million million CD cord-009417-458rrhcm 442 42 units unit NNS cord-009417-458rrhcm 442 43 of of IN cord-009417-458rrhcm 442 44 transfused transfuse VBN cord-009417-458rrhcm 442 45 blood blood NN cord-009417-458rrhcm 442 46 products product NNS cord-009417-458rrhcm 442 47 . . . cord-009417-458rrhcm 443 1 Although although IN cord-009417-458rrhcm 443 2 about about RB cord-009417-458rrhcm 443 3 30 30 CD cord-009417-458rrhcm 443 4 % % NN cord-009417-458rrhcm 443 5 to to TO cord-009417-458rrhcm 443 6 40 40 CD cord-009417-458rrhcm 443 7 % % NN cord-009417-458rrhcm 443 8 of of IN cord-009417-458rrhcm 443 9 HBV HBV NNP cord-009417-458rrhcm 443 10 transmissions transmission NNS cord-009417-458rrhcm 443 11 will will MD cord-009417-458rrhcm 443 12 result result VB cord-009417-458rrhcm 443 13 in in IN cord-009417-458rrhcm 443 14 acute acute JJ cord-009417-458rrhcm 443 15 hepatitis hepatitis NN cord-009417-458rrhcm 443 16 , , , cord-009417-458rrhcm 443 17 chronic chronic JJ cord-009417-458rrhcm 443 18 HBV HBV NNP cord-009417-458rrhcm 443 19 infection infection NN cord-009417-458rrhcm 443 20 develops develop VBZ cord-009417-458rrhcm 443 21 in in IN cord-009417-458rrhcm 443 22 less less JJR cord-009417-458rrhcm 443 23 than than IN cord-009417-458rrhcm 443 24 10 10 CD cord-009417-458rrhcm 443 25 % % NN cord-009417-458rrhcm 443 26 of of IN cord-009417-458rrhcm 443 27 such such JJ cord-009417-458rrhcm 443 28 patients patient NNS cord-009417-458rrhcm 443 29 . . . cord-009417-458rrhcm 444 1 In in IN cord-009417-458rrhcm 444 2 contrast contrast NN cord-009417-458rrhcm 444 3 , , , cord-009417-458rrhcm 444 4 the the DT cord-009417-458rrhcm 444 5 risk risk NN cord-009417-458rrhcm 444 6 for for IN cord-009417-458rrhcm 444 7 chronic chronic JJ cord-009417-458rrhcm 444 8 hepatitis hepatitis NN cord-009417-458rrhcm 444 9 C c NN cord-009417-458rrhcm 444 10 virus virus NN cord-009417-458rrhcm 444 11 ( ( -LRB- cord-009417-458rrhcm 444 12 HCV HCV NNP cord-009417-458rrhcm 444 13 ) ) -RRB- cord-009417-458rrhcm 444 14 infection infection NN cord-009417-458rrhcm 444 15 after after IN cord-009417-458rrhcm 444 16 transfusion transfusion NN cord-009417-458rrhcm 444 17 is be VBZ cord-009417-458rrhcm 444 18 higher high JJR cord-009417-458rrhcm 444 19 , , , cord-009417-458rrhcm 444 20 nearly nearly RB cord-009417-458rrhcm 444 21 50 50 CD cord-009417-458rrhcm 444 22 % % NN cord-009417-458rrhcm 444 23 , , , cord-009417-458rrhcm 444 24 and and CC cord-009417-458rrhcm 444 25 the the DT cord-009417-458rrhcm 444 26 long long JJ cord-009417-458rrhcm 444 27 - - HYPH cord-009417-458rrhcm 444 28 term term NN cord-009417-458rrhcm 444 29 risk risk NN cord-009417-458rrhcm 444 30 for for IN cord-009417-458rrhcm 444 31 cirrhosis cirrhosis NN cord-009417-458rrhcm 444 32 - - HYPH cord-009417-458rrhcm 444 33 or or CC cord-009417-458rrhcm 444 34 hepatocellular hepatocellular JJ cord-009417-458rrhcm 444 35 carcinoma carcinoma NN cord-009417-458rrhcm 444 36 - - HYPH cord-009417-458rrhcm 444 37 related relate VBN cord-009417-458rrhcm 444 38 mortality mortality NN cord-009417-458rrhcm 444 39 is be VBZ cord-009417-458rrhcm 444 40 about about RB cord-009417-458rrhcm 444 41 15 15 CD cord-009417-458rrhcm 444 42 % % NN cord-009417-458rrhcm 444 43 over over IN cord-009417-458rrhcm 444 44 more more JJR cord-009417-458rrhcm 444 45 than than IN cord-009417-458rrhcm 444 46 20 20 CD cord-009417-458rrhcm 444 47 years year NNS cord-009417-458rrhcm 444 48 after after IN cord-009417-458rrhcm 444 49 PTH PTH NNP cord-009417-458rrhcm 444 50 secondary secondary JJ cord-009417-458rrhcm 444 51 to to IN cord-009417-458rrhcm 444 52 HCV HCV NNP cord-009417-458rrhcm 444 53 . . . cord-009417-458rrhcm 445 1 97 97 CD cord-009417-458rrhcm 445 2 , , , cord-009417-458rrhcm 445 3 98 98 CD cord-009417-458rrhcm 446 1 The the DT cord-009417-458rrhcm 446 2 clinical clinical JJ cord-009417-458rrhcm 446 3 course course NN cord-009417-458rrhcm 446 4 of of IN cord-009417-458rrhcm 446 5 hepatitis hepatitis NN cord-009417-458rrhcm 446 6 A A NNP cord-009417-458rrhcm 446 7 is be VBZ cord-009417-458rrhcm 446 8 generally generally RB cord-009417-458rrhcm 446 9 milder mild JJR cord-009417-458rrhcm 446 10 , , , cord-009417-458rrhcm 446 11 and and CC cord-009417-458rrhcm 446 12 the the DT cord-009417-458rrhcm 446 13 lack lack NN cord-009417-458rrhcm 446 14 of of IN cord-009417-458rrhcm 446 15 a a DT cord-009417-458rrhcm 446 16 chronic chronic JJ cord-009417-458rrhcm 446 17 carrier carrier NN cord-009417-458rrhcm 446 18 state state NN cord-009417-458rrhcm 446 19 means mean VBZ cord-009417-458rrhcm 446 20 that that IN cord-009417-458rrhcm 446 21 with with IN cord-009417-458rrhcm 446 22 donor donor NN cord-009417-458rrhcm 446 23 screening screening NN cord-009417-458rrhcm 446 24 for for IN cord-009417-458rrhcm 446 25 symptoms symptom NNS cord-009417-458rrhcm 446 26 of of IN cord-009417-458rrhcm 446 27 the the DT cord-009417-458rrhcm 446 28 acute acute JJ cord-009417-458rrhcm 446 29 illness illness NN cord-009417-458rrhcm 446 30 , , , cord-009417-458rrhcm 446 31 the the DT cord-009417-458rrhcm 446 32 risk risk NN cord-009417-458rrhcm 446 33 of of IN cord-009417-458rrhcm 446 34 transmission transmission NN cord-009417-458rrhcm 446 35 is be VBZ cord-009417-458rrhcm 446 36 much much RB cord-009417-458rrhcm 446 37 lower low JJR cord-009417-458rrhcm 446 38 , , , cord-009417-458rrhcm 446 39 estimated estimate VBN cord-009417-458rrhcm 446 40 at at IN cord-009417-458rrhcm 446 41 less less JJR cord-009417-458rrhcm 446 42 than than IN cord-009417-458rrhcm 446 43 one one CD cord-009417-458rrhcm 446 44 in in IN cord-009417-458rrhcm 446 45 a a DT cord-009417-458rrhcm 446 46 million million CD cord-009417-458rrhcm 446 47 units unit NNS cord-009417-458rrhcm 446 48 . . . cord-009417-458rrhcm 447 1 99 99 CD cord-009417-458rrhcm 448 1 The the DT cord-009417-458rrhcm 448 2 prevalence prevalence NN cord-009417-458rrhcm 448 3 of of IN cord-009417-458rrhcm 448 4 hepatitis hepatitis NN cord-009417-458rrhcm 448 5 B B NNP cord-009417-458rrhcm 448 6 surface surface NN cord-009417-458rrhcm 448 7 antigenemia antigenemia NN cord-009417-458rrhcm 448 8 among among IN cord-009417-458rrhcm 448 9 fi fi NNP cord-009417-458rrhcm 448 10 rst rst JJ cord-009417-458rrhcm 448 11 - - HYPH cord-009417-458rrhcm 448 12 time time NN cord-009417-458rrhcm 448 13 blood blood NN cord-009417-458rrhcm 448 14 donors donor NNS cord-009417-458rrhcm 448 15 is be VBZ cord-009417-458rrhcm 448 16 0.7 0.7 CD cord-009417-458rrhcm 448 17 % % NN cord-009417-458rrhcm 448 18 , , , cord-009417-458rrhcm 448 19 and and CC cord-009417-458rrhcm 448 20 the the DT cord-009417-458rrhcm 448 21 prevalence prevalence NN cord-009417-458rrhcm 448 22 of of IN cord-009417-458rrhcm 448 23 hepatitis hepatitis NN cord-009417-458rrhcm 448 24 C C NNP cord-009417-458rrhcm 448 25 antibodies antibody NNS cord-009417-458rrhcm 448 26 in in IN cord-009417-458rrhcm 448 27 donors donor NNS cord-009417-458rrhcm 448 28 is be VBZ cord-009417-458rrhcm 448 29 approximately approximately RB cord-009417-458rrhcm 448 30 0.1 0.1 CD cord-009417-458rrhcm 448 31 % % NN cord-009417-458rrhcm 448 32 to to TO cord-009417-458rrhcm 448 33 0.5 0.5 CD cord-009417-458rrhcm 448 34 % % NN cord-009417-458rrhcm 448 35 . . . cord-009417-458rrhcm 449 1 At at IN cord-009417-458rrhcm 449 2 this this DT cord-009417-458rrhcm 449 3 time time NN cord-009417-458rrhcm 449 4 , , , cord-009417-458rrhcm 449 5 given give VBN cord-009417-458rrhcm 449 6 the the DT cord-009417-458rrhcm 449 7 sensitivity sensitivity NN cord-009417-458rrhcm 449 8 of of IN cord-009417-458rrhcm 449 9 current current JJ cord-009417-458rrhcm 449 10 screening screening NN cord-009417-458rrhcm 449 11 assays assay NNS cord-009417-458rrhcm 449 12 , , , cord-009417-458rrhcm 449 13 including include VBG cord-009417-458rrhcm 449 14 the the DT cord-009417-458rrhcm 449 15 latest late JJS cord-009417-458rrhcm 449 16 generation generation NN cord-009417-458rrhcm 449 17 of of IN cord-009417-458rrhcm 449 18 enzyme enzyme NN cord-009417-458rrhcm 449 19 immunoassays immunoassays NNP cord-009417-458rrhcm 449 20 ( ( -LRB- cord-009417-458rrhcm 449 21 EIAs EIAs NNP cord-009417-458rrhcm 449 22 ) ) -RRB- cord-009417-458rrhcm 449 23 and and CC cord-009417-458rrhcm 449 24 NAT NAT NNP cord-009417-458rrhcm 449 25 , , , cord-009417-458rrhcm 449 26 the the DT cord-009417-458rrhcm 449 27 current current JJ cord-009417-458rrhcm 449 28 risk risk NN cord-009417-458rrhcm 449 29 of of IN cord-009417-458rrhcm 449 30 PTH PTH NNP cord-009417-458rrhcm 449 31 resulting result VBG cord-009417-458rrhcm 449 32 from from IN cord-009417-458rrhcm 449 33 HCV HCV NNP cord-009417-458rrhcm 449 34 is be VBZ cord-009417-458rrhcm 449 35 believed believe VBN cord-009417-458rrhcm 449 36 to to TO cord-009417-458rrhcm 449 37 be be VB cord-009417-458rrhcm 449 38 about about RB cord-009417-458rrhcm 449 39 1 1 CD cord-009417-458rrhcm 449 40 in in IN cord-009417-458rrhcm 449 41 150,000 150,000 CD cord-009417-458rrhcm 449 42 or or CC cord-009417-458rrhcm 449 43 less less JJR cord-009417-458rrhcm 449 44 . . . cord-009417-458rrhcm 450 1 100 100 CD cord-009417-458rrhcm 451 1 Although although IN cord-009417-458rrhcm 451 2 HBV HBV NNP cord-009417-458rrhcm 451 3 is be VBZ cord-009417-458rrhcm 451 4 still still RB cord-009417-458rrhcm 451 5 implicated implicate VBN cord-009417-458rrhcm 451 6 in in IN cord-009417-458rrhcm 451 7 PTH PTH NNP cord-009417-458rrhcm 451 8 ( ( -LRB- cord-009417-458rrhcm 451 9 attributable attributable JJ cord-009417-458rrhcm 451 10 to to IN cord-009417-458rrhcm 451 11 the the DT cord-009417-458rrhcm 451 12 seronegative seronegative JJ cord-009417-458rrhcm 451 13 " " `` cord-009417-458rrhcm 451 14 window window NN cord-009417-458rrhcm 451 15 " " '' cord-009417-458rrhcm 451 16 period period NN cord-009417-458rrhcm 451 17 in in IN cord-009417-458rrhcm 451 18 newly newly RB cord-009417-458rrhcm 451 19 infected infect VBN cord-009417-458rrhcm 451 20 donors donor NNS cord-009417-458rrhcm 451 21 ) ) -RRB- cord-009417-458rrhcm 451 22 , , , cord-009417-458rrhcm 451 23 the the DT cord-009417-458rrhcm 451 24 risk risk NN cord-009417-458rrhcm 451 25 of of IN cord-009417-458rrhcm 451 26 transfusion transfusion NN cord-009417-458rrhcm 451 27 - - HYPH cord-009417-458rrhcm 451 28 associated associate VBN cord-009417-458rrhcm 451 29 hepatitis hepatitis NN cord-009417-458rrhcm 451 30 B B NNP cord-009417-458rrhcm 451 31 is be VBZ cord-009417-458rrhcm 451 32 about about RB cord-009417-458rrhcm 451 33 1 1 CD cord-009417-458rrhcm 451 34 in in IN cord-009417-458rrhcm 451 35 200,000 200,000 CD cord-009417-458rrhcm 451 36 units unit NNS cord-009417-458rrhcm 451 37 . . . cord-009417-458rrhcm 452 1 100 100 CD cord-009417-458rrhcm 452 2 Retroviruses Retroviruses NNPS cord-009417-458rrhcm 452 3 , , , cord-009417-458rrhcm 452 4 RNA RNA NNP cord-009417-458rrhcm 452 5 - - HYPH cord-009417-458rrhcm 452 6 based base VBN cord-009417-458rrhcm 452 7 viruses virus NNS cord-009417-458rrhcm 452 8 characterized characterize VBN cord-009417-458rrhcm 452 9 by by IN cord-009417-458rrhcm 452 10 their -PRON- PRP$ cord-009417-458rrhcm 452 11 reverse reverse JJ cord-009417-458rrhcm 452 12 transcriptase transcriptase NN cord-009417-458rrhcm 452 13 and and CC cord-009417-458rrhcm 452 14 integration integration NN cord-009417-458rrhcm 452 15 into into IN cord-009417-458rrhcm 452 16 the the DT cord-009417-458rrhcm 452 17 host host NN cord-009417-458rrhcm 452 18 genome genome NN cord-009417-458rrhcm 452 19 , , , cord-009417-458rrhcm 452 20 and and CC cord-009417-458rrhcm 452 21 lentiviruses lentiviruses NNP cord-009417-458rrhcm 452 22 , , , cord-009417-458rrhcm 452 23 a a DT cord-009417-458rrhcm 452 24 subset subset NN cord-009417-458rrhcm 452 25 of of IN cord-009417-458rrhcm 452 26 retroviruses retrovirus NNS cord-009417-458rrhcm 452 27 , , , cord-009417-458rrhcm 452 28 are be VBP cord-009417-458rrhcm 452 29 ubiquitous ubiquitous JJ cord-009417-458rrhcm 452 30 in in IN cord-009417-458rrhcm 452 31 animals animal NNS cord-009417-458rrhcm 452 32 and and CC cord-009417-458rrhcm 452 33 were be VBD cord-009417-458rrhcm 452 34 initially initially RB cord-009417-458rrhcm 452 35 identifi identifi VBN cord-009417-458rrhcm 452 36 ed ed NNP cord-009417-458rrhcm 452 37 in in IN cord-009417-458rrhcm 452 38 humans human NNS cord-009417-458rrhcm 452 39 in in IN cord-009417-458rrhcm 452 40 the the DT cord-009417-458rrhcm 452 41 early early JJ cord-009417-458rrhcm 452 42 1980s 1980s CD cord-009417-458rrhcm 452 43 . . . cord-009417-458rrhcm 453 1 Those those DT cord-009417-458rrhcm 453 2 known know VBN cord-009417-458rrhcm 453 3 to to TO cord-009417-458rrhcm 453 4 be be VB cord-009417-458rrhcm 453 5 capable capable JJ cord-009417-458rrhcm 453 6 of of IN cord-009417-458rrhcm 453 7 transmission transmission NN cord-009417-458rrhcm 453 8 by by IN cord-009417-458rrhcm 453 9 transfusion transfusion NN cord-009417-458rrhcm 453 10 are be VBP cord-009417-458rrhcm 453 11 HIV-1 HIV-1 NNP cord-009417-458rrhcm 453 12 , , , cord-009417-458rrhcm 453 13 HIV-2 HIV-2 NNP cord-009417-458rrhcm 453 14 , , , cord-009417-458rrhcm 453 15 and and CC cord-009417-458rrhcm 453 16 human human JJ cord-009417-458rrhcm 453 17 T t NN cord-009417-458rrhcm 453 18 - - HYPH cord-009417-458rrhcm 453 19 cell cell NN cord-009417-458rrhcm 453 20 leukemia leukemia NN cord-009417-458rrhcm 453 21 / / SYM cord-009417-458rrhcm 453 22 lymphoma lymphoma NN cord-009417-458rrhcm 453 23 virus virus NN cord-009417-458rrhcm 453 24 ( ( -LRB- cord-009417-458rrhcm 453 25 HTLV HTLV NNP cord-009417-458rrhcm 453 26 ) ) -RRB- cord-009417-458rrhcm 454 1 I -PRON- PRP cord-009417-458rrhcm 454 2 and and CC cord-009417-458rrhcm 454 3 II II NNP cord-009417-458rrhcm 454 4 . . . cord-009417-458rrhcm 455 1 Transfusion transfusion NN cord-009417-458rrhcm 455 2 - - HYPH cord-009417-458rrhcm 455 3 associated associate VBN cord-009417-458rrhcm 455 4 AIDS AIDS NNP cord-009417-458rrhcm 455 5 was be VBD cord-009417-458rrhcm 455 6 initially initially RB cord-009417-458rrhcm 455 7 reported report VBN cord-009417-458rrhcm 455 8 in in IN cord-009417-458rrhcm 455 9 late late JJ cord-009417-458rrhcm 455 10 1982 1982 CD cord-009417-458rrhcm 455 11 . . . cord-009417-458rrhcm 456 1 101 101 CD cord-009417-458rrhcm 457 1 The the DT cord-009417-458rrhcm 457 2 fi fi NNP cord-009417-458rrhcm 457 3 rst rst NN cord-009417-458rrhcm 457 4 report report NN cord-009417-458rrhcm 457 5 of of IN cord-009417-458rrhcm 457 6 an an DT cord-009417-458rrhcm 457 7 associated associate VBN cord-009417-458rrhcm 457 8 viral viral JJ cord-009417-458rrhcm 457 9 agent agent NN cord-009417-458rrhcm 457 10 did do VBD cord-009417-458rrhcm 457 11 not not RB cord-009417-458rrhcm 457 12 appear appear VB cord-009417-458rrhcm 457 13 until until IN cord-009417-458rrhcm 457 14 late late JJ cord-009417-458rrhcm 457 15 in in IN cord-009417-458rrhcm 457 16 1983 1983 CD cord-009417-458rrhcm 457 17 , , , cord-009417-458rrhcm 457 18 and and CC cord-009417-458rrhcm 457 19 in in IN cord-009417-458rrhcm 457 20 March March NNP cord-009417-458rrhcm 457 21 1985 1985 CD cord-009417-458rrhcm 457 22 the the DT cord-009417-458rrhcm 457 23 screening screening NN cord-009417-458rrhcm 457 24 enzyme enzyme NN cord-009417-458rrhcm 457 25 - - HYPH cord-009417-458rrhcm 457 26 linked link VBN cord-009417-458rrhcm 457 27 immunosorbent immunosorbent JJ cord-009417-458rrhcm 457 28 assay assay NN cord-009417-458rrhcm 457 29 ( ( -LRB- cord-009417-458rrhcm 457 30 ELISA ELISA NNP cord-009417-458rrhcm 457 31 ) ) -RRB- cord-009417-458rrhcm 457 32 to to TO cord-009417-458rrhcm 457 33 detect detect VB cord-009417-458rrhcm 457 34 antibody antibody NN cord-009417-458rrhcm 457 35 to to IN cord-009417-458rrhcm 457 36 HIV-1 HIV-1 NNP cord-009417-458rrhcm 457 37 was be VBD cord-009417-458rrhcm 457 38 licensed license VBN cord-009417-458rrhcm 457 39 and and CC cord-009417-458rrhcm 457 40 immediately immediately RB cord-009417-458rrhcm 457 41 incorporated incorporate VBN cord-009417-458rrhcm 457 42 into into IN cord-009417-458rrhcm 457 43 the the DT cord-009417-458rrhcm 457 44 blood blood NN cord-009417-458rrhcm 457 45 - - HYPH cord-009417-458rrhcm 457 46 screening screening NN cord-009417-458rrhcm 457 47 process process NN cord-009417-458rrhcm 457 48 . . . cord-009417-458rrhcm 458 1 Improved improve VBN cord-009417-458rrhcm 458 2 confi confi NNP cord-009417-458rrhcm 458 3 dential dential JJ cord-009417-458rrhcm 458 4 donor donor NN cord-009417-458rrhcm 458 5 screening screening NN cord-009417-458rrhcm 458 6 appeared appear VBD cord-009417-458rrhcm 458 7 to to TO cord-009417-458rrhcm 458 8 decrease decrease VB cord-009417-458rrhcm 458 9 the the DT cord-009417-458rrhcm 458 10 risk risk NN cord-009417-458rrhcm 458 11 of of IN cord-009417-458rrhcm 458 12 infectious infectious JJ cord-009417-458rrhcm 458 13 units unit NNS cord-009417-458rrhcm 458 14 appearing appear VBG cord-009417-458rrhcm 458 15 in in IN cord-009417-458rrhcm 458 16 the the DT cord-009417-458rrhcm 458 17 donor donor NN cord-009417-458rrhcm 458 18 pool pool NN cord-009417-458rrhcm 458 19 . . . cord-009417-458rrhcm 459 1 102 102 CD cord-009417-458rrhcm 459 2 , , , cord-009417-458rrhcm 459 3 103 103 CD cord-009417-458rrhcm 460 1 The the DT cord-009417-458rrhcm 460 2 discovery discovery NN cord-009417-458rrhcm 460 3 that that WDT cord-009417-458rrhcm 460 4 heat heat NN cord-009417-458rrhcm 460 5 treatment treatment NN cord-009417-458rrhcm 460 6 reduced reduce VBN cord-009417-458rrhcm 460 7 transmission transmission NN cord-009417-458rrhcm 460 8 resulted result VBD cord-009417-458rrhcm 460 9 in in IN cord-009417-458rrhcm 460 10 a a DT cord-009417-458rrhcm 460 11 reduction reduction NN cord-009417-458rrhcm 460 12 in in IN cord-009417-458rrhcm 460 13 transmission transmission NN cord-009417-458rrhcm 460 14 by by IN cord-009417-458rrhcm 460 15 plasma plasma NN cord-009417-458rrhcm 460 16 products product NNS cord-009417-458rrhcm 460 17 , , , cord-009417-458rrhcm 460 18 especially especially RB cord-009417-458rrhcm 460 19 to to IN cord-009417-458rrhcm 460 20 persons person NNS cord-009417-458rrhcm 460 21 with with IN cord-009417-458rrhcm 460 22 hemophilia hemophilia NN cord-009417-458rrhcm 460 23 . . . cord-009417-458rrhcm 461 1 Clinical clinical JJ cord-009417-458rrhcm 461 2 AIDS AIDS NNP cord-009417-458rrhcm 461 3 developed develop VBD cord-009417-458rrhcm 461 4 in in IN cord-009417-458rrhcm 461 5 more more JJR cord-009417-458rrhcm 461 6 than than IN cord-009417-458rrhcm 461 7 90 90 CD cord-009417-458rrhcm 461 8 % % NN cord-009417-458rrhcm 461 9 of of IN cord-009417-458rrhcm 461 10 recipients recipient NNS cord-009417-458rrhcm 461 11 of of IN cord-009417-458rrhcm 461 12 infected infected JJ cord-009417-458rrhcm 461 13 blood blood NN cord-009417-458rrhcm 461 14 products product NNS cord-009417-458rrhcm 461 15 , , , cord-009417-458rrhcm 461 16 and and CC cord-009417-458rrhcm 461 17 the the DT cord-009417-458rrhcm 461 18 vast vast JJ cord-009417-458rrhcm 461 19 majority majority NN cord-009417-458rrhcm 461 20 succumbed succumb VBD cord-009417-458rrhcm 461 21 to to IN cord-009417-458rrhcm 461 22 the the DT cord-009417-458rrhcm 461 23 disease disease NN cord-009417-458rrhcm 461 24 . . . cord-009417-458rrhcm 462 1 Removal removal NN cord-009417-458rrhcm 462 2 of of IN cord-009417-458rrhcm 462 3 donor donor NN cord-009417-458rrhcm 462 4 units unit NNS cord-009417-458rrhcm 462 5 with with IN cord-009417-458rrhcm 462 6 seropositivity seropositivity NN cord-009417-458rrhcm 462 7 by by IN cord-009417-458rrhcm 462 8 ELISA ELISA NNP cord-009417-458rrhcm 462 9 was be VBD cord-009417-458rrhcm 462 10 insuffi insuffi NNP cord-009417-458rrhcm 462 11 cient cient NNP cord-009417-458rrhcm 462 12 to to TO cord-009417-458rrhcm 462 13 prevent prevent VB cord-009417-458rrhcm 462 14 transmission transmission NN cord-009417-458rrhcm 462 15 of of IN cord-009417-458rrhcm 462 16 HIV-1 HIV-1 NNP cord-009417-458rrhcm 462 17 ; ; : cord-009417-458rrhcm 462 18 several several JJ cord-009417-458rrhcm 462 19 hundred hundred CD cord-009417-458rrhcm 462 20 cases case NNS cord-009417-458rrhcm 462 21 were be VBD cord-009417-458rrhcm 462 22 reported report VBN cord-009417-458rrhcm 462 23 annually annually RB cord-009417-458rrhcm 462 24 after after IN cord-009417-458rrhcm 462 25 introduction introduction NN cord-009417-458rrhcm 462 26 of of IN cord-009417-458rrhcm 462 27 the the DT cord-009417-458rrhcm 462 28 ELISA ELISA NNP cord-009417-458rrhcm 462 29 test test NN cord-009417-458rrhcm 462 30 . . . cord-009417-458rrhcm 463 1 Subsequent subsequent JJ cord-009417-458rrhcm 463 2 development development NN cord-009417-458rrhcm 463 3 of of IN cord-009417-458rrhcm 463 4 an an DT cord-009417-458rrhcm 463 5 assay assay NN cord-009417-458rrhcm 463 6 for for IN cord-009417-458rrhcm 463 7 the the DT cord-009417-458rrhcm 463 8 p24 p24 NN cord-009417-458rrhcm 463 9 antigen antigen NN cord-009417-458rrhcm 463 10 and and CC cord-009417-458rrhcm 463 11 then then RB cord-009417-458rrhcm 463 12 NAT NAT NNP cord-009417-458rrhcm 463 13 has have VBZ cord-009417-458rrhcm 463 14 lowered lower VBN cord-009417-458rrhcm 463 15 the the DT cord-009417-458rrhcm 463 16 risk risk NN cord-009417-458rrhcm 463 17 of of IN cord-009417-458rrhcm 463 18 transfusion transfusion NN cord-009417-458rrhcm 463 19 - - HYPH cord-009417-458rrhcm 463 20 associated associate VBN cord-009417-458rrhcm 463 21 HIV-1 HIV-1 NNP cord-009417-458rrhcm 463 22 infection infection NN cord-009417-458rrhcm 463 23 to to IN cord-009417-458rrhcm 463 24 less less JJR cord-009417-458rrhcm 463 25 than than IN cord-009417-458rrhcm 463 26 one one CD cord-009417-458rrhcm 463 27 in in IN cord-009417-458rrhcm 463 28 a a DT cord-009417-458rrhcm 463 29 million million CD cord-009417-458rrhcm 463 30 ( ( -LRB- cord-009417-458rrhcm 463 31 see see VB cord-009417-458rrhcm 463 32 Table table NN cord-009417-458rrhcm 463 33 80 80 CD cord-009417-458rrhcm 463 34 -3 -3 NNP cord-009417-458rrhcm 463 35 ) ) -RRB- cord-009417-458rrhcm 463 36 . . . cord-009417-458rrhcm 464 1 Despite despite IN cord-009417-458rrhcm 464 2 donor donor NN cord-009417-458rrhcm 464 3 screening screening NN cord-009417-458rrhcm 464 4 and and CC cord-009417-458rrhcm 464 5 sensitive sensitive JJ cord-009417-458rrhcm 464 6 assays assay NNS cord-009417-458rrhcm 464 7 , , , cord-009417-458rrhcm 464 8 including include VBG cord-009417-458rrhcm 464 9 EIA EIA NNP cord-009417-458rrhcm 464 10 , , , cord-009417-458rrhcm 464 11 NAT NAT NNP cord-009417-458rrhcm 464 12 , , , cord-009417-458rrhcm 464 13 and and CC cord-009417-458rrhcm 464 14 p24 p24 NN cord-009417-458rrhcm 464 15 antigen antigen NN cord-009417-458rrhcm 464 16 , , , cord-009417-458rrhcm 464 17 an an DT cord-009417-458rrhcm 464 18 extremely extremely RB cord-009417-458rrhcm 464 19 small small JJ cord-009417-458rrhcm 464 20 , , , cord-009417-458rrhcm 464 21 but but CC cord-009417-458rrhcm 464 22 fi fi NN cord-009417-458rrhcm 464 23 nite nite NN cord-009417-458rrhcm 464 24 risk risk NN cord-009417-458rrhcm 464 25 of of IN cord-009417-458rrhcm 464 26 HIV-1 HIV-1 NNP cord-009417-458rrhcm 464 27 transmission transmission NN cord-009417-458rrhcm 464 28 by by IN cord-009417-458rrhcm 464 29 screened screen VBN cord-009417-458rrhcm 464 30 blood blood NN cord-009417-458rrhcm 464 31 transfusions transfusion NNS cord-009417-458rrhcm 464 32 remains remain VBZ cord-009417-458rrhcm 464 33 . . . cord-009417-458rrhcm 465 1 This this DT cord-009417-458rrhcm 465 2 risk risk NN cord-009417-458rrhcm 465 3 is be VBZ cord-009417-458rrhcm 465 4 largely largely RB cord-009417-458rrhcm 465 5 due due JJ cord-009417-458rrhcm 465 6 to to IN cord-009417-458rrhcm 465 7 the the DT cord-009417-458rrhcm 465 8 seronegative seronegative JJ cord-009417-458rrhcm 465 9 " " `` cord-009417-458rrhcm 465 10 window window NN cord-009417-458rrhcm 465 11 " " '' cord-009417-458rrhcm 465 12 period period NN cord-009417-458rrhcm 465 13 experienced experience VBN cord-009417-458rrhcm 465 14 by by IN cord-009417-458rrhcm 465 15 newly newly RB cord-009417-458rrhcm 465 16 infected infect VBN cord-009417-458rrhcm 465 17 donors donor NNS cord-009417-458rrhcm 465 18 , , , cord-009417-458rrhcm 465 19 which which WDT cord-009417-458rrhcm 465 20 is be VBZ cord-009417-458rrhcm 465 21 estimated estimate VBN cord-009417-458rrhcm 465 22 to to TO cord-009417-458rrhcm 465 23 be be VB cord-009417-458rrhcm 465 24 an an DT cord-009417-458rrhcm 465 25 average average NN cord-009417-458rrhcm 465 26 of of IN cord-009417-458rrhcm 465 27 16 16 CD cord-009417-458rrhcm 465 28 days day NNS cord-009417-458rrhcm 465 29 . . . cord-009417-458rrhcm 466 1 100 100 CD cord-009417-458rrhcm 467 1 A a DT cord-009417-458rrhcm 467 2 second second JJ cord-009417-458rrhcm 467 3 retrovirus retrovirus NN cord-009417-458rrhcm 467 4 , , , cord-009417-458rrhcm 467 5 HIV-2 HIV-2 NNP cord-009417-458rrhcm 467 6 , , , cord-009417-458rrhcm 468 1 fi fi NNP cord-009417-458rrhcm 468 2 rst rst NNP cord-009417-458rrhcm 468 3 described describe VBN cord-009417-458rrhcm 468 4 in in IN cord-009417-458rrhcm 468 5 residents resident NNS cord-009417-458rrhcm 468 6 of of IN cord-009417-458rrhcm 468 7 countries country NNS cord-009417-458rrhcm 468 8 in in IN cord-009417-458rrhcm 468 9 West West NNP cord-009417-458rrhcm 468 10 Africa Africa NNP cord-009417-458rrhcm 468 11 and and CC cord-009417-458rrhcm 468 12 subsequently subsequently RB cord-009417-458rrhcm 468 13 detected detect VBD cord-009417-458rrhcm 468 14 in in IN cord-009417-458rrhcm 468 15 migrants migrant NNS cord-009417-458rrhcm 468 16 to to IN cord-009417-458rrhcm 468 17 western western JJ cord-009417-458rrhcm 468 18 Europe Europe NNP cord-009417-458rrhcm 468 19 , , , cord-009417-458rrhcm 468 20 causes cause VBZ cord-009417-458rrhcm 468 21 an an DT cord-009417-458rrhcm 468 22 immunodeficiency immunodeficiency NN cord-009417-458rrhcm 468 23 syndrome syndrome NN cord-009417-458rrhcm 468 24 similar similar JJ cord-009417-458rrhcm 468 25 to to IN cord-009417-458rrhcm 468 26 that that DT cord-009417-458rrhcm 468 27 caused cause VBN cord-009417-458rrhcm 468 28 by by IN cord-009417-458rrhcm 468 29 HIV-1 HIV-1 NNP cord-009417-458rrhcm 468 30 . . . cord-009417-458rrhcm 469 1 Although although IN cord-009417-458rrhcm 469 2 very very RB cord-009417-458rrhcm 469 3 few few JJ cord-009417-458rrhcm 469 4 cases case NNS cord-009417-458rrhcm 469 5 of of IN cord-009417-458rrhcm 469 6 HIV-2 HIV-2 NNP cord-009417-458rrhcm 469 7 have have VBP cord-009417-458rrhcm 469 8 been be VBN cord-009417-458rrhcm 469 9 reported report VBN cord-009417-458rrhcm 469 10 in in IN cord-009417-458rrhcm 469 11 the the DT cord-009417-458rrhcm 469 12 United United NNP cord-009417-458rrhcm 469 13 States States NNP cord-009417-458rrhcm 469 14 104 104 CD cord-009417-458rrhcm 469 15 , , , cord-009417-458rrhcm 469 16 105 105 CD cord-009417-458rrhcm 469 17 and and CC cord-009417-458rrhcm 469 18 there there EX cord-009417-458rrhcm 469 19 have have VBP cord-009417-458rrhcm 469 20 been be VBN cord-009417-458rrhcm 469 21 no no DT cord-009417-458rrhcm 469 22 reported report VBN cord-009417-458rrhcm 469 23 transfusion transfusion NN cord-009417-458rrhcm 469 24 - - HYPH cord-009417-458rrhcm 469 25 transmitted transmit VBN cord-009417-458rrhcm 469 26 cases case NNS cord-009417-458rrhcm 469 27 , , , cord-009417-458rrhcm 469 28 experience experience NN cord-009417-458rrhcm 469 29 with with IN cord-009417-458rrhcm 469 30 other other JJ cord-009417-458rrhcm 469 31 retroviruses retrovirus NNS cord-009417-458rrhcm 469 32 suggests suggest VBZ cord-009417-458rrhcm 469 33 that that IN cord-009417-458rrhcm 469 34 screening screening NN cord-009417-458rrhcm 469 35 may may MD cord-009417-458rrhcm 469 36 prevent prevent VB cord-009417-458rrhcm 469 37 the the DT cord-009417-458rrhcm 469 38 majority majority NN cord-009417-458rrhcm 469 39 of of IN cord-009417-458rrhcm 469 40 potential potential JJ cord-009417-458rrhcm 469 41 transmission transmission NN cord-009417-458rrhcm 469 42 . . . cord-009417-458rrhcm 470 1 Therefore therefore RB cord-009417-458rrhcm 470 2 , , , cord-009417-458rrhcm 470 3 donated donate VBN cord-009417-458rrhcm 470 4 blood blood NN cord-009417-458rrhcm 470 5 is be VBZ cord-009417-458rrhcm 470 6 now now RB cord-009417-458rrhcm 470 7 screened screen VBN cord-009417-458rrhcm 470 8 by by IN cord-009417-458rrhcm 470 9 an an DT cord-009417-458rrhcm 470 10 assay assay NN cord-009417-458rrhcm 470 11 for for IN cord-009417-458rrhcm 470 12 the the DT cord-009417-458rrhcm 470 13 presence presence NN cord-009417-458rrhcm 470 14 of of IN cord-009417-458rrhcm 470 15 antibody antibody NN cord-009417-458rrhcm 470 16 to to IN cord-009417-458rrhcm 470 17 HIV-2 HIV-2 NNP cord-009417-458rrhcm 470 18 . . . cord-009417-458rrhcm 471 1 The the DT cord-009417-458rrhcm 471 2 retrovirus retrovirus NN cord-009417-458rrhcm 471 3 HTLV HTLV NNP cord-009417-458rrhcm 471 4 - - : cord-009417-458rrhcm 471 5 I -PRON- PRP cord-009417-458rrhcm 471 6 is be VBZ cord-009417-458rrhcm 471 7 the the DT cord-009417-458rrhcm 471 8 causative causative JJ cord-009417-458rrhcm 471 9 agent agent NN cord-009417-458rrhcm 471 10 of of IN cord-009417-458rrhcm 471 11 adult adult NN cord-009417-458rrhcm 471 12 T t NN cord-009417-458rrhcm 471 13 - - HYPH cord-009417-458rrhcm 471 14 cell cell NN cord-009417-458rrhcm 471 15 leukemia leukemia NN cord-009417-458rrhcm 471 16 ( ( -LRB- cord-009417-458rrhcm 471 17 ATL ATL NNP cord-009417-458rrhcm 471 18 ) ) -RRB- cord-009417-458rrhcm 471 19 and and CC cord-009417-458rrhcm 471 20 is be VBZ cord-009417-458rrhcm 471 21 strongly strongly RB cord-009417-458rrhcm 471 22 implicated implicate VBN cord-009417-458rrhcm 471 23 in in IN cord-009417-458rrhcm 471 24 the the DT cord-009417-458rrhcm 471 25 chronic chronic JJ cord-009417-458rrhcm 471 26 , , , cord-009417-458rrhcm 471 27 progressive progressive JJ cord-009417-458rrhcm 471 28 neurologic neurologic JJ cord-009417-458rrhcm 471 29 disorder disorder NN cord-009417-458rrhcm 471 30 termed term VBD cord-009417-458rrhcm 471 31 tropical tropical JJ cord-009417-458rrhcm 471 32 spastic spastic JJ cord-009417-458rrhcm 471 33 paraparesis paraparesis NN cord-009417-458rrhcm 471 34 or or CC cord-009417-458rrhcm 471 35 HTLV HTLV NNP cord-009417-458rrhcm 471 36 - - HYPH cord-009417-458rrhcm 471 37 I i NN cord-009417-458rrhcm 471 38 - - HYPH cord-009417-458rrhcm 471 39 associated associate VBN cord-009417-458rrhcm 471 40 myelopathy myelopathy NN cord-009417-458rrhcm 471 41 ( ( -LRB- cord-009417-458rrhcm 471 42 TSP TSP NNP cord-009417-458rrhcm 471 43 / / SYM cord-009417-458rrhcm 471 44 HAM HAM NNP cord-009417-458rrhcm 471 45 ) ) -RRB- cord-009417-458rrhcm 471 46 . . . cord-009417-458rrhcm 472 1 HTLV HTLV NNP cord-009417-458rrhcm 472 2 - - HYPH cord-009417-458rrhcm 472 3 II II NNP cord-009417-458rrhcm 472 4 has have VBZ cord-009417-458rrhcm 472 5 been be VBN cord-009417-458rrhcm 472 6 linked link VBN cord-009417-458rrhcm 472 7 to to IN cord-009417-458rrhcm 472 8 hairy hairy JJ cord-009417-458rrhcm 472 9 cell cell NN cord-009417-458rrhcm 472 10 leukemia leukemia NN cord-009417-458rrhcm 472 11 , , , cord-009417-458rrhcm 472 12 but but CC cord-009417-458rrhcm 472 13 no no DT cord-009417-458rrhcm 472 14 transfusion transfusion NN cord-009417-458rrhcm 472 15 - - HYPH cord-009417-458rrhcm 472 16 transmitted transmit VBN cord-009417-458rrhcm 472 17 cases case NNS cord-009417-458rrhcm 472 18 have have VBP cord-009417-458rrhcm 472 19 been be VBN cord-009417-458rrhcm 472 20 reported report VBN cord-009417-458rrhcm 472 21 . . . cord-009417-458rrhcm 473 1 The the DT cord-009417-458rrhcm 473 2 virus virus NN cord-009417-458rrhcm 473 3 exhibits exhibit VBZ cord-009417-458rrhcm 473 4 strong strong JJ cord-009417-458rrhcm 473 5 serologic serologic JJ cord-009417-458rrhcm 473 6 crossreactivity crossreactivity NN cord-009417-458rrhcm 473 7 with with IN cord-009417-458rrhcm 473 8 HTLV HTLV NNP cord-009417-458rrhcm 473 9 - - : cord-009417-458rrhcm 473 10 I -PRON- PRP cord-009417-458rrhcm 473 11 such such JJ cord-009417-458rrhcm 473 12 that that IN cord-009417-458rrhcm 473 13 screening screening NN cord-009417-458rrhcm 473 14 assays assay NNS cord-009417-458rrhcm 473 15 fail fail VBP cord-009417-458rrhcm 473 16 to to TO cord-009417-458rrhcm 473 17 distinguish distinguish VB cord-009417-458rrhcm 473 18 between between IN cord-009417-458rrhcm 473 19 antibodies antibody NNS cord-009417-458rrhcm 473 20 to to IN cord-009417-458rrhcm 473 21 either either DT cord-009417-458rrhcm 473 22 virus virus NN cord-009417-458rrhcm 473 23 . . . cord-009417-458rrhcm 474 1 Transfusion transfusion NN cord-009417-458rrhcm 474 2 - - HYPH cord-009417-458rrhcm 474 3 transmitted transmit VBN cord-009417-458rrhcm 474 4 HTLV HTLV NNP cord-009417-458rrhcm 475 1 -I -I NNP cord-009417-458rrhcm 475 2 has have VBZ cord-009417-458rrhcm 475 3 been be VBN cord-009417-458rrhcm 475 4 demonstrated demonstrate VBN cord-009417-458rrhcm 475 5 . . . cord-009417-458rrhcm 476 1 106 106 CD cord-009417-458rrhcm 476 2 TSP TSP NNP cord-009417-458rrhcm 476 3 / / SYM cord-009417-458rrhcm 476 4 HAM HAM NNP cord-009417-458rrhcm 476 5 has have VBZ cord-009417-458rrhcm 476 6 developed develop VBN cord-009417-458rrhcm 476 7 in in IN cord-009417-458rrhcm 476 8 a a DT cord-009417-458rrhcm 476 9 small small JJ cord-009417-458rrhcm 476 10 percentage percentage NN cord-009417-458rrhcm 476 11 of of IN cord-009417-458rrhcm 476 12 infected infected JJ cord-009417-458rrhcm 476 13 transfusion transfusion NN cord-009417-458rrhcm 476 14 recipients recipient NNS cord-009417-458rrhcm 476 15 , , , cord-009417-458rrhcm 476 16 but but CC cord-009417-458rrhcm 476 17 no no DT cord-009417-458rrhcm 476 18 transfusionassociated transfusionassociate VBN cord-009417-458rrhcm 476 19 cases case NNS cord-009417-458rrhcm 476 20 of of IN cord-009417-458rrhcm 476 21 ATL ATL NNP cord-009417-458rrhcm 476 22 have have VBP cord-009417-458rrhcm 476 23 been be VBN cord-009417-458rrhcm 476 24 seen see VBN cord-009417-458rrhcm 476 25 . . . cord-009417-458rrhcm 477 1 Approximately approximately RB cord-009417-458rrhcm 477 2 0.025 0.025 CD cord-009417-458rrhcm 477 3 % % NN cord-009417-458rrhcm 477 4 of of IN cord-009417-458rrhcm 477 5 donors donor NNS cord-009417-458rrhcm 477 6 in in IN cord-009417-458rrhcm 477 7 the the DT cord-009417-458rrhcm 477 8 United United NNP cord-009417-458rrhcm 477 9 States States NNP cord-009417-458rrhcm 477 10 are be VBP cord-009417-458rrhcm 477 11 seropositive seropositive JJ cord-009417-458rrhcm 477 12 for for IN cord-009417-458rrhcm 477 13 HTLV HTLV NNP cord-009417-458rrhcm 477 14 - - HYPH cord-009417-458rrhcm 477 15 I I NNP cord-009417-458rrhcm 477 16 and and CC cord-009417-458rrhcm 477 17 HTLV HTLV NNP cord-009417-458rrhcm 477 18 - - HYPH cord-009417-458rrhcm 477 19 II II NNP cord-009417-458rrhcm 477 20 107 107 CD cord-009417-458rrhcm 477 21 ; ; : cord-009417-458rrhcm 477 22 further further RB cord-009417-458rrhcm 477 23 testing testing NN cord-009417-458rrhcm 477 24 reveals reveal VBZ cord-009417-458rrhcm 477 25 the the DT cord-009417-458rrhcm 477 26 majority majority NN cord-009417-458rrhcm 477 27 of of IN cord-009417-458rrhcm 477 28 them -PRON- PRP cord-009417-458rrhcm 477 29 to to TO cord-009417-458rrhcm 477 30 be be VB cord-009417-458rrhcm 477 31 HTLV HTLV NNP cord-009417-458rrhcm 477 32 - - HYPH cord-009417-458rrhcm 477 33 II II NNP cord-009417-458rrhcm 477 34 . . . cord-009417-458rrhcm 478 1 Donated donate VBN cord-009417-458rrhcm 478 2 blood blood NN cord-009417-458rrhcm 478 3 is be VBZ cord-009417-458rrhcm 478 4 currently currently RB cord-009417-458rrhcm 478 5 screened screen VBN cord-009417-458rrhcm 478 6 for for IN cord-009417-458rrhcm 478 7 antibodies antibody NNS cord-009417-458rrhcm 478 8 to to IN cord-009417-458rrhcm 478 9 HTLV HTLV NNP cord-009417-458rrhcm 478 10 - - HYPH cord-009417-458rrhcm 478 11 I I NNP cord-009417-458rrhcm 478 12 and and CC cord-009417-458rrhcm 478 13 HTLV HTLV NNP cord-009417-458rrhcm 478 14 - - HYPH cord-009417-458rrhcm 478 15 II II NNP cord-009417-458rrhcm 478 16 . . . cord-009417-458rrhcm 479 1 The the DT cord-009417-458rrhcm 479 2 estimated estimate VBN cord-009417-458rrhcm 479 3 risk risk NN cord-009417-458rrhcm 479 4 of of IN cord-009417-458rrhcm 479 5 HTLV HTLV NNP cord-009417-458rrhcm 479 6 transmission transmission NN cord-009417-458rrhcm 479 7 by by IN cord-009417-458rrhcm 479 8 screened screen VBN cord-009417-458rrhcm 479 9 negative negative JJ cord-009417-458rrhcm 479 10 blood blood NN cord-009417-458rrhcm 479 11 is be VBZ cord-009417-458rrhcm 479 12 believed believe VBN cord-009417-458rrhcm 479 13 to to TO cord-009417-458rrhcm 479 14 be be VB cord-009417-458rrhcm 479 15 1 1 CD cord-009417-458rrhcm 479 16 in in IN cord-009417-458rrhcm 479 17 250,000 250,000 CD cord-009417-458rrhcm 479 18 to to TO cord-009417-458rrhcm 479 19 2 2 CD cord-009417-458rrhcm 479 20 million million CD cord-009417-458rrhcm 479 21 . . . cord-009417-458rrhcm 480 1 CMV CMV NNP cord-009417-458rrhcm 480 2 is be VBZ cord-009417-458rrhcm 480 3 a a DT cord-009417-458rrhcm 480 4 human human JJ cord-009417-458rrhcm 480 5 herpesvirus herpesvirus NN cord-009417-458rrhcm 480 6 that that WDT cord-009417-458rrhcm 480 7 establishes establish VBZ cord-009417-458rrhcm 480 8 latent latent JJ cord-009417-458rrhcm 480 9 infection infection NN cord-009417-458rrhcm 480 10 in in IN cord-009417-458rrhcm 480 11 the the DT cord-009417-458rrhcm 480 12 host host NN cord-009417-458rrhcm 480 13 's 's POS cord-009417-458rrhcm 480 14 tissues tissue NNS cord-009417-458rrhcm 480 15 , , , cord-009417-458rrhcm 480 16 particularly particularly RB cord-009417-458rrhcm 480 17 leukocytes leukocyte NNS cord-009417-458rrhcm 480 18 , , , cord-009417-458rrhcm 480 19 and and CC cord-009417-458rrhcm 480 20 is be VBZ cord-009417-458rrhcm 480 21 transmitted transmit VBN cord-009417-458rrhcm 480 22 by by IN cord-009417-458rrhcm 480 23 all all DT cord-009417-458rrhcm 480 24 cellular cellular JJ cord-009417-458rrhcm 480 25 blood blood NN cord-009417-458rrhcm 480 26 components component NNS cord-009417-458rrhcm 480 27 . . . cord-009417-458rrhcm 481 1 108 108 CD cord-009417-458rrhcm 481 2 Seropositivity Seropositivity NNP cord-009417-458rrhcm 481 3 , , , cord-009417-458rrhcm 481 4 or or CC cord-009417-458rrhcm 481 5 the the DT cord-009417-458rrhcm 481 6 presence presence NN cord-009417-458rrhcm 481 7 of of IN cord-009417-458rrhcm 481 8 antibody antibody NN cord-009417-458rrhcm 481 9 , , , cord-009417-458rrhcm 481 10 denotes denote VBZ cord-009417-458rrhcm 481 11 previous previous JJ cord-009417-458rrhcm 481 12 exposure exposure NN cord-009417-458rrhcm 481 13 to to IN cord-009417-458rrhcm 481 14 the the DT cord-009417-458rrhcm 481 15 virus virus NN cord-009417-458rrhcm 481 16 but but CC cord-009417-458rrhcm 481 17 does do VBZ cord-009417-458rrhcm 481 18 not not RB cord-009417-458rrhcm 481 19 confer confer VB cord-009417-458rrhcm 481 20 protective protective JJ cord-009417-458rrhcm 481 21 immunity immunity NN cord-009417-458rrhcm 481 22 . . . cord-009417-458rrhcm 482 1 Secondary secondary JJ cord-009417-458rrhcm 482 2 reinfection reinfection NN cord-009417-458rrhcm 482 3 or or CC cord-009417-458rrhcm 482 4 reactivation reactivation NN cord-009417-458rrhcm 482 5 of of IN cord-009417-458rrhcm 482 6 latent latent JJ cord-009417-458rrhcm 482 7 infection infection NN cord-009417-458rrhcm 482 8 can can MD cord-009417-458rrhcm 482 9 occur occur VB cord-009417-458rrhcm 482 10 . . . cord-009417-458rrhcm 483 1 Antibodies antibody NNS cord-009417-458rrhcm 483 2 to to IN cord-009417-458rrhcm 483 3 CMV CMV NNP cord-009417-458rrhcm 483 4 persist persist VB cord-009417-458rrhcm 483 5 for for IN cord-009417-458rrhcm 483 6 life life NN cord-009417-458rrhcm 483 7 and and CC cord-009417-458rrhcm 483 8 serve serve VB cord-009417-458rrhcm 483 9 as as IN cord-009417-458rrhcm 483 10 a a DT cord-009417-458rrhcm 483 11 marker marker NN cord-009417-458rrhcm 483 12 indicating indicate VBG cord-009417-458rrhcm 483 13 the the DT cord-009417-458rrhcm 483 14 potential potential NN cord-009417-458rrhcm 483 15 for for IN cord-009417-458rrhcm 483 16 transmission transmission NN cord-009417-458rrhcm 483 17 of of IN cord-009417-458rrhcm 483 18 live live JJ cord-009417-458rrhcm 483 19 virus virus NN cord-009417-458rrhcm 483 20 . . . cord-009417-458rrhcm 484 1 Immunocompetent Immunocompetent NNP cord-009417-458rrhcm 484 2 recipients recipient NNS cord-009417-458rrhcm 484 3 of of IN cord-009417-458rrhcm 484 4 transfused transfuse VBN cord-009417-458rrhcm 484 5 CMVpositive CMVpositive NNP cord-009417-458rrhcm 484 6 blood blood NN cord-009417-458rrhcm 484 7 experience experience NN cord-009417-458rrhcm 484 8 minimal minimal JJ cord-009417-458rrhcm 484 9 morbidity morbidity NN cord-009417-458rrhcm 484 10 and and CC cord-009417-458rrhcm 484 11 mortality mortality NN cord-009417-458rrhcm 484 12 . . . cord-009417-458rrhcm 485 1 The the DT cord-009417-458rrhcm 485 2 majority majority NN cord-009417-458rrhcm 485 3 are be VBP cord-009417-458rrhcm 485 4 asymptomatic asymptomatic JJ cord-009417-458rrhcm 485 5 , , , cord-009417-458rrhcm 485 6 whereas whereas IN cord-009417-458rrhcm 485 7 a a DT cord-009417-458rrhcm 485 8 heterophile heterophile NN cord-009417-458rrhcm 485 9 - - HYPH cord-009417-458rrhcm 485 10 negative negative JJ cord-009417-458rrhcm 485 11 mononucleosis mononucleosis NN cord-009417-458rrhcm 485 12 syndrome syndrome NN cord-009417-458rrhcm 485 13 may may MD cord-009417-458rrhcm 485 14 develop develop VB cord-009417-458rrhcm 485 15 in in IN cord-009417-458rrhcm 485 16 a a DT cord-009417-458rrhcm 485 17 few few JJ cord-009417-458rrhcm 485 18 . . . cord-009417-458rrhcm 486 1 Immunocompromised immunocompromise VBN cord-009417-458rrhcm 486 2 patients patient NNS cord-009417-458rrhcm 486 3 , , , cord-009417-458rrhcm 486 4 however however RB cord-009417-458rrhcm 486 5 , , , cord-009417-458rrhcm 486 6 may may MD cord-009417-458rrhcm 486 7 suffer suffer VB cord-009417-458rrhcm 486 8 life life NN cord-009417-458rrhcm 486 9 - - HYPH cord-009417-458rrhcm 486 10 threatening threaten VBG cord-009417-458rrhcm 486 11 manifestations manifestation NNS cord-009417-458rrhcm 486 12 such such JJ cord-009417-458rrhcm 486 13 as as IN cord-009417-458rrhcm 486 14 severe severe JJ cord-009417-458rrhcm 486 15 interstitial interstitial JJ cord-009417-458rrhcm 486 16 pneumonitis pneumonitis NN cord-009417-458rrhcm 486 17 , , , cord-009417-458rrhcm 486 18 gastroenteritis gastroenteritis NN cord-009417-458rrhcm 486 19 , , , cord-009417-458rrhcm 486 20 hepatitis hepatitis NN cord-009417-458rrhcm 486 21 , , , cord-009417-458rrhcm 486 22 or or CC cord-009417-458rrhcm 486 23 disseminated disseminate VBN cord-009417-458rrhcm 486 24 disease disease NN cord-009417-458rrhcm 486 25 . . . cord-009417-458rrhcm 487 1 Several several JJ cord-009417-458rrhcm 487 2 groups group NNS cord-009417-458rrhcm 487 3 of of IN cord-009417-458rrhcm 487 4 patients patient NNS cord-009417-458rrhcm 487 5 are be VBP cord-009417-458rrhcm 487 6 at at IN cord-009417-458rrhcm 487 7 particular particular JJ cord-009417-458rrhcm 487 8 risk risk NN cord-009417-458rrhcm 487 9 ( ( -LRB- cord-009417-458rrhcm 487 10 Box Box NNP cord-009417-458rrhcm 487 11 80 80 CD cord-009417-458rrhcm 487 12 - - SYM cord-009417-458rrhcm 487 13 1 1 CD cord-009417-458rrhcm 487 14 ) ) -RRB- cord-009417-458rrhcm 487 15 , , , cord-009417-458rrhcm 487 16 109 109 CD cord-009417-458rrhcm 487 17 and and CC cord-009417-458rrhcm 487 18 these these DT cord-009417-458rrhcm 487 19 patients patient NNS cord-009417-458rrhcm 487 20 should should MD cord-009417-458rrhcm 487 21 receive receive VB cord-009417-458rrhcm 487 22 blood blood NN cord-009417-458rrhcm 487 23 incapable incapable JJ cord-009417-458rrhcm 487 24 of of IN cord-009417-458rrhcm 487 25 transmitting transmit VBG cord-009417-458rrhcm 487 26 the the DT cord-009417-458rrhcm 487 27 virus virus NN cord-009417-458rrhcm 487 28 . . . cord-009417-458rrhcm 488 1 Other other JJ cord-009417-458rrhcm 488 2 patients patient NNS cord-009417-458rrhcm 488 3 may may MD cord-009417-458rrhcm 488 4 benefi benefi VB cord-009417-458rrhcm 488 5 t t NN cord-009417-458rrhcm 488 6 from from IN cord-009417-458rrhcm 488 7 CMV CMV NNP cord-009417-458rrhcm 488 8 - - HYPH cord-009417-458rrhcm 488 9 negative negative JJ cord-009417-458rrhcm 488 10 blood blood NN cord-009417-458rrhcm 488 11 as as RB cord-009417-458rrhcm 488 12 well well RB cord-009417-458rrhcm 488 13 , , , cord-009417-458rrhcm 488 14 such such JJ cord-009417-458rrhcm 488 15 as as IN cord-009417-458rrhcm 488 16 seronegative seronegative JJ cord-009417-458rrhcm 488 17 solid solid JJ cord-009417-458rrhcm 488 18 organ organ NN cord-009417-458rrhcm 488 19 transplant transplant NN cord-009417-458rrhcm 488 20 recipients recipient NNS cord-009417-458rrhcm 488 21 or or CC cord-009417-458rrhcm 488 22 autologous autologous JJ cord-009417-458rrhcm 488 23 BMT BMT NNP cord-009417-458rrhcm 488 24 patients patient NNS cord-009417-458rrhcm 488 25 . . . cord-009417-458rrhcm 489 1 Screening screening NN cord-009417-458rrhcm 489 2 of of IN cord-009417-458rrhcm 489 3 donated donate VBN cord-009417-458rrhcm 489 4 blood blood NN cord-009417-458rrhcm 489 5 for for IN cord-009417-458rrhcm 489 6 CMV CMV NNP cord-009417-458rrhcm 489 7 is be VBZ cord-009417-458rrhcm 489 8 not not RB cord-009417-458rrhcm 489 9 routinely routinely RB cord-009417-458rrhcm 489 10 done do VBN cord-009417-458rrhcm 489 11 but but CC cord-009417-458rrhcm 489 12 can can MD cord-009417-458rrhcm 489 13 be be VB cord-009417-458rrhcm 489 14 performed perform VBN cord-009417-458rrhcm 489 15 quickly quickly RB cord-009417-458rrhcm 489 16 if if IN cord-009417-458rrhcm 489 17 necessary necessary JJ cord-009417-458rrhcm 489 18 . . . cord-009417-458rrhcm 490 1 Because because IN cord-009417-458rrhcm 490 2 the the DT cord-009417-458rrhcm 490 3 prevalence prevalence NN cord-009417-458rrhcm 490 4 of of IN cord-009417-458rrhcm 490 5 donor donor NN cord-009417-458rrhcm 490 6 seropositivity seropositivity NN cord-009417-458rrhcm 490 7 is be VBZ cord-009417-458rrhcm 490 8 quite quite RB cord-009417-458rrhcm 490 9 high high JJ cord-009417-458rrhcm 490 10 in in IN cord-009417-458rrhcm 490 11 some some DT cord-009417-458rrhcm 490 12 regions region NNS cord-009417-458rrhcm 490 13 ( ( -LRB- cord-009417-458rrhcm 490 14 50 50 CD cord-009417-458rrhcm 490 15 % % NN cord-009417-458rrhcm 490 16 to to TO cord-009417-458rrhcm 490 17 70 70 CD cord-009417-458rrhcm 490 18 % % NN cord-009417-458rrhcm 490 19 ) ) -RRB- cord-009417-458rrhcm 490 20 , , , cord-009417-458rrhcm 490 21 CMVseronegative cmvseronegative JJ cord-009417-458rrhcm 490 22 blood blood NN cord-009417-458rrhcm 490 23 may may MD cord-009417-458rrhcm 490 24 not not RB cord-009417-458rrhcm 490 25 be be VB cord-009417-458rrhcm 490 26 readily readily RB cord-009417-458rrhcm 490 27 available available JJ cord-009417-458rrhcm 490 28 . . . cord-009417-458rrhcm 491 1 Blood blood NN cord-009417-458rrhcm 491 2 that that WDT cord-009417-458rrhcm 491 3 is be VBZ cord-009417-458rrhcm 491 4 leukocyte leukocyte NN cord-009417-458rrhcm 491 5 depleted deplete VBN cord-009417-458rrhcm 492 1 ( ( -LRB- cord-009417-458rrhcm 492 2 " " `` cord-009417-458rrhcm 492 3 CMV CMV NNP cord-009417-458rrhcm 492 4 safe safe JJ cord-009417-458rrhcm 492 5 " " '' cord-009417-458rrhcm 492 6 ) ) -RRB- cord-009417-458rrhcm 492 7 may may MD cord-009417-458rrhcm 492 8 be be VB cord-009417-458rrhcm 492 9 as as RB cord-009417-458rrhcm 492 10 effective effective JJ cord-009417-458rrhcm 492 11 as as IN cord-009417-458rrhcm 492 12 seronegative seronegative JJ cord-009417-458rrhcm 492 13 blood blood NN cord-009417-458rrhcm 492 14 in in IN cord-009417-458rrhcm 492 15 the the DT cord-009417-458rrhcm 492 16 prevention prevention NN cord-009417-458rrhcm 492 17 of of IN cord-009417-458rrhcm 492 18 CMV CMV NNP cord-009417-458rrhcm 492 19 transmission transmission NN cord-009417-458rrhcm 492 20 , , , cord-009417-458rrhcm 492 21 although although IN cord-009417-458rrhcm 492 22 a a DT cord-009417-458rrhcm 492 23 recent recent JJ cord-009417-458rrhcm 492 24 meta meta JJ cord-009417-458rrhcm 492 25 - - HYPH cord-009417-458rrhcm 492 26 analysis analysis NN cord-009417-458rrhcm 492 27 of of IN cord-009417-458rrhcm 492 28 clinical clinical JJ cord-009417-458rrhcm 492 29 trials trial NNS cord-009417-458rrhcm 492 30 comparing compare VBG cord-009417-458rrhcm 492 31 the the DT cord-009417-458rrhcm 492 32 two two CD cord-009417-458rrhcm 492 33 methods method NNS cord-009417-458rrhcm 492 34 suggests suggest VBZ cord-009417-458rrhcm 492 35 that that IN cord-009417-458rrhcm 492 36 CMVnegative cmvnegative JJ cord-009417-458rrhcm 492 37 blood blood NN cord-009417-458rrhcm 492 38 products product NNS cord-009417-458rrhcm 492 39 might may MD cord-009417-458rrhcm 492 40 have have VB cord-009417-458rrhcm 492 41 a a DT cord-009417-458rrhcm 492 42 slight slight JJ cord-009417-458rrhcm 492 43 advantage advantage NN cord-009417-458rrhcm 492 44 over over IN cord-009417-458rrhcm 492 45 leukocyte leukocyte NN cord-009417-458rrhcm 492 46 - - HYPH cord-009417-458rrhcm 492 47 depleted deplete VBN cord-009417-458rrhcm 492 48 products product NNS cord-009417-458rrhcm 492 49 . . . cord-009417-458rrhcm 493 1 110 110 CD cord-009417-458rrhcm 494 1 Many many JJ cord-009417-458rrhcm 494 2 blood blood NN cord-009417-458rrhcm 494 3 - - HYPH cord-009417-458rrhcm 494 4 borne bear VBN cord-009417-458rrhcm 494 5 parasites parasite NNS cord-009417-458rrhcm 494 6 may may MD cord-009417-458rrhcm 494 7 be be VB cord-009417-458rrhcm 494 8 transmitted transmit VBN cord-009417-458rrhcm 494 9 by by IN cord-009417-458rrhcm 494 10 transfusion transfusion NN cord-009417-458rrhcm 494 11 , , , cord-009417-458rrhcm 494 12 although although IN cord-009417-458rrhcm 494 13 this this DT cord-009417-458rrhcm 494 14 is be VBZ cord-009417-458rrhcm 494 15 a a DT cord-009417-458rrhcm 494 16 rare rare JJ cord-009417-458rrhcm 494 17 occurrence occurrence NN cord-009417-458rrhcm 494 18 in in IN cord-009417-458rrhcm 494 19 the the DT cord-009417-458rrhcm 494 20 United United NNP cord-009417-458rrhcm 494 21 States States NNP cord-009417-458rrhcm 494 22 because because IN cord-009417-458rrhcm 494 23 of of IN cord-009417-458rrhcm 494 24 donor donor NN cord-009417-458rrhcm 494 25 screening screening NN cord-009417-458rrhcm 494 26 questions question NNS cord-009417-458rrhcm 494 27 and and CC cord-009417-458rrhcm 494 28 the the DT cord-009417-458rrhcm 494 29 low low JJ cord-009417-458rrhcm 494 30 endemicity endemicity NN cord-009417-458rrhcm 494 31 of of IN cord-009417-458rrhcm 494 32 implicated implicate VBN cord-009417-458rrhcm 494 33 agents agent NNS cord-009417-458rrhcm 494 34 . . . cord-009417-458rrhcm 495 1 111 111 CD cord-009417-458rrhcm 496 1 Changing change VBG cord-009417-458rrhcm 496 2 immigration immigration NN cord-009417-458rrhcm 496 3 patterns pattern NNS cord-009417-458rrhcm 496 4 and and CC cord-009417-458rrhcm 496 5 worldwide worldwide JJ cord-009417-458rrhcm 496 6 travel travel NN cord-009417-458rrhcm 496 7 , , , cord-009417-458rrhcm 496 8 however however RB cord-009417-458rrhcm 496 9 , , , cord-009417-458rrhcm 496 10 make make VBP cord-009417-458rrhcm 496 11 transfusion transfusion NN cord-009417-458rrhcm 496 12 - - HYPH cord-009417-458rrhcm 496 13 transmitted transmit VBN cord-009417-458rrhcm 496 14 parasites parasite NNS cord-009417-458rrhcm 496 15 an an DT cord-009417-458rrhcm 496 16 increasing increase VBG cord-009417-458rrhcm 496 17 concern concern NN cord-009417-458rrhcm 496 18 . . . cord-009417-458rrhcm 497 1 On on IN cord-009417-458rrhcm 497 2 a a DT cord-009417-458rrhcm 497 3 worldwide worldwide JJ cord-009417-458rrhcm 497 4 basis basis NN cord-009417-458rrhcm 497 5 , , , cord-009417-458rrhcm 497 6 malaria malaria NN cord-009417-458rrhcm 497 7 is be VBZ cord-009417-458rrhcm 497 8 the the DT cord-009417-458rrhcm 497 9 most most RBS cord-009417-458rrhcm 497 10 important important JJ cord-009417-458rrhcm 497 11 transfusion transfusion NN cord-009417-458rrhcm 497 12 - - HYPH cord-009417-458rrhcm 497 13 transmitted transmit VBN cord-009417-458rrhcm 497 14 infective infective JJ cord-009417-458rrhcm 497 15 organism organism NN cord-009417-458rrhcm 497 16 , , , cord-009417-458rrhcm 497 17 although although IN cord-009417-458rrhcm 497 18 only only RB cord-009417-458rrhcm 497 19 about about RB cord-009417-458rrhcm 497 20 three three CD cord-009417-458rrhcm 497 21 cases case NNS cord-009417-458rrhcm 497 22 occur occur VBP cord-009417-458rrhcm 497 23 in in IN cord-009417-458rrhcm 497 24 the the DT cord-009417-458rrhcm 497 25 United United NNP cord-009417-458rrhcm 497 26 States States NNP cord-009417-458rrhcm 497 27 each each DT cord-009417-458rrhcm 497 28 year year NN cord-009417-458rrhcm 497 29 . . . cord-009417-458rrhcm 498 1 Such such JJ cord-009417-458rrhcm 498 2 infections infection NNS cord-009417-458rrhcm 498 3 are be VBP cord-009417-458rrhcm 498 4 manifested manifest VBN cord-009417-458rrhcm 498 5 by by IN cord-009417-458rrhcm 498 6 delayed delay VBN cord-009417-458rrhcm 498 7 fever fever NN cord-009417-458rrhcm 498 8 , , , cord-009417-458rrhcm 498 9 chills chill NNS cord-009417-458rrhcm 498 10 , , , cord-009417-458rrhcm 498 11 Seronegative seronegative JJ cord-009417-458rrhcm 498 12 pregnant pregnant JJ cord-009417-458rrhcm 498 13 women woman NNS cord-009417-458rrhcm 498 14 Seronegative seronegative JJ cord-009417-458rrhcm 498 15 premature premature JJ cord-009417-458rrhcm 498 16 infants infant NNS cord-009417-458rrhcm 498 17 weighing weigh VBG cord-009417-458rrhcm 498 18 less less JJR cord-009417-458rrhcm 498 19 than than IN cord-009417-458rrhcm 498 20 1200 1200 CD cord-009417-458rrhcm 498 21 g g NN cord-009417-458rrhcm 498 22 Seronegative seronegative JJ cord-009417-458rrhcm 498 23 allogeneic allogeneic NN cord-009417-458rrhcm 498 24 or or CC cord-009417-458rrhcm 498 25 autologous autologous JJ cord-009417-458rrhcm 498 26 bone bone NN cord-009417-458rrhcm 498 27 marrow marrow NN cord-009417-458rrhcm 498 28 transplant transplant NN cord-009417-458rrhcm 498 29 recipients recipient NNS cord-009417-458rrhcm 498 30 Seronegative seronegative JJ cord-009417-458rrhcm 498 31 transplant transplant NN cord-009417-458rrhcm 498 32 recipients recipient NNS cord-009417-458rrhcm 498 33 of of IN cord-009417-458rrhcm 498 34 seronegative seronegative JJ cord-009417-458rrhcm 498 35 organs organ NNS cord-009417-458rrhcm 498 36 diaphoresis diaphoresis NN cord-009417-458rrhcm 498 37 , , , cord-009417-458rrhcm 498 38 and and CC cord-009417-458rrhcm 498 39 hemolysis hemolysis NN cord-009417-458rrhcm 498 40 , , , cord-009417-458rrhcm 498 41 often often RB cord-009417-458rrhcm 498 42 masked mask VBN cord-009417-458rrhcm 498 43 by by IN cord-009417-458rrhcm 498 44 underlying underlie VBG cord-009417-458rrhcm 498 45 medical medical JJ cord-009417-458rrhcm 498 46 conditions condition NNS cord-009417-458rrhcm 498 47 . . . cord-009417-458rrhcm 499 1 Fatalities fatality NNS cord-009417-458rrhcm 499 2 have have VBP cord-009417-458rrhcm 499 3 occurred occur VBN cord-009417-458rrhcm 499 4 . . . cord-009417-458rrhcm 500 1 Babesiosis babesiosis NN cord-009417-458rrhcm 500 2 , , , cord-009417-458rrhcm 500 3 a a DT cord-009417-458rrhcm 500 4 tick tick NN cord-009417-458rrhcm 500 5 - - HYPH cord-009417-458rrhcm 500 6 borne bear VBN cord-009417-458rrhcm 500 7 disease disease NN cord-009417-458rrhcm 500 8 , , , cord-009417-458rrhcm 500 9 is be VBZ cord-009417-458rrhcm 500 10 endemic endemic JJ cord-009417-458rrhcm 500 11 in in IN cord-009417-458rrhcm 500 12 regions region NNS cord-009417-458rrhcm 500 13 of of IN cord-009417-458rrhcm 500 14 the the DT cord-009417-458rrhcm 500 15 United United NNP cord-009417-458rrhcm 500 16 States States NNP cord-009417-458rrhcm 500 17 , , , cord-009417-458rrhcm 500 18 especially especially RB cord-009417-458rrhcm 500 19 the the DT cord-009417-458rrhcm 500 20 northeast northeast NN cord-009417-458rrhcm 500 21 , , , cord-009417-458rrhcm 500 22 with with IN cord-009417-458rrhcm 500 23 a a DT cord-009417-458rrhcm 500 24 seroprevalence seroprevalence NN cord-009417-458rrhcm 500 25 of of IN cord-009417-458rrhcm 500 26 about about IN cord-009417-458rrhcm 500 27 4 4 CD cord-009417-458rrhcm 500 28 % % NN cord-009417-458rrhcm 500 29 . . . cord-009417-458rrhcm 501 1 Transfusion transfusion NN cord-009417-458rrhcm 501 2 - - HYPH cord-009417-458rrhcm 501 3 transmitted transmit VBN cord-009417-458rrhcm 501 4 cases case NNS cord-009417-458rrhcm 501 5 have have VBP cord-009417-458rrhcm 501 6 been be VBN cord-009417-458rrhcm 501 7 reported report VBN cord-009417-458rrhcm 501 8 , , , cord-009417-458rrhcm 501 9 with with IN cord-009417-458rrhcm 501 10 asplenic asplenic NNP cord-009417-458rrhcm 501 11 or or CC cord-009417-458rrhcm 501 12 immunocompromised immunocompromised JJ cord-009417-458rrhcm 501 13 patients patient NNS cord-009417-458rrhcm 501 14 being be VBG cord-009417-458rrhcm 501 15 particularly particularly RB cord-009417-458rrhcm 501 16 susceptible susceptible JJ cord-009417-458rrhcm 501 17 . . . cord-009417-458rrhcm 502 1 With with IN cord-009417-458rrhcm 502 2 increases increase NNS cord-009417-458rrhcm 502 3 in in IN cord-009417-458rrhcm 502 4 the the DT cord-009417-458rrhcm 502 5 number number NN cord-009417-458rrhcm 502 6 of of IN cord-009417-458rrhcm 502 7 Latin latin JJ cord-009417-458rrhcm 502 8 American american JJ cord-009417-458rrhcm 502 9 immigrants immigrant NNS cord-009417-458rrhcm 502 10 to to IN cord-009417-458rrhcm 502 11 the the DT cord-009417-458rrhcm 502 12 United United NNP cord-009417-458rrhcm 502 13 States States NNP cord-009417-458rrhcm 502 14 , , , cord-009417-458rrhcm 502 15 American american JJ cord-009417-458rrhcm 502 16 trypanosomiasis trypanosomiasis NN cord-009417-458rrhcm 502 17 ( ( -LRB- cord-009417-458rrhcm 502 18 Chagas Chagas NNP cord-009417-458rrhcm 502 19 ' ' POS cord-009417-458rrhcm 502 20 disease disease NN cord-009417-458rrhcm 502 21 ) ) -RRB- cord-009417-458rrhcm 502 22 , , , cord-009417-458rrhcm 502 23 which which WDT cord-009417-458rrhcm 502 24 is be VBZ cord-009417-458rrhcm 502 25 endemic endemic JJ cord-009417-458rrhcm 502 26 in in IN cord-009417-458rrhcm 502 27 Latin latin JJ cord-009417-458rrhcm 502 28 American american JJ cord-009417-458rrhcm 502 29 countries country NNS cord-009417-458rrhcm 502 30 , , , cord-009417-458rrhcm 502 31 has have VBZ cord-009417-458rrhcm 502 32 emerged emerge VBN cord-009417-458rrhcm 502 33 as as IN cord-009417-458rrhcm 502 34 a a DT cord-009417-458rrhcm 502 35 potential potential JJ cord-009417-458rrhcm 502 36 pathogen pathogen NN cord-009417-458rrhcm 502 37 . . . cord-009417-458rrhcm 503 1 Other other JJ cord-009417-458rrhcm 503 2 parasitic parasitic JJ cord-009417-458rrhcm 503 3 diseases disease NNS cord-009417-458rrhcm 503 4 that that WDT cord-009417-458rrhcm 503 5 have have VBP cord-009417-458rrhcm 503 6 been be VBN cord-009417-458rrhcm 503 7 transmitted transmit VBN cord-009417-458rrhcm 503 8 by by IN cord-009417-458rrhcm 503 9 transfusion transfusion NN cord-009417-458rrhcm 503 10 include include VBP cord-009417-458rrhcm 503 11 toxoplasmosis toxoplasmosis NN cord-009417-458rrhcm 503 12 , , , cord-009417-458rrhcm 503 13 leishmaniasis leishmaniasis NN cord-009417-458rrhcm 503 14 , , , cord-009417-458rrhcm 503 15 and and CC cord-009417-458rrhcm 503 16 Lyme Lyme NNP cord-009417-458rrhcm 503 17 disease disease NN cord-009417-458rrhcm 503 18 . . . cord-009417-458rrhcm 504 1 Parvovirus Parvovirus NNP cord-009417-458rrhcm 504 2 B19 B19 NNP cord-009417-458rrhcm 504 3 has have VBZ cord-009417-458rrhcm 504 4 now now RB cord-009417-458rrhcm 504 5 been be VBN cord-009417-458rrhcm 504 6 recognized recognize VBN cord-009417-458rrhcm 504 7 as as IN cord-009417-458rrhcm 504 8 a a DT cord-009417-458rrhcm 504 9 pathogen pathogen NN cord-009417-458rrhcm 504 10 capable capable JJ cord-009417-458rrhcm 504 11 of of IN cord-009417-458rrhcm 504 12 transmission transmission NN cord-009417-458rrhcm 504 13 by by IN cord-009417-458rrhcm 504 14 transfusion transfusion NN cord-009417-458rrhcm 504 15 , , , cord-009417-458rrhcm 504 16 with with IN cord-009417-458rrhcm 504 17 typical typical JJ cord-009417-458rrhcm 504 18 clinical clinical JJ cord-009417-458rrhcm 504 19 fi fi NN cord-009417-458rrhcm 504 20 ndings nding NNS cord-009417-458rrhcm 504 21 and and CC cord-009417-458rrhcm 504 22 the the DT cord-009417-458rrhcm 504 23 potential potential NN cord-009417-458rrhcm 504 24 for for IN cord-009417-458rrhcm 504 25 severe severe JJ cord-009417-458rrhcm 504 26 hematologic hematologic JJ cord-009417-458rrhcm 504 27 complications complication NNS cord-009417-458rrhcm 504 28 . . . cord-009417-458rrhcm 505 1 Cases case NNS cord-009417-458rrhcm 505 2 of of IN cord-009417-458rrhcm 505 3 Epstein Epstein NNP cord-009417-458rrhcm 505 4 - - HYPH cord-009417-458rrhcm 505 5 Barr Barr NNP cord-009417-458rrhcm 505 6 virus virus NN cord-009417-458rrhcm 505 7 infection infection NN cord-009417-458rrhcm 505 8 with with IN cord-009417-458rrhcm 505 9 a a DT cord-009417-458rrhcm 505 10 typical typical JJ cord-009417-458rrhcm 505 11 mononucleosis mononucleosis NN cord-009417-458rrhcm 505 12 - - HYPH cord-009417-458rrhcm 505 13 like like JJ cord-009417-458rrhcm 505 14 illness illness NN cord-009417-458rrhcm 505 15 have have VBP cord-009417-458rrhcm 505 16 been be VBN cord-009417-458rrhcm 505 17 reported report VBN cord-009417-458rrhcm 505 18 after after IN cord-009417-458rrhcm 505 19 transfusion transfusion NN cord-009417-458rrhcm 505 20 . . . cord-009417-458rrhcm 506 1 West West NNP cord-009417-458rrhcm 506 2 Nile Nile NNP cord-009417-458rrhcm 506 3 virus virus NN cord-009417-458rrhcm 506 4 has have VBZ cord-009417-458rrhcm 506 5 also also RB cord-009417-458rrhcm 506 6 been be VBN cord-009417-458rrhcm 506 7 transmitted transmit VBN cord-009417-458rrhcm 506 8 by by IN cord-009417-458rrhcm 506 9 transfusion transfusion NN cord-009417-458rrhcm 506 10 . . . cord-009417-458rrhcm 507 1 H2N1 H2N1 NNP cord-009417-458rrhcm 507 2 infl infl NNP cord-009417-458rrhcm 507 3 uenza uenza NNP cord-009417-458rrhcm 507 4 , , , cord-009417-458rrhcm 507 5 severe severe JJ cord-009417-458rrhcm 507 6 acute acute JJ cord-009417-458rrhcm 507 7 respiratory respiratory JJ cord-009417-458rrhcm 507 8 syndrome syndrome NN cord-009417-458rrhcm 507 9 ( ( -LRB- cord-009417-458rrhcm 507 10 SARS SARS NNP cord-009417-458rrhcm 507 11 ) ) -RRB- cord-009417-458rrhcm 507 12 , , , cord-009417-458rrhcm 507 13 and and CC cord-009417-458rrhcm 507 14 other other JJ cord-009417-458rrhcm 507 15 new new JJ cord-009417-458rrhcm 507 16 viral viral JJ cord-009417-458rrhcm 507 17 infections infection NNS cord-009417-458rrhcm 507 18 should should MD cord-009417-458rrhcm 507 19 be be VB cord-009417-458rrhcm 507 20 capable capable JJ cord-009417-458rrhcm 507 21 of of IN cord-009417-458rrhcm 507 22 transmission transmission NN cord-009417-458rrhcm 507 23 by by IN cord-009417-458rrhcm 507 24 transfusion transfusion NN cord-009417-458rrhcm 507 25 , , , cord-009417-458rrhcm 507 26 although although IN cord-009417-458rrhcm 507 27 cases case NNS cord-009417-458rrhcm 507 28 have have VBP cord-009417-458rrhcm 507 29 not not RB cord-009417-458rrhcm 507 30 been be VBN cord-009417-458rrhcm 507 31 reported report VBN cord-009417-458rrhcm 507 32 and and CC cord-009417-458rrhcm 507 33 the the DT cord-009417-458rrhcm 507 34 prevalence prevalence NN cord-009417-458rrhcm 507 35 of of IN cord-009417-458rrhcm 507 36 asymptomatic asymptomatic JJ cord-009417-458rrhcm 507 37 disease disease NN cord-009417-458rrhcm 507 38 is be VBZ cord-009417-458rrhcm 507 39 unknown unknown JJ cord-009417-458rrhcm 507 40 . . . cord-009417-458rrhcm 508 1 A a DT cord-009417-458rrhcm 508 2 rising rise VBG cord-009417-458rrhcm 508 3 area area NN cord-009417-458rrhcm 508 4 of of IN cord-009417-458rrhcm 508 5 concern concern NN cord-009417-458rrhcm 508 6 is be VBZ cord-009417-458rrhcm 508 7 the the DT cord-009417-458rrhcm 508 8 transmission transmission NN cord-009417-458rrhcm 508 9 of of IN cord-009417-458rrhcm 508 10 prion prion NN cord-009417-458rrhcm 508 11 disease disease NN cord-009417-458rrhcm 508 12 , , , cord-009417-458rrhcm 508 13 either either CC cord-009417-458rrhcm 508 14 Jacob Jacob NNP cord-009417-458rrhcm 508 15 - - HYPH cord-009417-458rrhcm 508 16 Creutzfeldt Creutzfeldt NNP cord-009417-458rrhcm 508 17 disease disease NN cord-009417-458rrhcm 508 18 or or CC cord-009417-458rrhcm 508 19 bovine bovine JJ cord-009417-458rrhcm 508 20 spongiform spongiform JJ cord-009417-458rrhcm 508 21 encephalopathy encephalopathy NN cord-009417-458rrhcm 508 22 ( ( -LRB- cord-009417-458rrhcm 508 23 BSE BSE NNP cord-009417-458rrhcm 508 24 ) ) -RRB- cord-009417-458rrhcm 508 25 . . . cord-009417-458rrhcm 509 1 Donor donor NN cord-009417-458rrhcm 509 2 referral referral NN cord-009417-458rrhcm 509 3 criteria criterion NNS cord-009417-458rrhcm 509 4 were be VBD cord-009417-458rrhcm 509 5 implemented implement VBN cord-009417-458rrhcm 509 6 in in IN cord-009417-458rrhcm 509 7 1987 1987 CD cord-009417-458rrhcm 509 8 for for IN cord-009417-458rrhcm 509 9 these these DT cord-009417-458rrhcm 509 10 diseases disease NNS cord-009417-458rrhcm 509 11 , , , cord-009417-458rrhcm 509 12 and and CC cord-009417-458rrhcm 509 13 transmission transmission NN cord-009417-458rrhcm 509 14 of of IN cord-009417-458rrhcm 509 15 BSE BSE NNP cord-009417-458rrhcm 509 16 has have VBZ cord-009417-458rrhcm 509 17 been be VBN cord-009417-458rrhcm 509 18 reported report VBN cord-009417-458rrhcm 509 19 in in IN cord-009417-458rrhcm 509 20 the the DT cord-009417-458rrhcm 509 21 United United NNP cord-009417-458rrhcm 509 22 Kingdom Kingdom NNP cord-009417-458rrhcm 509 23 . . . cord-009417-458rrhcm 510 1 Massive massive JJ cord-009417-458rrhcm 510 2 transfusion transfusion NN cord-009417-458rrhcm 510 3 is be VBZ cord-009417-458rrhcm 510 4 defi defi NNP cord-009417-458rrhcm 510 5 ned ned NNP cord-009417-458rrhcm 510 6 as as IN cord-009417-458rrhcm 510 7 the the DT cord-009417-458rrhcm 510 8 administration administration NN cord-009417-458rrhcm 510 9 of of IN cord-009417-458rrhcm 510 10 blood blood NN cord-009417-458rrhcm 510 11 components component NNS cord-009417-458rrhcm 510 12 in in IN cord-009417-458rrhcm 510 13 excess excess NN cord-009417-458rrhcm 510 14 of of IN cord-009417-458rrhcm 510 15 one one CD cord-009417-458rrhcm 510 16 blood blood NN cord-009417-458rrhcm 510 17 volume volume NN cord-009417-458rrhcm 510 18 within within IN cord-009417-458rrhcm 510 19 a a DT cord-009417-458rrhcm 510 20 24-hour 24-hour JJ cord-009417-458rrhcm 510 21 period period NN cord-009417-458rrhcm 510 22 . . . cord-009417-458rrhcm 511 1 In in IN cord-009417-458rrhcm 511 2 an an DT cord-009417-458rrhcm 511 3 average average JJ cord-009417-458rrhcm 511 4 adult adult NN cord-009417-458rrhcm 511 5 ( ( -LRB- cord-009417-458rrhcm 511 6 70 70 CD cord-009417-458rrhcm 511 7 kg kg NNS cord-009417-458rrhcm 511 8 ) ) -RRB- cord-009417-458rrhcm 511 9 , , , cord-009417-458rrhcm 511 10 this this DT cord-009417-458rrhcm 511 11 represents represent VBZ cord-009417-458rrhcm 511 12 approximately approximately RB cord-009417-458rrhcm 511 13 10 10 CD cord-009417-458rrhcm 511 14 units unit NNS cord-009417-458rrhcm 511 15 of of IN cord-009417-458rrhcm 511 16 WB WB NNP cord-009417-458rrhcm 511 17 or or CC cord-009417-458rrhcm 511 18 equivalent equivalent JJ cord-009417-458rrhcm 511 19 PRBCs prbc NNS cord-009417-458rrhcm 511 20 , , , cord-009417-458rrhcm 511 21 crystalloid crystalloid NN cord-009417-458rrhcm 511 22 solution solution NN cord-009417-458rrhcm 511 23 , , , cord-009417-458rrhcm 511 24 and and CC cord-009417-458rrhcm 511 25 other other JJ cord-009417-458rrhcm 511 26 components component NNS cord-009417-458rrhcm 511 27 . . . cord-009417-458rrhcm 512 1 Massive massive JJ cord-009417-458rrhcm 512 2 transfusion transfusion NN cord-009417-458rrhcm 512 3 , , , cord-009417-458rrhcm 512 4 especially especially RB cord-009417-458rrhcm 512 5 in in IN cord-009417-458rrhcm 512 6 the the DT cord-009417-458rrhcm 512 7 range range NN cord-009417-458rrhcm 512 8 of of IN cord-009417-458rrhcm 512 9 20 20 CD cord-009417-458rrhcm 512 10 or or CC cord-009417-458rrhcm 512 11 more more JJR cord-009417-458rrhcm 512 12 units unit NNS cord-009417-458rrhcm 512 13 of of IN cord-009417-458rrhcm 512 14 blood blood NN cord-009417-458rrhcm 512 15 products product NNS cord-009417-458rrhcm 512 16 , , , cord-009417-458rrhcm 512 17 causes cause VBZ cord-009417-458rrhcm 512 18 complications complication NNS cord-009417-458rrhcm 512 19 not not RB cord-009417-458rrhcm 512 20 generally generally RB cord-009417-458rrhcm 512 21 seen see VBN cord-009417-458rrhcm 512 22 in in IN cord-009417-458rrhcm 512 23 usual usual JJ cord-009417-458rrhcm 512 24 transfusion transfusion NN cord-009417-458rrhcm 512 25 practice practice NN cord-009417-458rrhcm 512 26 : : : cord-009417-458rrhcm 512 27 accumulation accumulation NN cord-009417-458rrhcm 512 28 of of IN cord-009417-458rrhcm 512 29 undesirable undesirable JJ cord-009417-458rrhcm 512 30 substances substance NNS cord-009417-458rrhcm 512 31 present present JJ cord-009417-458rrhcm 512 32 within within IN cord-009417-458rrhcm 512 33 banked bank VBN cord-009417-458rrhcm 512 34 blood blood NN cord-009417-458rrhcm 512 35 and and CC cord-009417-458rrhcm 512 36 dilutional dilutional JJ cord-009417-458rrhcm 512 37 depletion depletion NN cord-009417-458rrhcm 512 38 of of IN cord-009417-458rrhcm 512 39 normal normal JJ cord-009417-458rrhcm 512 40 blood blood NN cord-009417-458rrhcm 512 41 constituents constituent NNS cord-009417-458rrhcm 512 42 that that WDT cord-009417-458rrhcm 512 43 are be VBP cord-009417-458rrhcm 512 44 lacking lack VBG cord-009417-458rrhcm 512 45 in in IN cord-009417-458rrhcm 512 46 stored store VBN cord-009417-458rrhcm 512 47 units unit NNS cord-009417-458rrhcm 512 48 . . . cord-009417-458rrhcm 513 1 Trauma trauma NN cord-009417-458rrhcm 513 2 victims victim NNS cord-009417-458rrhcm 513 3 , , , cord-009417-458rrhcm 513 4 surgical surgical JJ cord-009417-458rrhcm 513 5 patients patient NNS cord-009417-458rrhcm 513 6 undergoing undergo VBG cord-009417-458rrhcm 513 7 extensive extensive JJ cord-009417-458rrhcm 513 8 procedures procedure NNS cord-009417-458rrhcm 513 9 , , , cord-009417-458rrhcm 513 10 and and CC cord-009417-458rrhcm 513 11 patients patient NNS cord-009417-458rrhcm 513 12 with with IN cord-009417-458rrhcm 513 13 vascular vascular JJ cord-009417-458rrhcm 513 14 or or CC cord-009417-458rrhcm 513 15 coagulation coagulation NN cord-009417-458rrhcm 513 16 disorders disorder NNS cord-009417-458rrhcm 513 17 may may MD cord-009417-458rrhcm 513 18 be be VB cord-009417-458rrhcm 513 19 massively massively RB cord-009417-458rrhcm 513 20 transfused transfuse VBN cord-009417-458rrhcm 513 21 in in IN cord-009417-458rrhcm 513 22 the the DT cord-009417-458rrhcm 513 23 critical critical JJ cord-009417-458rrhcm 513 24 care care NN cord-009417-458rrhcm 513 25 setting setting NN cord-009417-458rrhcm 513 26 . . . cord-009417-458rrhcm 514 1 Survival survival NN cord-009417-458rrhcm 514 2 of of IN cord-009417-458rrhcm 514 3 the the DT cord-009417-458rrhcm 514 4 massive massive JJ cord-009417-458rrhcm 514 5 transfusion transfusion NN cord-009417-458rrhcm 514 6 episode episode NN cord-009417-458rrhcm 514 7 is be VBZ cord-009417-458rrhcm 514 8 determined determine VBN cord-009417-458rrhcm 514 9 more more JJR cord-009417-458rrhcm 514 10 by by IN cord-009417-458rrhcm 514 11 the the DT cord-009417-458rrhcm 514 12 nature nature NN cord-009417-458rrhcm 514 13 and and CC cord-009417-458rrhcm 514 14 degree degree NN cord-009417-458rrhcm 514 15 of of IN cord-009417-458rrhcm 514 16 the the DT cord-009417-458rrhcm 514 17 patient patient NN cord-009417-458rrhcm 514 18 's 's POS cord-009417-458rrhcm 514 19 injuries injury NNS cord-009417-458rrhcm 514 20 or or CC cord-009417-458rrhcm 514 21 medical medical JJ cord-009417-458rrhcm 514 22 conditions condition NNS cord-009417-458rrhcm 514 23 than than IN cord-009417-458rrhcm 514 24 by by IN cord-009417-458rrhcm 514 25 the the DT cord-009417-458rrhcm 514 26 transfusions transfusion NNS cord-009417-458rrhcm 514 27 themselves -PRON- PRP cord-009417-458rrhcm 514 28 , , , cord-009417-458rrhcm 514 29 but but CC cord-009417-458rrhcm 514 30 the the DT cord-009417-458rrhcm 514 31 presence presence NN cord-009417-458rrhcm 514 32 of of IN cord-009417-458rrhcm 514 33 adverse adverse JJ cord-009417-458rrhcm 514 34 effects effect NNS cord-009417-458rrhcm 514 35 of of IN cord-009417-458rrhcm 514 36 massive massive JJ cord-009417-458rrhcm 514 37 transfusion transfusion NN cord-009417-458rrhcm 514 38 can can MD cord-009417-458rrhcm 514 39 complicate complicate VB cord-009417-458rrhcm 514 40 patients patient NNS cord-009417-458rrhcm 514 41 ' ' POS cord-009417-458rrhcm 514 42 courses course NNS cord-009417-458rrhcm 514 43 in in IN cord-009417-458rrhcm 514 44 the the DT cord-009417-458rrhcm 514 45 ICU ICU NNP cord-009417-458rrhcm 514 46 . . . cord-009417-458rrhcm 515 1 Transfusion transfusion NN cord-009417-458rrhcm 515 2 of of IN cord-009417-458rrhcm 515 3 large large JJ cord-009417-458rrhcm 515 4 quantities quantity NNS cord-009417-458rrhcm 515 5 of of IN cord-009417-458rrhcm 515 6 stored store VBN cord-009417-458rrhcm 515 7 blood blood NN cord-009417-458rrhcm 515 8 defi defi NNP cord-009417-458rrhcm 515 9 cient cient NN cord-009417-458rrhcm 515 10 in in IN cord-009417-458rrhcm 515 11 functional functional JJ cord-009417-458rrhcm 515 12 platelets platelet NNS cord-009417-458rrhcm 515 13 often often RB cord-009417-458rrhcm 515 14 results result VBZ cord-009417-458rrhcm 515 15 in in IN cord-009417-458rrhcm 515 16 hemostatic hemostatic JJ cord-009417-458rrhcm 515 17 defects defect NNS cord-009417-458rrhcm 515 18 or or CC cord-009417-458rrhcm 515 19 outright outright JJ cord-009417-458rrhcm 515 20 thrombocytopenia thrombocytopenia NN cord-009417-458rrhcm 515 21 . . . cord-009417-458rrhcm 516 1 Circulating circulate VBG cord-009417-458rrhcm 516 2 platelets platelet NNS cord-009417-458rrhcm 516 3 consistently consistently RB cord-009417-458rrhcm 516 4 decrease decrease VBP cord-009417-458rrhcm 516 5 in in IN cord-009417-458rrhcm 516 6 inverse inverse JJ cord-009417-458rrhcm 516 7 proportion proportion NN cord-009417-458rrhcm 516 8 to to IN cord-009417-458rrhcm 516 9 the the DT cord-009417-458rrhcm 516 10 amount amount NN cord-009417-458rrhcm 516 11 of of IN cord-009417-458rrhcm 516 12 blood blood NN cord-009417-458rrhcm 516 13 administered administer VBN cord-009417-458rrhcm 516 14 , , , cord-009417-458rrhcm 516 15 with with IN cord-009417-458rrhcm 516 16 the the DT cord-009417-458rrhcm 516 17 hemostatically hemostatically NNP cord-009417-458rrhcm 516 18 signifi signifi NNP cord-009417-458rrhcm 516 19 ca can MD cord-009417-458rrhcm 516 20 nt not RB cord-009417-458rrhcm 516 21 level level NN cord-009417-458rrhcm 516 22 of of IN cord-009417-458rrhcm 516 23 50 50 CD cord-009417-458rrhcm 516 24 × × NN cord-009417-458rrhcm 516 25 10 10 CD cord-009417-458rrhcm 516 26 9 9 CD cord-009417-458rrhcm 516 27 /L /L . cord-009417-458rrhcm 516 28 reached reach VBN cord-009417-458rrhcm 516 29 after after IN cord-009417-458rrhcm 516 30 20 20 CD cord-009417-458rrhcm 516 31 U. U. NNP cord-009417-458rrhcm 516 32 112 112 CD cord-009417-458rrhcm 516 33 , , , cord-009417-458rrhcm 516 34 113 113 CD cord-009417-458rrhcm 516 35 Functional functional JJ cord-009417-458rrhcm 516 36 defects defect NNS cord-009417-458rrhcm 516 37 have have VBP cord-009417-458rrhcm 516 38 also also RB cord-009417-458rrhcm 516 39 been be VBN cord-009417-458rrhcm 516 40 noted note VBN cord-009417-458rrhcm 516 41 , , , cord-009417-458rrhcm 516 42 and and CC cord-009417-458rrhcm 516 43 the the DT cord-009417-458rrhcm 516 44 bleeding bleeding JJ cord-009417-458rrhcm 516 45 time time NN cord-009417-458rrhcm 516 46 is be VBZ cord-009417-458rrhcm 516 47 prolonged prolong VBN cord-009417-458rrhcm 516 48 . . . cord-009417-458rrhcm 517 1 114 114 CD cord-009417-458rrhcm 518 1 Despite despite IN cord-009417-458rrhcm 518 2 these these DT cord-009417-458rrhcm 518 3 laboratory laboratory NN cord-009417-458rrhcm 518 4 changes change NNS cord-009417-458rrhcm 518 5 , , , cord-009417-458rrhcm 518 6 severe severe JJ cord-009417-458rrhcm 518 7 diffuse diffuse NN cord-009417-458rrhcm 518 8 bleeding bleeding NN cord-009417-458rrhcm 518 9 develops develop VBZ cord-009417-458rrhcm 518 10 in in IN cord-009417-458rrhcm 518 11 less less JJR cord-009417-458rrhcm 518 12 than than IN cord-009417-458rrhcm 518 13 20 20 CD cord-009417-458rrhcm 518 14 % % NN cord-009417-458rrhcm 518 15 of of IN cord-009417-458rrhcm 518 16 massively massively RB cord-009417-458rrhcm 518 17 transfused transfuse VBN cord-009417-458rrhcm 518 18 patients patient NNS cord-009417-458rrhcm 518 19 , , , cord-009417-458rrhcm 518 20 and and CC cord-009417-458rrhcm 518 21 no no DT cord-009417-458rrhcm 518 22 laboratory laboratory NN cord-009417-458rrhcm 518 23 studies study NNS cord-009417-458rrhcm 518 24 predict predict VBP cord-009417-458rrhcm 518 25 those those DT cord-009417-458rrhcm 518 26 who who WP cord-009417-458rrhcm 518 27 will will MD cord-009417-458rrhcm 518 28 . . . cord-009417-458rrhcm 519 1 Prophylactic prophylactic JJ cord-009417-458rrhcm 519 2 platelet platelet NN cord-009417-458rrhcm 519 3 transfusion transfusion NN cord-009417-458rrhcm 519 4 has have VBZ cord-009417-458rrhcm 519 5 not not RB cord-009417-458rrhcm 519 6 been be VBN cord-009417-458rrhcm 519 7 shown show VBN cord-009417-458rrhcm 519 8 to to TO cord-009417-458rrhcm 519 9 be be VB cord-009417-458rrhcm 519 10 of of IN cord-009417-458rrhcm 519 11 benefi benefi NNP cord-009417-458rrhcm 519 12 t. t. NNP cord-009417-458rrhcm 519 13 115 115 CD cord-009417-458rrhcm 519 14 Platelet platelet NN cord-009417-458rrhcm 519 15 counts count NNS cord-009417-458rrhcm 519 16 may may MD cord-009417-458rrhcm 519 17 return return VB cord-009417-458rrhcm 519 18 to to IN cord-009417-458rrhcm 519 19 hemostatically hemostatically RB cord-009417-458rrhcm 519 20 effective effective JJ cord-009417-458rrhcm 519 21 levels level NNS cord-009417-458rrhcm 519 22 quickly quickly RB cord-009417-458rrhcm 519 23 in in IN cord-009417-458rrhcm 519 24 patients patient NNS cord-009417-458rrhcm 519 25 with with IN cord-009417-458rrhcm 519 26 normal normal JJ cord-009417-458rrhcm 519 27 marrow marrow NN cord-009417-458rrhcm 519 28 function function NN cord-009417-458rrhcm 519 29 . . . cord-009417-458rrhcm 520 1 Currently currently RB cord-009417-458rrhcm 520 2 , , , cord-009417-458rrhcm 520 3 resuscitation resuscitation NN cord-009417-458rrhcm 520 4 of of IN cord-009417-458rrhcm 520 5 massively massively RB cord-009417-458rrhcm 520 6 bleeding bleed VBG cord-009417-458rrhcm 520 7 patients patient NNS cord-009417-458rrhcm 520 8 is be VBZ cord-009417-458rrhcm 520 9 most most RBS cord-009417-458rrhcm 520 10 often often RB cord-009417-458rrhcm 520 11 accomplished accomplish VBN cord-009417-458rrhcm 520 12 with with IN cord-009417-458rrhcm 520 13 PRBCs prbc NNS cord-009417-458rrhcm 520 14 in in IN cord-009417-458rrhcm 520 15 combination combination NN cord-009417-458rrhcm 520 16 with with IN cord-009417-458rrhcm 520 17 crystalloid crystalloid NN cord-009417-458rrhcm 520 18 solution solution NN cord-009417-458rrhcm 520 19 . . . cord-009417-458rrhcm 521 1 This this DT cord-009417-458rrhcm 521 2 should should MD cord-009417-458rrhcm 521 3 result result VB cord-009417-458rrhcm 521 4 in in IN cord-009417-458rrhcm 521 5 hemodilution hemodilution NN cord-009417-458rrhcm 521 6 to to IN cord-009417-458rrhcm 521 7 about about RB cord-009417-458rrhcm 521 8 60 60 CD cord-009417-458rrhcm 521 9 % % NN cord-009417-458rrhcm 521 10 of of IN cord-009417-458rrhcm 521 11 normal normal JJ cord-009417-458rrhcm 521 12 plasma plasma NN cord-009417-458rrhcm 521 13 factor factor NN cord-009417-458rrhcm 521 14 levels level NNS cord-009417-458rrhcm 521 15 after after IN cord-009417-458rrhcm 521 16 the the DT cord-009417-458rrhcm 521 17 transfusion transfusion NN cord-009417-458rrhcm 521 18 of of IN cord-009417-458rrhcm 521 19 about about RB cord-009417-458rrhcm 521 20 10 10 CD cord-009417-458rrhcm 521 21 units unit NNS cord-009417-458rrhcm 521 22 ; ; : cord-009417-458rrhcm 521 23 this this DT cord-009417-458rrhcm 521 24 factor factor NN cord-009417-458rrhcm 521 25 level level NN cord-009417-458rrhcm 521 26 can can MD cord-009417-458rrhcm 521 27 effect effect VB cord-009417-458rrhcm 521 28 normal normal JJ cord-009417-458rrhcm 521 29 hemostasis hemostasis NN cord-009417-458rrhcm 521 30 . . . cord-009417-458rrhcm 522 1 In in IN cord-009417-458rrhcm 522 2 reality reality NN cord-009417-458rrhcm 522 3 , , , cord-009417-458rrhcm 522 4 however however RB cord-009417-458rrhcm 522 5 , , , cord-009417-458rrhcm 522 6 crystalloids crystalloids NNP cord-009417-458rrhcm 522 7 may may MD cord-009417-458rrhcm 522 8 be be VB cord-009417-458rrhcm 522 9 given give VBN cord-009417-458rrhcm 522 10 in in IN cord-009417-458rrhcm 522 11 excess excess NN cord-009417-458rrhcm 522 12 of of IN cord-009417-458rrhcm 522 13 PRBCs prbc NNS cord-009417-458rrhcm 522 14 , , , cord-009417-458rrhcm 522 15 so so RB cord-009417-458rrhcm 522 16 after after IN cord-009417-458rrhcm 522 17 10 10 CD cord-009417-458rrhcm 522 18 units unit NNS cord-009417-458rrhcm 522 19 is be VBZ cord-009417-458rrhcm 522 20 transfused transfuse VBN cord-009417-458rrhcm 522 21 , , , cord-009417-458rrhcm 522 22 less less JJR cord-009417-458rrhcm 522 23 plasma plasma NN cord-009417-458rrhcm 522 24 protein protein NN cord-009417-458rrhcm 522 25 may may MD cord-009417-458rrhcm 522 26 remain remain VB cord-009417-458rrhcm 522 27 . . . cord-009417-458rrhcm 523 1 Bleeding bleed VBG cord-009417-458rrhcm 523 2 is be VBZ cord-009417-458rrhcm 523 3 unlikely unlikely JJ cord-009417-458rrhcm 523 4 until until IN cord-009417-458rrhcm 523 5 prothrombin prothrombin NN cord-009417-458rrhcm 523 6 time time NN cord-009417-458rrhcm 523 7 ( ( -LRB- cord-009417-458rrhcm 523 8 PT)/INR PT)/INR NNP cord-009417-458rrhcm 523 9 and and CC cord-009417-458rrhcm 523 10 PTT PTT NNP cord-009417-458rrhcm 523 11 prolongations prolongation NNS cord-009417-458rrhcm 523 12 exceed exceed VBP cord-009417-458rrhcm 523 13 1.5 1.5 CD cord-009417-458rrhcm 523 14 to to TO cord-009417-458rrhcm 523 15 1.8 1.8 CD cord-009417-458rrhcm 523 16 times time NNS cord-009417-458rrhcm 523 17 the the DT cord-009417-458rrhcm 523 18 midpoint midpoint NN cord-009417-458rrhcm 523 19 normal normal JJ cord-009417-458rrhcm 523 20 range range NN cord-009417-458rrhcm 523 21 , , , cord-009417-458rrhcm 523 22 the the DT cord-009417-458rrhcm 523 23 equivalent equivalent NN cord-009417-458rrhcm 523 24 of of IN cord-009417-458rrhcm 523 25 an an DT cord-009417-458rrhcm 523 26 INR INR NNP cord-009417-458rrhcm 523 27 approaching approach VBG cord-009417-458rrhcm 523 28 2.0 2.0 CD cord-009417-458rrhcm 523 29 . . . cord-009417-458rrhcm 524 1 113 113 CD cord-009417-458rrhcm 525 1 As as IN cord-009417-458rrhcm 525 2 with with IN cord-009417-458rrhcm 525 3 platelets platelet NNS cord-009417-458rrhcm 525 4 , , , cord-009417-458rrhcm 525 5 prophylactic prophylactic JJ cord-009417-458rrhcm 525 6 administration administration NN cord-009417-458rrhcm 525 7 of of IN cord-009417-458rrhcm 525 8 FFP FFP NNP cord-009417-458rrhcm 525 9 has have VBZ cord-009417-458rrhcm 525 10 not not RB cord-009417-458rrhcm 525 11 proved prove VBN cord-009417-458rrhcm 525 12 effective effective JJ cord-009417-458rrhcm 525 13 in in IN cord-009417-458rrhcm 525 14 preventing prevent VBG cord-009417-458rrhcm 525 15 diffuse diffuse JJ cord-009417-458rrhcm 525 16 bleeding bleeding NN cord-009417-458rrhcm 525 17 . . . cord-009417-458rrhcm 526 1 116 116 CD cord-009417-458rrhcm 527 1 Thus thus RB cord-009417-458rrhcm 527 2 , , , cord-009417-458rrhcm 527 3 the the DT cord-009417-458rrhcm 527 4 decision decision NN cord-009417-458rrhcm 527 5 to to TO cord-009417-458rrhcm 527 6 transfuse transfuse VB cord-009417-458rrhcm 527 7 should should MD cord-009417-458rrhcm 527 8 be be VB cord-009417-458rrhcm 527 9 made make VBN cord-009417-458rrhcm 527 10 on on IN cord-009417-458rrhcm 527 11 an an DT cord-009417-458rrhcm 527 12 individual individual JJ cord-009417-458rrhcm 527 13 basis basis NN cord-009417-458rrhcm 527 14 , , , cord-009417-458rrhcm 527 15 as as IN cord-009417-458rrhcm 527 16 determined determine VBN cord-009417-458rrhcm 527 17 by by IN cord-009417-458rrhcm 527 18 the the DT cord-009417-458rrhcm 527 19 presence presence NN cord-009417-458rrhcm 527 20 of of IN cord-009417-458rrhcm 527 21 bleeding bleed VBG cord-009417-458rrhcm 527 22 or or CC cord-009417-458rrhcm 527 23 unacceptable unacceptable JJ cord-009417-458rrhcm 527 24 risk risk NN cord-009417-458rrhcm 527 25 in in IN cord-009417-458rrhcm 527 26 patients patient NNS cord-009417-458rrhcm 527 27 with with IN cord-009417-458rrhcm 527 28 documented document VBN cord-009417-458rrhcm 527 29 abnormalities abnormality NNS cord-009417-458rrhcm 527 30 in in IN cord-009417-458rrhcm 527 31 coagulation coagulation NN cord-009417-458rrhcm 527 32 . . . cord-009417-458rrhcm 528 1 One one CD cord-009417-458rrhcm 528 2 new new JJ cord-009417-458rrhcm 528 3 area area NN cord-009417-458rrhcm 528 4 of of IN cord-009417-458rrhcm 528 5 controversy controversy NN cord-009417-458rrhcm 528 6 in in IN cord-009417-458rrhcm 528 7 the the DT cord-009417-458rrhcm 528 8 treatment treatment NN cord-009417-458rrhcm 528 9 of of IN cord-009417-458rrhcm 528 10 patients patient NNS cord-009417-458rrhcm 528 11 with with IN cord-009417-458rrhcm 528 12 massive massive JJ cord-009417-458rrhcm 528 13 hemorrhage hemorrhage NN cord-009417-458rrhcm 528 14 is be VBZ cord-009417-458rrhcm 528 15 the the DT cord-009417-458rrhcm 528 16 use use NN cord-009417-458rrhcm 528 17 of of IN cord-009417-458rrhcm 528 18 recombinant recombinant JJ cord-009417-458rrhcm 528 19 activated activate VBN cord-009417-458rrhcm 528 20 factor factor NN cord-009417-458rrhcm 528 21 VII VII NNP cord-009417-458rrhcm 528 22 . . . cord-009417-458rrhcm 529 1 This this DT cord-009417-458rrhcm 529 2 new new JJ cord-009417-458rrhcm 529 3 agent agent NN cord-009417-458rrhcm 529 4 was be VBD cord-009417-458rrhcm 529 5 created create VBN cord-009417-458rrhcm 529 6 for for IN cord-009417-458rrhcm 529 7 the the DT cord-009417-458rrhcm 529 8 treatment treatment NN cord-009417-458rrhcm 529 9 of of IN cord-009417-458rrhcm 529 10 hemophiliac hemophiliac NN cord-009417-458rrhcm 529 11 patients patient NNS cord-009417-458rrhcm 529 12 with with IN cord-009417-458rrhcm 529 13 high high JJ cord-009417-458rrhcm 529 14 titers titer NNS cord-009417-458rrhcm 529 15 of of IN cord-009417-458rrhcm 529 16 antibodies antibody NNS cord-009417-458rrhcm 529 17 to to TO cord-009417-458rrhcm 529 18 factor factor VB cord-009417-458rrhcm 529 19 VIII VIII NNP cord-009417-458rrhcm 529 20 , , , cord-009417-458rrhcm 529 21 which which WDT cord-009417-458rrhcm 529 22 makes make VBZ cord-009417-458rrhcm 529 23 them -PRON- PRP cord-009417-458rrhcm 529 24 unable unable JJ cord-009417-458rrhcm 529 25 to to TO cord-009417-458rrhcm 529 26 benefi benefi NNP cord-009417-458rrhcm 529 27 t t NN cord-009417-458rrhcm 529 28 from from IN cord-009417-458rrhcm 529 29 transfusion transfusion NN cord-009417-458rrhcm 529 30 of of IN cord-009417-458rrhcm 529 31 recombinant recombinant JJ cord-009417-458rrhcm 529 32 factor factor NN cord-009417-458rrhcm 529 33 VIII VIII NNP cord-009417-458rrhcm 529 34 . . . cord-009417-458rrhcm 530 1 Activated activate VBN cord-009417-458rrhcm 530 2 factor factor NN cord-009417-458rrhcm 530 3 VII VII NNP cord-009417-458rrhcm 530 4 bypasses bypass VBZ cord-009417-458rrhcm 530 5 that that DT cord-009417-458rrhcm 530 6 problem problem NN cord-009417-458rrhcm 530 7 by by IN cord-009417-458rrhcm 530 8 binding bind VBG cord-009417-458rrhcm 530 9 to to IN cord-009417-458rrhcm 530 10 tissue tissue NN cord-009417-458rrhcm 530 11 factor factor NN cord-009417-458rrhcm 530 12 and and CC cord-009417-458rrhcm 530 13 directly directly RB cord-009417-458rrhcm 530 14 activating activate VBG cord-009417-458rrhcm 530 15 thrombin thrombin NN cord-009417-458rrhcm 530 16 and and CC cord-009417-458rrhcm 530 17 hence hence RB cord-009417-458rrhcm 530 18 generating generate VBG cord-009417-458rrhcm 530 19 fi fi NNP cord-009417-458rrhcm 530 20 brin brin NNP cord-009417-458rrhcm 530 21 . . . cord-009417-458rrhcm 531 1 117 117 CD cord-009417-458rrhcm 532 1 It -PRON- PRP cord-009417-458rrhcm 532 2 is be VBZ cord-009417-458rrhcm 532 3 extremely extremely RB cord-009417-458rrhcm 532 4 expensive expensive JJ cord-009417-458rrhcm 532 5 , , , cord-009417-458rrhcm 532 6 has have VBZ cord-009417-458rrhcm 532 7 a a DT cord-009417-458rrhcm 532 8 short short JJ cord-009417-458rrhcm 532 9 half half JJ cord-009417-458rrhcm 532 10 - - HYPH cord-009417-458rrhcm 532 11 life life NN cord-009417-458rrhcm 532 12 , , , cord-009417-458rrhcm 532 13 and and CC cord-009417-458rrhcm 532 14 carries carry VBZ cord-009417-458rrhcm 532 15 a a DT cord-009417-458rrhcm 532 16 risk risk NN cord-009417-458rrhcm 532 17 of of IN cord-009417-458rrhcm 532 18 inducing induce VBG cord-009417-458rrhcm 532 19 pathologic pathologic JJ cord-009417-458rrhcm 532 20 thrombosis thrombosis NN cord-009417-458rrhcm 532 21 , , , cord-009417-458rrhcm 532 22 with with IN cord-009417-458rrhcm 532 23 potentially potentially RB cord-009417-458rrhcm 532 24 grave grave JJ cord-009417-458rrhcm 532 25 consequences consequence NNS cord-009417-458rrhcm 532 26 . . . cord-009417-458rrhcm 533 1 Nevertheless nevertheless RB cord-009417-458rrhcm 533 2 , , , cord-009417-458rrhcm 533 3 in in IN cord-009417-458rrhcm 533 4 numerous numerous JJ cord-009417-458rrhcm 533 5 case case NN cord-009417-458rrhcm 533 6 reports report NNS cord-009417-458rrhcm 533 7 , , , cord-009417-458rrhcm 533 8 this this DT cord-009417-458rrhcm 533 9 new new JJ cord-009417-458rrhcm 533 10 agent agent NN cord-009417-458rrhcm 533 11 appears appear VBZ cord-009417-458rrhcm 533 12 to to TO cord-009417-458rrhcm 533 13 potentially potentially RB cord-009417-458rrhcm 533 14 be be VB cord-009417-458rrhcm 533 15 benefi benefi NNP cord-009417-458rrhcm 533 16 cial cial NN cord-009417-458rrhcm 533 17 if if IN cord-009417-458rrhcm 533 18 used use VBN cord-009417-458rrhcm 533 19 early early RB cord-009417-458rrhcm 533 20 in in IN cord-009417-458rrhcm 533 21 the the DT cord-009417-458rrhcm 533 22 resuscitation resuscitation NN cord-009417-458rrhcm 533 23 of of IN cord-009417-458rrhcm 533 24 massively massively RB cord-009417-458rrhcm 533 25 injured injure VBN cord-009417-458rrhcm 533 26 patients patient NNS cord-009417-458rrhcm 533 27 . . . cord-009417-458rrhcm 534 1 Unfortunately unfortunately RB cord-009417-458rrhcm 534 2 , , , cord-009417-458rrhcm 534 3 its -PRON- PRP$ cord-009417-458rrhcm 534 4 unsupervised unsupervised JJ cord-009417-458rrhcm 534 5 use use NN cord-009417-458rrhcm 534 6 has have VBZ cord-009417-458rrhcm 534 7 also also RB cord-009417-458rrhcm 534 8 resulted result VBN cord-009417-458rrhcm 534 9 in in IN cord-009417-458rrhcm 534 10 thrombotic thrombotic JJ cord-009417-458rrhcm 534 11 complications complication NNS cord-009417-458rrhcm 534 12 and and CC cord-009417-458rrhcm 534 13 relative relative JJ cord-009417-458rrhcm 534 14 lack lack NN cord-009417-458rrhcm 534 15 of of IN cord-009417-458rrhcm 534 16 success success NN cord-009417-458rrhcm 534 17 , , , cord-009417-458rrhcm 534 18 both both DT cord-009417-458rrhcm 534 19 of of IN cord-009417-458rrhcm 534 20 which which WDT cord-009417-458rrhcm 534 21 suggest suggest VBP cord-009417-458rrhcm 534 22 that that IN cord-009417-458rrhcm 534 23 carefully carefully RB cord-009417-458rrhcm 534 24 controlled control VBN cord-009417-458rrhcm 534 25 clinical clinical JJ cord-009417-458rrhcm 534 26 trials trial NNS cord-009417-458rrhcm 534 27 are be VBP cord-009417-458rrhcm 534 28 appropriate appropriate JJ cord-009417-458rrhcm 534 29 . . . cord-009417-458rrhcm 535 1 118 118 CD cord-009417-458rrhcm 535 2 Blood blood NN cord-009417-458rrhcm 535 3 preservative preservative NN cord-009417-458rrhcm 535 4 solutions solution NNS cord-009417-458rrhcm 535 5 contain contain VBP cord-009417-458rrhcm 535 6 excess excess JJ cord-009417-458rrhcm 535 7 citrate citrate NN cord-009417-458rrhcm 535 8 , , , cord-009417-458rrhcm 535 9 which which WDT cord-009417-458rrhcm 535 10 anticoagulates anticoagulate VBZ cord-009417-458rrhcm 535 11 stored store VBD cord-009417-458rrhcm 535 12 blood blood NN cord-009417-458rrhcm 535 13 by by IN cord-009417-458rrhcm 535 14 binding bind VBG cord-009417-458rrhcm 535 15 ionized ionized JJ cord-009417-458rrhcm 535 16 calcium calcium NN cord-009417-458rrhcm 535 17 . . . cord-009417-458rrhcm 536 1 WB WB NNP cord-009417-458rrhcm 536 2 contains contain VBZ cord-009417-458rrhcm 536 3 approximately approximately RB cord-009417-458rrhcm 536 4 1.8 1.8 CD cord-009417-458rrhcm 536 5 g g NN cord-009417-458rrhcm 536 6 of of IN cord-009417-458rrhcm 536 7 citrate citrate NN cord-009417-458rrhcm 536 8 / / SYM cord-009417-458rrhcm 536 9 citric citric NN cord-009417-458rrhcm 536 10 acid acid NN cord-009417-458rrhcm 536 11 per per IN cord-009417-458rrhcm 536 12 unit unit NN cord-009417-458rrhcm 536 13 in in IN cord-009417-458rrhcm 536 14 the the DT cord-009417-458rrhcm 536 15 plasma plasma NN cord-009417-458rrhcm 536 16 fraction fraction NN cord-009417-458rrhcm 536 17 . . . cord-009417-458rrhcm 537 1 Patients patient NNS cord-009417-458rrhcm 537 2 with with IN cord-009417-458rrhcm 537 3 normal normal JJ cord-009417-458rrhcm 537 4 liver liver NN cord-009417-458rrhcm 537 5 function function NN cord-009417-458rrhcm 537 6 can can MD cord-009417-458rrhcm 537 7 metabolize metabolize VB cord-009417-458rrhcm 537 8 the the DT cord-009417-458rrhcm 537 9 citrate citrate NN cord-009417-458rrhcm 537 10 load load NN cord-009417-458rrhcm 537 11 in in IN cord-009417-458rrhcm 537 12 1 1 CD cord-009417-458rrhcm 537 13 unit unit NN cord-009417-458rrhcm 537 14 of of IN cord-009417-458rrhcm 537 15 WB WB NNP cord-009417-458rrhcm 537 16 in in IN cord-009417-458rrhcm 537 17 5 5 CD cord-009417-458rrhcm 537 18 minutes minute NNS cord-009417-458rrhcm 537 19 , , , cord-009417-458rrhcm 537 20 but but CC cord-009417-458rrhcm 537 21 hepatic hepatic JJ cord-009417-458rrhcm 537 22 impairment impairment NN cord-009417-458rrhcm 537 23 may may MD cord-009417-458rrhcm 537 24 extend extend VB cord-009417-458rrhcm 537 25 removal removal NN cord-009417-458rrhcm 537 26 to to IN cord-009417-458rrhcm 537 27 15 15 CD cord-009417-458rrhcm 537 28 minutes minute NNS cord-009417-458rrhcm 537 29 or or CC cord-009417-458rrhcm 537 30 longer long JJR cord-009417-458rrhcm 537 31 . . . cord-009417-458rrhcm 538 1 Toxicity toxicity NN cord-009417-458rrhcm 538 2 may may MD cord-009417-458rrhcm 538 3 result result VB cord-009417-458rrhcm 538 4 when when WRB cord-009417-458rrhcm 538 5 citrate citrate NN cord-009417-458rrhcm 538 6 is be VBZ cord-009417-458rrhcm 538 7 administered administer VBN cord-009417-458rrhcm 538 8 in in IN cord-009417-458rrhcm 538 9 excess excess NN cord-009417-458rrhcm 538 10 of of IN cord-009417-458rrhcm 538 11 the the DT cord-009417-458rrhcm 538 12 metabolic metabolic JJ cord-009417-458rrhcm 538 13 rate rate NN cord-009417-458rrhcm 538 14 , , , cord-009417-458rrhcm 538 15 thereby thereby RB cord-009417-458rrhcm 538 16 causing cause VBG cord-009417-458rrhcm 538 17 a a DT cord-009417-458rrhcm 538 18 decrease decrease NN cord-009417-458rrhcm 538 19 in in IN cord-009417-458rrhcm 538 20 ionized ionized JJ cord-009417-458rrhcm 538 21 calcium calcium NN cord-009417-458rrhcm 538 22 levels level NNS cord-009417-458rrhcm 538 23 . . . cord-009417-458rrhcm 539 1 119 119 CD cord-009417-458rrhcm 540 1 Although although IN cord-009417-458rrhcm 540 2 paresthesias paresthesias NNP cord-009417-458rrhcm 540 3 , , , cord-009417-458rrhcm 540 4 cramps cramp NNS cord-009417-458rrhcm 540 5 , , , cord-009417-458rrhcm 540 6 and and CC cord-009417-458rrhcm 540 7 myoclonus myoclonus NN cord-009417-458rrhcm 540 8 accompany accompany VBP cord-009417-458rrhcm 540 9 citrate citrate NN cord-009417-458rrhcm 540 10 excess excess NN cord-009417-458rrhcm 540 11 , , , cord-009417-458rrhcm 540 12 the the DT cord-009417-458rrhcm 540 13 chief chief JJ cord-009417-458rrhcm 540 14 danger danger NN cord-009417-458rrhcm 540 15 of of IN cord-009417-458rrhcm 540 16 hypocalcemia hypocalcemia NN cord-009417-458rrhcm 540 17 is be VBZ cord-009417-458rrhcm 540 18 depression depression NN cord-009417-458rrhcm 540 19 of of IN cord-009417-458rrhcm 540 20 myocardial myocardial JJ cord-009417-458rrhcm 540 21 contractility contractility NN cord-009417-458rrhcm 540 22 and and CC cord-009417-458rrhcm 540 23 potential potential JJ cord-009417-458rrhcm 540 24 prolongation prolongation NN cord-009417-458rrhcm 540 25 of of IN cord-009417-458rrhcm 540 26 the the DT cord-009417-458rrhcm 540 27 QT QT NNP cord-009417-458rrhcm 540 28 interval interval NN cord-009417-458rrhcm 540 29 . . . cord-009417-458rrhcm 541 1 Because because IN cord-009417-458rrhcm 541 2 the the DT cord-009417-458rrhcm 541 3 effects effect NNS cord-009417-458rrhcm 541 4 of of IN cord-009417-458rrhcm 541 5 citrate citrate NN cord-009417-458rrhcm 541 6 are be VBP cord-009417-458rrhcm 541 7 transient transient JJ cord-009417-458rrhcm 541 8 and and CC cord-009417-458rrhcm 541 9 the the DT cord-009417-458rrhcm 541 10 use use NN cord-009417-458rrhcm 541 11 of of IN cord-009417-458rrhcm 541 12 PRBCs prbc NNS cord-009417-458rrhcm 541 13 containing contain VBG cord-009417-458rrhcm 541 14 little little JJ cord-009417-458rrhcm 541 15 residual residual JJ cord-009417-458rrhcm 541 16 citrated citrate VBN cord-009417-458rrhcm 541 17 plasma plasma NN cord-009417-458rrhcm 541 18 is be VBZ cord-009417-458rrhcm 541 19 far far RB cord-009417-458rrhcm 541 20 more more RBR cord-009417-458rrhcm 541 21 common common JJ cord-009417-458rrhcm 541 22 than than IN cord-009417-458rrhcm 541 23 massive massive JJ cord-009417-458rrhcm 541 24 transfusion transfusion NN cord-009417-458rrhcm 541 25 with with IN cord-009417-458rrhcm 541 26 WB WB NNP cord-009417-458rrhcm 541 27 , , , cord-009417-458rrhcm 541 28 routine routine JJ cord-009417-458rrhcm 541 29 administration administration NN cord-009417-458rrhcm 541 30 of of IN cord-009417-458rrhcm 541 31 calcium calcium NN cord-009417-458rrhcm 541 32 is be VBZ cord-009417-458rrhcm 541 33 not not RB cord-009417-458rrhcm 541 34 indicated indicate VBN cord-009417-458rrhcm 541 35 ; ; : cord-009417-458rrhcm 541 36 clinically clinically RB cord-009417-458rrhcm 541 37 signifi signifi NNP cord-009417-458rrhcm 541 38 ca can MD cord-009417-458rrhcm 541 39 nt not RB cord-009417-458rrhcm 541 40 rebound rebound VB cord-009417-458rrhcm 541 41 hypercalcemia hypercalcemia NN cord-009417-458rrhcm 541 42 may may MD cord-009417-458rrhcm 541 43 result result VB cord-009417-458rrhcm 541 44 . . . cord-009417-458rrhcm 542 1 Calcium calcium NN cord-009417-458rrhcm 542 2 infusion infusion NN cord-009417-458rrhcm 542 3 should should MD cord-009417-458rrhcm 542 4 be be VB cord-009417-458rrhcm 542 5 limited limit VBN cord-009417-458rrhcm 542 6 to to IN cord-009417-458rrhcm 542 7 hypoperfused hypoperfuse VBN cord-009417-458rrhcm 542 8 patients patient NNS cord-009417-458rrhcm 542 9 with with IN cord-009417-458rrhcm 542 10 hepatic hepatic JJ cord-009417-458rrhcm 542 11 or or CC cord-009417-458rrhcm 542 12 cardiac cardiac JJ cord-009417-458rrhcm 542 13 failure failure NN cord-009417-458rrhcm 542 14 who who WP cord-009417-458rrhcm 542 15 manifest manifest VBP cord-009417-458rrhcm 542 16 citrate citrate NN cord-009417-458rrhcm 542 17 toxicity toxicity NN cord-009417-458rrhcm 542 18 , , , cord-009417-458rrhcm 542 19 and and CC cord-009417-458rrhcm 542 20 careful careful JJ cord-009417-458rrhcm 542 21 monitoring monitoring NN cord-009417-458rrhcm 542 22 is be VBZ cord-009417-458rrhcm 542 23 essential essential JJ cord-009417-458rrhcm 542 24 . . . cord-009417-458rrhcm 543 1 As as IN cord-009417-458rrhcm 543 2 potassium potassium NN cord-009417-458rrhcm 543 3 leaks leak NNS cord-009417-458rrhcm 543 4 from from IN cord-009417-458rrhcm 543 5 RBCs rbc NNS cord-009417-458rrhcm 543 6 during during IN cord-009417-458rrhcm 543 7 storage storage NN cord-009417-458rrhcm 543 8 , , , cord-009417-458rrhcm 543 9 up up IN cord-009417-458rrhcm 543 10 to to TO cord-009417-458rrhcm 543 11 7 7 CD cord-009417-458rrhcm 543 12 mEq mEq NNS cord-009417-458rrhcm 543 13 of of IN cord-009417-458rrhcm 543 14 extracellular extracellular JJ cord-009417-458rrhcm 543 15 potassium potassium NN cord-009417-458rrhcm 543 16 may may MD cord-009417-458rrhcm 543 17 accumulate accumulate VB cord-009417-458rrhcm 543 18 in in IN cord-009417-458rrhcm 543 19 each each DT cord-009417-458rrhcm 543 20 unit unit NN cord-009417-458rrhcm 543 21 . . . cord-009417-458rrhcm 544 1 However however RB cord-009417-458rrhcm 544 2 , , , cord-009417-458rrhcm 544 3 dangerous dangerous JJ cord-009417-458rrhcm 544 4 levels level NNS cord-009417-458rrhcm 544 5 of of IN cord-009417-458rrhcm 544 6 potassium potassium NN cord-009417-458rrhcm 544 7 rarely rarely RB cord-009417-458rrhcm 544 8 develop develop VBP cord-009417-458rrhcm 544 9 in in IN cord-009417-458rrhcm 544 10 adults adult NNS cord-009417-458rrhcm 544 11 from from IN cord-009417-458rrhcm 544 12 stored store VBN cord-009417-458rrhcm 544 13 blood blood NN cord-009417-458rrhcm 544 14 ; ; : cord-009417-458rrhcm 544 15 the the DT cord-009417-458rrhcm 544 16 potassium potassium NN cord-009417-458rrhcm 544 17 level level NN cord-009417-458rrhcm 544 18 is be VBZ cord-009417-458rrhcm 544 19 more more RBR cord-009417-458rrhcm 544 20 likely likely JJ cord-009417-458rrhcm 544 21 to to TO cord-009417-458rrhcm 544 22 be be VB cord-009417-458rrhcm 544 23 determined determine VBN cord-009417-458rrhcm 544 24 by by IN cord-009417-458rrhcm 544 25 the the DT cord-009417-458rrhcm 544 26 patient patient NN cord-009417-458rrhcm 544 27 's 's POS cord-009417-458rrhcm 544 28 acid acid NN cord-009417-458rrhcm 544 29 - - HYPH cord-009417-458rrhcm 544 30 base base NN cord-009417-458rrhcm 544 31 status status NN cord-009417-458rrhcm 544 32 . . . cord-009417-458rrhcm 545 1 117 117 CD cord-009417-458rrhcm 545 2 Studies study NNS cord-009417-458rrhcm 545 3 of of IN cord-009417-458rrhcm 545 4 massively massively RB cord-009417-458rrhcm 545 5 transfused transfuse VBN cord-009417-458rrhcm 545 6 patients patient NNS cord-009417-458rrhcm 545 7 have have VBP cord-009417-458rrhcm 545 8 demonstrated demonstrate VBN cord-009417-458rrhcm 545 9 a a DT cord-009417-458rrhcm 545 10 wide wide JJ cord-009417-458rrhcm 545 11 range range NN cord-009417-458rrhcm 545 12 of of IN cord-009417-458rrhcm 545 13 potassium potassium NN cord-009417-458rrhcm 545 14 levels level NNS cord-009417-458rrhcm 545 15 , , , cord-009417-458rrhcm 545 16 with with IN cord-009417-458rrhcm 545 17 hypokalemia hypokalemia NN cord-009417-458rrhcm 545 18 seen see VBN cord-009417-458rrhcm 545 19 as as RB cord-009417-458rrhcm 545 20 frequently frequently RB cord-009417-458rrhcm 545 21 as as IN cord-009417-458rrhcm 545 22 hyperkalemia hyperkalemia NN cord-009417-458rrhcm 545 23 . . . cord-009417-458rrhcm 546 1 Because because IN cord-009417-458rrhcm 546 2 of of IN cord-009417-458rrhcm 546 3 the the DT cord-009417-458rrhcm 546 4 many many JJ cord-009417-458rrhcm 546 5 physiologic physiologic JJ cord-009417-458rrhcm 546 6 mechanisms mechanism NNS cord-009417-458rrhcm 546 7 altered alter VBN cord-009417-458rrhcm 546 8 during during IN cord-009417-458rrhcm 546 9 resuscitation resuscitation NN cord-009417-458rrhcm 546 10 , , , cord-009417-458rrhcm 546 11 including include VBG cord-009417-458rrhcm 546 12 those those DT cord-009417-458rrhcm 546 13 of of IN cord-009417-458rrhcm 546 14 the the DT cord-009417-458rrhcm 546 15 respiratory respiratory JJ cord-009417-458rrhcm 546 16 , , , cord-009417-458rrhcm 546 17 renal renal JJ cord-009417-458rrhcm 546 18 , , , cord-009417-458rrhcm 546 19 cardiac cardiac NN cord-009417-458rrhcm 546 20 , , , cord-009417-458rrhcm 546 21 and and CC cord-009417-458rrhcm 546 22 hepatic hepatic JJ cord-009417-458rrhcm 546 23 systems system NNS cord-009417-458rrhcm 546 24 , , , cord-009417-458rrhcm 546 25 it -PRON- PRP cord-009417-458rrhcm 546 26 is be VBZ cord-009417-458rrhcm 546 27 impossible impossible JJ cord-009417-458rrhcm 546 28 to to TO cord-009417-458rrhcm 546 29 predict predict VB cord-009417-458rrhcm 546 30 the the DT cord-009417-458rrhcm 546 31 net net JJ cord-009417-458rrhcm 546 32 effect effect NN cord-009417-458rrhcm 546 33 of of IN cord-009417-458rrhcm 546 34 massive massive JJ cord-009417-458rrhcm 546 35 transfusion transfusion NN cord-009417-458rrhcm 546 36 on on IN cord-009417-458rrhcm 546 37 serum serum NN cord-009417-458rrhcm 546 38 potassium potassium NN cord-009417-458rrhcm 546 39 levels level NNS cord-009417-458rrhcm 546 40 . . . cord-009417-458rrhcm 547 1 The the DT cord-009417-458rrhcm 547 2 pH ph NN cord-009417-458rrhcm 547 3 of of IN cord-009417-458rrhcm 547 4 banked banked JJ cord-009417-458rrhcm 547 5 blood blood NN cord-009417-458rrhcm 547 6 drops drop NNS cord-009417-458rrhcm 547 7 during during IN cord-009417-458rrhcm 547 8 storage storage NN cord-009417-458rrhcm 547 9 , , , cord-009417-458rrhcm 547 10 from from IN cord-009417-458rrhcm 547 11 7.16 7.16 CD cord-009417-458rrhcm 547 12 at at IN cord-009417-458rrhcm 547 13 the the DT cord-009417-458rrhcm 547 14 time time NN cord-009417-458rrhcm 547 15 of of IN cord-009417-458rrhcm 547 16 collection collection NN cord-009417-458rrhcm 547 17 to to IN cord-009417-458rrhcm 547 18 as as RB cord-009417-458rrhcm 547 19 low low JJ cord-009417-458rrhcm 547 20 as as IN cord-009417-458rrhcm 547 21 6.73 6.73 CD cord-009417-458rrhcm 547 22 after after IN cord-009417-458rrhcm 547 23 several several JJ cord-009417-458rrhcm 547 24 weeks week NNS cord-009417-458rrhcm 547 25 of of IN cord-009417-458rrhcm 547 26 storage storage NN cord-009417-458rrhcm 547 27 . . . cord-009417-458rrhcm 548 1 Administration administration NN cord-009417-458rrhcm 548 2 of of IN cord-009417-458rrhcm 548 3 large large JJ cord-009417-458rrhcm 548 4 quantities quantity NNS cord-009417-458rrhcm 548 5 of of IN cord-009417-458rrhcm 548 6 acidic acidic JJ cord-009417-458rrhcm 548 7 blood blood NN cord-009417-458rrhcm 548 8 , , , cord-009417-458rrhcm 548 9 together together RB cord-009417-458rrhcm 548 10 with with IN cord-009417-458rrhcm 548 11 the the DT cord-009417-458rrhcm 548 12 metabolic metabolic JJ cord-009417-458rrhcm 548 13 acidosis acidosis NN cord-009417-458rrhcm 548 14 common common JJ cord-009417-458rrhcm 548 15 in in IN cord-009417-458rrhcm 548 16 these these DT cord-009417-458rrhcm 548 17 patients patient NNS cord-009417-458rrhcm 548 18 before before IN cord-009417-458rrhcm 548 19 resuscitation resuscitation NN cord-009417-458rrhcm 548 20 , , , cord-009417-458rrhcm 548 21 would would MD cord-009417-458rrhcm 548 22 lead lead VB cord-009417-458rrhcm 548 23 one one PRP cord-009417-458rrhcm 548 24 to to TO cord-009417-458rrhcm 548 25 expect expect VB cord-009417-458rrhcm 548 26 worsening worsen VBG cord-009417-458rrhcm 548 27 acidosis acidosis NN cord-009417-458rrhcm 548 28 as as IN cord-009417-458rrhcm 548 29 the the DT cord-009417-458rrhcm 548 30 outcome outcome NN cord-009417-458rrhcm 548 31 of of IN cord-009417-458rrhcm 548 32 massive massive JJ cord-009417-458rrhcm 548 33 transfusion transfusion NN cord-009417-458rrhcm 548 34 . . . cord-009417-458rrhcm 549 1 However however RB cord-009417-458rrhcm 549 2 , , , cord-009417-458rrhcm 549 3 patients patient NNS cord-009417-458rrhcm 549 4 are be VBP cord-009417-458rrhcm 549 5 more more RBR cord-009417-458rrhcm 549 6 likely likely JJ cord-009417-458rrhcm 549 7 to to TO cord-009417-458rrhcm 549 8 exhibit exhibit VB cord-009417-458rrhcm 549 9 metabolic metabolic JJ cord-009417-458rrhcm 549 10 alkalosis alkalosis NN cord-009417-458rrhcm 549 11 at at IN cord-009417-458rrhcm 549 12 the the DT cord-009417-458rrhcm 549 13 end end NN cord-009417-458rrhcm 549 14 of of IN cord-009417-458rrhcm 549 15 the the DT cord-009417-458rrhcm 549 16 transfusion transfusion NN cord-009417-458rrhcm 549 17 episode episode NN cord-009417-458rrhcm 549 18 , , , cord-009417-458rrhcm 549 19 120,121 120,121 CD cord-009417-458rrhcm 549 20 partly partly RB cord-009417-458rrhcm 549 21 because because IN cord-009417-458rrhcm 549 22 of of IN cord-009417-458rrhcm 549 23 improved improve VBN cord-009417-458rrhcm 549 24 tissue tissue NN cord-009417-458rrhcm 549 25 perfusion perfusion NN cord-009417-458rrhcm 549 26 and and CC cord-009417-458rrhcm 549 27 the the DT cord-009417-458rrhcm 549 28 metabolism metabolism NN cord-009417-458rrhcm 549 29 of of IN cord-009417-458rrhcm 549 30 citrate citrate NN cord-009417-458rrhcm 549 31 and and CC cord-009417-458rrhcm 549 32 lactate lactate NN cord-009417-458rrhcm 549 33 to to IN cord-009417-458rrhcm 549 34 bicarbonate bicarbonate NN cord-009417-458rrhcm 549 35 . . . cord-009417-458rrhcm 550 1 Patients patient NNS cord-009417-458rrhcm 550 2 in in IN cord-009417-458rrhcm 550 3 renal renal JJ cord-009417-458rrhcm 550 4 failure failure NN cord-009417-458rrhcm 550 5 may may MD cord-009417-458rrhcm 550 6 be be VB cord-009417-458rrhcm 550 7 unable unable JJ cord-009417-458rrhcm 550 8 to to TO cord-009417-458rrhcm 550 9 handle handle VB cord-009417-458rrhcm 550 10 the the DT cord-009417-458rrhcm 550 11 bicarbonate bicarbonate NN cord-009417-458rrhcm 550 12 load load NN cord-009417-458rrhcm 550 13 and and CC cord-009417-458rrhcm 550 14 require require VBP cord-009417-458rrhcm 550 15 dialysis dialysis NN cord-009417-458rrhcm 550 16 . . . cord-009417-458rrhcm 551 1 Acidosis acidosis NN cord-009417-458rrhcm 551 2 persisting persist VBG cord-009417-458rrhcm 551 3 after after IN cord-009417-458rrhcm 551 4 transfusion transfusion NN cord-009417-458rrhcm 551 5 suggests suggest VBZ cord-009417-458rrhcm 551 6 inadequate inadequate JJ cord-009417-458rrhcm 551 7 tissue tissue NN cord-009417-458rrhcm 551 8 perfusion perfusion NN cord-009417-458rrhcm 551 9 . . . cord-009417-458rrhcm 552 1 119 119 CD cord-009417-458rrhcm 552 2 Empiric Empiric NNP cord-009417-458rrhcm 552 3 administration administration NN cord-009417-458rrhcm 552 4 of of IN cord-009417-458rrhcm 552 5 bicarbonate bicarbonate NNP cord-009417-458rrhcm 552 6 to to TO cord-009417-458rrhcm 552 7 counter counter VB cord-009417-458rrhcm 552 8 the the DT cord-009417-458rrhcm 552 9 acid acid NN cord-009417-458rrhcm 552 10 load load NN cord-009417-458rrhcm 552 11 is be VBZ cord-009417-458rrhcm 552 12 not not RB cord-009417-458rrhcm 552 13 warranted warrant VBN cord-009417-458rrhcm 552 14 and and CC cord-009417-458rrhcm 552 15 may may MD cord-009417-458rrhcm 552 16 contribute contribute VB cord-009417-458rrhcm 552 17 to to IN cord-009417-458rrhcm 552 18 the the DT cord-009417-458rrhcm 552 19 deleterious deleterious JJ cord-009417-458rrhcm 552 20 effects effect NNS cord-009417-458rrhcm 552 21 of of IN cord-009417-458rrhcm 552 22 hypercapnia hypercapnia NN cord-009417-458rrhcm 552 23 in in IN cord-009417-458rrhcm 552 24 patients patient NNS cord-009417-458rrhcm 552 25 with with IN cord-009417-458rrhcm 552 26 impaired impaired JJ cord-009417-458rrhcm 552 27 ventilation ventilation NN cord-009417-458rrhcm 552 28 . . . cord-009417-458rrhcm 553 1 As as IN cord-009417-458rrhcm 553 2 discussed discuss VBN cord-009417-458rrhcm 553 3 previously previously RB cord-009417-458rrhcm 553 4 , , , cord-009417-458rrhcm 553 5 the the DT cord-009417-458rrhcm 553 6 level level NN cord-009417-458rrhcm 553 7 of of IN cord-009417-458rrhcm 553 8 RBC RBC NNP cord-009417-458rrhcm 553 9 - - HYPH cord-009417-458rrhcm 553 10 associated associate VBN cord-009417-458rrhcm 553 11 2,3-DPG 2,3-dpg CD cord-009417-458rrhcm 553 12 in in IN cord-009417-458rrhcm 553 13 banked bank VBN cord-009417-458rrhcm 553 14 blood blood NN cord-009417-458rrhcm 553 15 declines decline NNS cord-009417-458rrhcm 553 16 during during IN cord-009417-458rrhcm 553 17 storage storage NN cord-009417-458rrhcm 553 18 , , , cord-009417-458rrhcm 553 19 which which WDT cord-009417-458rrhcm 553 20 increases increase VBZ cord-009417-458rrhcm 553 21 the the DT cord-009417-458rrhcm 553 22 affi affi JJ cord-009417-458rrhcm 553 23 nity nity NN cord-009417-458rrhcm 553 24 of of IN cord-009417-458rrhcm 553 25 hemoglobin hemoglobin NN cord-009417-458rrhcm 553 26 for for IN cord-009417-458rrhcm 553 27 oxygen oxygen NN cord-009417-458rrhcm 553 28 and and CC cord-009417-458rrhcm 553 29 thereby thereby RB cord-009417-458rrhcm 553 30 results result VBZ cord-009417-458rrhcm 553 31 in in IN cord-009417-458rrhcm 553 32 decreased decrease VBN cord-009417-458rrhcm 553 33 oxygen oxygen NN cord-009417-458rrhcm 553 34 off off RB cord-009417-458rrhcm 553 35 - - HYPH cord-009417-458rrhcm 553 36 loaded load VBN cord-009417-458rrhcm 553 37 to to IN cord-009417-458rrhcm 553 38 tissues tissue NNS cord-009417-458rrhcm 553 39 . . . cord-009417-458rrhcm 554 1 Even even RB cord-009417-458rrhcm 554 2 in in IN cord-009417-458rrhcm 554 3 massively massively RB cord-009417-458rrhcm 554 4 transfused transfuse VBN cord-009417-458rrhcm 554 5 patients patient NNS cord-009417-458rrhcm 554 6 , , , cord-009417-458rrhcm 554 7 it -PRON- PRP cord-009417-458rrhcm 554 8 has have VBZ cord-009417-458rrhcm 554 9 been be VBN cord-009417-458rrhcm 554 10 diffi diffi JJ cord-009417-458rrhcm 554 11 cult cult NN cord-009417-458rrhcm 554 12 to to TO cord-009417-458rrhcm 554 13 document document VB cord-009417-458rrhcm 554 14 a a DT cord-009417-458rrhcm 554 15 clinical clinical JJ cord-009417-458rrhcm 554 16 impact impact NN cord-009417-458rrhcm 554 17 of of IN cord-009417-458rrhcm 554 18 this this DT cord-009417-458rrhcm 554 19 shift shift NN cord-009417-458rrhcm 554 20 , , , cord-009417-458rrhcm 554 21 and and CC cord-009417-458rrhcm 554 22 no no DT cord-009417-458rrhcm 554 23 reliable reliable JJ cord-009417-458rrhcm 554 24 method method NN cord-009417-458rrhcm 554 25 for for IN cord-009417-458rrhcm 554 26 restoring restore VBG cord-009417-458rrhcm 554 27 red red JJ cord-009417-458rrhcm 554 28 cell cell NN cord-009417-458rrhcm 554 29 2,3-DPG 2,3-dpg CD cord-009417-458rrhcm 554 30 has have VBZ cord-009417-458rrhcm 554 31 been be VBN cord-009417-458rrhcm 554 32 developed develop VBN cord-009417-458rrhcm 554 33 . . . cord-009417-458rrhcm 555 1 WB WB NNP cord-009417-458rrhcm 555 2 and and CC cord-009417-458rrhcm 555 3 PRBCs prbc NNS cord-009417-458rrhcm 555 4 are be VBP cord-009417-458rrhcm 555 5 stored store VBN cord-009417-458rrhcm 555 6 at at IN cord-009417-458rrhcm 555 7 approximately approximately RB cord-009417-458rrhcm 555 8 4º 4º CD cord-009417-458rrhcm 555 9 C c NN cord-009417-458rrhcm 555 10 and and CC cord-009417-458rrhcm 555 11 require require VB cord-009417-458rrhcm 555 12 30 30 CD cord-009417-458rrhcm 555 13 to to TO cord-009417-458rrhcm 555 14 45 45 CD cord-009417-458rrhcm 555 15 minutes minute NNS cord-009417-458rrhcm 555 16 to to TO cord-009417-458rrhcm 555 17 warm warm VB cord-009417-458rrhcm 555 18 to to IN cord-009417-458rrhcm 555 19 room room NN cord-009417-458rrhcm 555 20 temperature temperature NN cord-009417-458rrhcm 555 21 . . . cord-009417-458rrhcm 556 1 Elective elective JJ cord-009417-458rrhcm 556 2 transfusions transfusion NNS cord-009417-458rrhcm 556 3 at at IN cord-009417-458rrhcm 556 4 standard standard JJ cord-009417-458rrhcm 556 5 fl fl NNP cord-009417-458rrhcm 556 6 ow ow NN cord-009417-458rrhcm 556 7 rates rate NNS cord-009417-458rrhcm 556 8 are be VBP cord-009417-458rrhcm 556 9 tolerated tolerate VBN cord-009417-458rrhcm 556 10 without without IN cord-009417-458rrhcm 556 11 the the DT cord-009417-458rrhcm 556 12 need need NN cord-009417-458rrhcm 556 13 to to TO cord-009417-458rrhcm 556 14 warm warm VB cord-009417-458rrhcm 556 15 the the DT cord-009417-458rrhcm 556 16 blood blood NN cord-009417-458rrhcm 556 17 ; ; : cord-009417-458rrhcm 556 18 however however RB cord-009417-458rrhcm 556 19 , , , cord-009417-458rrhcm 556 20 core core NN cord-009417-458rrhcm 556 21 body body NN cord-009417-458rrhcm 556 22 temperature temperature NN cord-009417-458rrhcm 556 23 , , , cord-009417-458rrhcm 556 24 measured measure VBN cord-009417-458rrhcm 556 25 by by IN cord-009417-458rrhcm 556 26 esophageal esophageal JJ cord-009417-458rrhcm 556 27 probe probe NN cord-009417-458rrhcm 556 28 , , , cord-009417-458rrhcm 556 29 can can MD cord-009417-458rrhcm 556 30 fall fall VB cord-009417-458rrhcm 556 31 to to IN cord-009417-458rrhcm 556 32 30º 30º NNS cord-009417-458rrhcm 556 33 C c NN cord-009417-458rrhcm 556 34 or or CC cord-009417-458rrhcm 556 35 lower low JJR cord-009417-458rrhcm 556 36 with with IN cord-009417-458rrhcm 556 37 the the DT cord-009417-458rrhcm 556 38 administration administration NN cord-009417-458rrhcm 556 39 of of IN cord-009417-458rrhcm 556 40 large large JJ cord-009417-458rrhcm 556 41 volumes volume NNS cord-009417-458rrhcm 556 42 of of IN cord-009417-458rrhcm 556 43 cold cold JJ cord-009417-458rrhcm 556 44 blood blood NN cord-009417-458rrhcm 556 45 over over IN cord-009417-458rrhcm 556 46 a a DT cord-009417-458rrhcm 556 47 period period NN cord-009417-458rrhcm 556 48 of of IN cord-009417-458rrhcm 556 49 1 1 CD cord-009417-458rrhcm 556 50 to to IN cord-009417-458rrhcm 556 51 2 2 CD cord-009417-458rrhcm 556 52 hours hour NNS cord-009417-458rrhcm 556 53 . . . cord-009417-458rrhcm 557 1 122 122 CD cord-009417-458rrhcm 557 2 Adverse adverse JJ cord-009417-458rrhcm 557 3 effects effect NNS cord-009417-458rrhcm 557 4 of of IN cord-009417-458rrhcm 557 5 hypothermia hypothermia NN cord-009417-458rrhcm 557 6 include include VBP cord-009417-458rrhcm 557 7 a a DT cord-009417-458rrhcm 557 8 decreased decrease VBN cord-009417-458rrhcm 557 9 heart heart NN cord-009417-458rrhcm 557 10 rate rate NN cord-009417-458rrhcm 557 11 and and CC cord-009417-458rrhcm 557 12 myocardial myocardial JJ cord-009417-458rrhcm 557 13 contractility contractility NN cord-009417-458rrhcm 557 14 , , , cord-009417-458rrhcm 557 15 cardiac cardiac NN cord-009417-458rrhcm 557 16 arrhythmias arrhythmia NNS cord-009417-458rrhcm 557 17 , , , cord-009417-458rrhcm 557 18 increased increase VBD cord-009417-458rrhcm 557 19 affi affi NNP cord-009417-458rrhcm 557 20 nity nity NN cord-009417-458rrhcm 557 21 of of IN cord-009417-458rrhcm 557 22 hemoglobin hemoglobin NN cord-009417-458rrhcm 557 23 for for IN cord-009417-458rrhcm 557 24 oxygen oxygen NN cord-009417-458rrhcm 557 25 resulting result VBG cord-009417-458rrhcm 557 26 in in IN cord-009417-458rrhcm 557 27 decreased decreased JJ cord-009417-458rrhcm 557 28 tissue tissue NN cord-009417-458rrhcm 557 29 oxygen oxygen NN cord-009417-458rrhcm 557 30 delivery delivery NN cord-009417-458rrhcm 557 31 , , , cord-009417-458rrhcm 557 32 DIC DIC NNP cord-009417-458rrhcm 557 33 , , , cord-009417-458rrhcm 557 34 and and CC cord-009417-458rrhcm 557 35 impaired impaired JJ cord-009417-458rrhcm 557 36 ability ability NN cord-009417-458rrhcm 557 37 to to TO cord-009417-458rrhcm 557 38 metabolize metabolize VB cord-009417-458rrhcm 557 39 the the DT cord-009417-458rrhcm 557 40 citrate citrate NN cord-009417-458rrhcm 557 41 load load NN cord-009417-458rrhcm 557 42 of of IN cord-009417-458rrhcm 557 43 stored store VBN cord-009417-458rrhcm 557 44 blood blood NN cord-009417-458rrhcm 557 45 . . . cord-009417-458rrhcm 558 1 Both both DT cord-009417-458rrhcm 558 2 blood blood NN cord-009417-458rrhcm 558 3 warmers warmer NNS cord-009417-458rrhcm 558 4 and and CC cord-009417-458rrhcm 558 5 patient patient JJ cord-009417-458rrhcm 558 6 warming warming NN cord-009417-458rrhcm 558 7 may may MD cord-009417-458rrhcm 558 8 be be VB cord-009417-458rrhcm 558 9 instituted institute VBN cord-009417-458rrhcm 558 10 during during IN cord-009417-458rrhcm 558 11 massive massive JJ cord-009417-458rrhcm 558 12 transfusion transfusion NN cord-009417-458rrhcm 558 13 , , , cord-009417-458rrhcm 558 14 and and CC cord-009417-458rrhcm 558 15 patient patient JJ cord-009417-458rrhcm 558 16 core core NN cord-009417-458rrhcm 558 17 temperature temperature NN cord-009417-458rrhcm 558 18 should should MD cord-009417-458rrhcm 558 19 be be VB cord-009417-458rrhcm 558 20 monitored monitor VBN cord-009417-458rrhcm 558 21 during during IN cord-009417-458rrhcm 558 22 such such JJ cord-009417-458rrhcm 558 23 resuscitative resuscitative JJ cord-009417-458rrhcm 558 24 efforts effort NNS cord-009417-458rrhcm 558 25 . . . cord-009417-458rrhcm 559 1 Whether whether IN cord-009417-458rrhcm 559 2 massive massive JJ cord-009417-458rrhcm 559 3 transfusion transfusion NN cord-009417-458rrhcm 559 4 in in IN cord-009417-458rrhcm 559 5 and and CC cord-009417-458rrhcm 559 6 of of IN cord-009417-458rrhcm 559 7 itself -PRON- PRP cord-009417-458rrhcm 559 8 is be VBZ cord-009417-458rrhcm 559 9 a a DT cord-009417-458rrhcm 559 10 cause cause NN cord-009417-458rrhcm 559 11 of of IN cord-009417-458rrhcm 559 12 ARDS ARDS NNP cord-009417-458rrhcm 559 13 is be VBZ cord-009417-458rrhcm 559 14 another another DT cord-009417-458rrhcm 559 15 source source NN cord-009417-458rrhcm 559 16 of of IN cord-009417-458rrhcm 559 17 controversy controversy NN cord-009417-458rrhcm 559 18 . . . cord-009417-458rrhcm 560 1 There there EX cord-009417-458rrhcm 560 2 are be VBP cord-009417-458rrhcm 560 3 certainly certainly RB cord-009417-458rrhcm 560 4 theoretical theoretical JJ cord-009417-458rrhcm 560 5 reasons reason NNS cord-009417-458rrhcm 560 6 why why WRB cord-009417-458rrhcm 560 7 massive massive JJ cord-009417-458rrhcm 560 8 transfusion transfusion NN cord-009417-458rrhcm 560 9 might may MD cord-009417-458rrhcm 560 10 precipitate precipitate VB cord-009417-458rrhcm 560 11 ARDS ARDS NNP cord-009417-458rrhcm 560 12 : : : cord-009417-458rrhcm 561 1 all all DT cord-009417-458rrhcm 561 2 cellular cellular JJ cord-009417-458rrhcm 561 3 transfusions transfusion NNS cord-009417-458rrhcm 561 4 contain contain VBP cord-009417-458rrhcm 561 5 damaged damage VBN cord-009417-458rrhcm 561 6 or or CC cord-009417-458rrhcm 561 7 activated activate VBN cord-009417-458rrhcm 561 8 WBCs wbc NNS cord-009417-458rrhcm 561 9 , , , cord-009417-458rrhcm 561 10 cell cell NN cord-009417-458rrhcm 561 11 membranes membrane NNS cord-009417-458rrhcm 561 12 , , , cord-009417-458rrhcm 561 13 aggregated aggregate VBN cord-009417-458rrhcm 561 14 platelets platelet NNS cord-009417-458rrhcm 561 15 , , , cord-009417-458rrhcm 561 16 and and CC cord-009417-458rrhcm 561 17 microthrombi microthrombi NNP cord-009417-458rrhcm 561 18 , , , cord-009417-458rrhcm 561 19 all all DT cord-009417-458rrhcm 561 20 of of IN cord-009417-458rrhcm 561 21 which which WDT cord-009417-458rrhcm 561 22 are be VBP cord-009417-458rrhcm 561 23 capable capable JJ cord-009417-458rrhcm 561 24 of of IN cord-009417-458rrhcm 561 25 lodging lodge VBG cord-009417-458rrhcm 561 26 in in IN cord-009417-458rrhcm 561 27 and and CC cord-009417-458rrhcm 561 28 damaging damaging JJ cord-009417-458rrhcm 561 29 pulmonary pulmonary JJ cord-009417-458rrhcm 561 30 capillaries capillary NNS cord-009417-458rrhcm 561 31 . . . cord-009417-458rrhcm 562 1 Despite despite IN cord-009417-458rrhcm 562 2 this this DT cord-009417-458rrhcm 562 3 possibility possibility NN cord-009417-458rrhcm 562 4 , , , cord-009417-458rrhcm 562 5 neither neither CC cord-009417-458rrhcm 562 6 microfi microfi NNP cord-009417-458rrhcm 562 7 ltration ltration NN cord-009417-458rrhcm 562 8 of of IN cord-009417-458rrhcm 562 9 transfusions transfusion NNS cord-009417-458rrhcm 562 10 nor nor CC cord-009417-458rrhcm 562 11 routine routine JJ cord-009417-458rrhcm 562 12 leukocyte leukocyte NN cord-009417-458rrhcm 562 13 depletion depletion NN cord-009417-458rrhcm 562 14 has have VBZ cord-009417-458rrhcm 562 15 shown show VBN cord-009417-458rrhcm 562 16 a a DT cord-009417-458rrhcm 562 17 signifi signifi NN cord-009417-458rrhcm 562 18 ca can MD cord-009417-458rrhcm 562 19 nt not RB cord-009417-458rrhcm 562 20 impact impact VB cord-009417-458rrhcm 562 21 on on IN cord-009417-458rrhcm 562 22 the the DT cord-009417-458rrhcm 562 23 incidence incidence NN cord-009417-458rrhcm 562 24 of of IN cord-009417-458rrhcm 562 25 ARDS ARDS NNP cord-009417-458rrhcm 562 26 in in IN cord-009417-458rrhcm 562 27 massively massively RB cord-009417-458rrhcm 562 28 transfused transfuse VBN cord-009417-458rrhcm 562 29 patients patient NNS cord-009417-458rrhcm 562 30 . . . cord-009417-458rrhcm 563 1 123 123 CD cord-009417-458rrhcm 564 1 Certainly certainly RB cord-009417-458rrhcm 564 2 , , , cord-009417-458rrhcm 564 3 other other JJ cord-009417-458rrhcm 564 4 causes cause NNS cord-009417-458rrhcm 564 5 of of IN cord-009417-458rrhcm 564 6 ARDS ARDS NNP cord-009417-458rrhcm 564 7 exist exist VBP cord-009417-458rrhcm 564 8 in in IN cord-009417-458rrhcm 564 9 patients patient NNS cord-009417-458rrhcm 564 10 who who WP cord-009417-458rrhcm 564 11 undergo undergo VBP cord-009417-458rrhcm 564 12 massive massive JJ cord-009417-458rrhcm 564 13 transfusion transfusion NN cord-009417-458rrhcm 564 14 , , , cord-009417-458rrhcm 564 15 and and CC cord-009417-458rrhcm 564 16 the the DT cord-009417-458rrhcm 564 17 possibility possibility NN cord-009417-458rrhcm 564 18 of of IN cord-009417-458rrhcm 564 19 volume volume NN cord-009417-458rrhcm 564 20 overload overload NN cord-009417-458rrhcm 564 21 and and CC cord-009417-458rrhcm 564 22 TRALI TRALI NNP cord-009417-458rrhcm 564 23 should should MD cord-009417-458rrhcm 564 24 be be VB cord-009417-458rrhcm 564 25 considered consider VBN cord-009417-458rrhcm 564 26 in in IN cord-009417-458rrhcm 564 27 the the DT cord-009417-458rrhcm 564 28 evaluation evaluation NN cord-009417-458rrhcm 564 29 of of IN cord-009417-458rrhcm 564 30 patients patient NNS cord-009417-458rrhcm 564 31 with with IN cord-009417-458rrhcm 564 32 hypoxia hypoxia NN cord-009417-458rrhcm 564 33 and and CC cord-009417-458rrhcm 564 34 diffuse diffuse VB cord-009417-458rrhcm 564 35 pulmonary pulmonary JJ cord-009417-458rrhcm 564 36 infi infi NNP cord-009417-458rrhcm 564 37 ltrates ltrates NNP cord-009417-458rrhcm 564 38 after after IN cord-009417-458rrhcm 564 39 massive massive JJ cord-009417-458rrhcm 564 40 transfusion transfusion NN cord-009417-458rrhcm 564 41 . . . cord-009417-458rrhcm 565 1 Management management NN cord-009417-458rrhcm 565 2 of of IN cord-009417-458rrhcm 565 3 such such JJ cord-009417-458rrhcm 565 4 patients patient NNS cord-009417-458rrhcm 565 5 is be VBZ cord-009417-458rrhcm 565 6 supportive supportive JJ cord-009417-458rrhcm 565 7 , , , cord-009417-458rrhcm 565 8 consistent consistent JJ cord-009417-458rrhcm 565 9 with with IN cord-009417-458rrhcm 565 10 the the DT cord-009417-458rrhcm 565 11 overall overall JJ cord-009417-458rrhcm 565 12 management management NN cord-009417-458rrhcm 565 13 of of IN cord-009417-458rrhcm 565 14 massive massive JJ cord-009417-458rrhcm 565 15 transfusion transfusion NN cord-009417-458rrhcm 565 16 . . . cord-009417-458rrhcm 566 1 124 124 CD cord-009417-458rrhcm 566 2 , , , cord-009417-458rrhcm 566 3 125 125 CD cord-009417-458rrhcm 566 4 Autoimmune autoimmune JJ cord-009417-458rrhcm 566 5 Hemolytic hemolytic JJ cord-009417-458rrhcm 566 6 Anemia anemia NN cord-009417-458rrhcm 566 7 Patients patient NNS cord-009417-458rrhcm 566 8 with with IN cord-009417-458rrhcm 566 9 autoimmune autoimmune JJ cord-009417-458rrhcm 566 10 hemolytic hemolytic JJ cord-009417-458rrhcm 566 11 anemia anemia NN cord-009417-458rrhcm 566 12 ( ( -LRB- cord-009417-458rrhcm 566 13 AIHA AIHA NNP cord-009417-458rrhcm 566 14 ) ) -RRB- cord-009417-458rrhcm 566 15 have have VB cord-009417-458rrhcm 566 16 an an DT cord-009417-458rrhcm 566 17 autoantibody autoantibody NN cord-009417-458rrhcm 566 18 , , , cord-009417-458rrhcm 566 19 usually usually RB cord-009417-458rrhcm 566 20 of of IN cord-009417-458rrhcm 566 21 broad broad JJ cord-009417-458rrhcm 566 22 specifi specifi NN cord-009417-458rrhcm 566 23 city city NN cord-009417-458rrhcm 566 24 , , , cord-009417-458rrhcm 567 1 that that IN cord-009417-458rrhcm 567 2 fi fi NNP cord-009417-458rrhcm 567 3 xes xes NN cord-009417-458rrhcm 567 4 itself -PRON- PRP cord-009417-458rrhcm 567 5 to to IN cord-009417-458rrhcm 567 6 their -PRON- PRP$ cord-009417-458rrhcm 567 7 RBCs rbc NNS cord-009417-458rrhcm 567 8 and and CC cord-009417-458rrhcm 567 9 triggers trigger VBZ cord-009417-458rrhcm 567 10 extravascular extravascular JJ cord-009417-458rrhcm 567 11 immune immune JJ cord-009417-458rrhcm 567 12 - - HYPH cord-009417-458rrhcm 567 13 mediated mediate VBN cord-009417-458rrhcm 567 14 destruction destruction NN cord-009417-458rrhcm 567 15 . . . cord-009417-458rrhcm 568 1 Patients patient NNS cord-009417-458rrhcm 568 2 with with IN cord-009417-458rrhcm 568 3 AIHA AIHA NNP cord-009417-458rrhcm 568 4 have have VBP cord-009417-458rrhcm 568 5 a a DT cord-009417-458rrhcm 568 6 positive positive JJ cord-009417-458rrhcm 568 7 direct direct JJ cord-009417-458rrhcm 568 8 antiglobulin antiglobulin NN cord-009417-458rrhcm 568 9 test test NN cord-009417-458rrhcm 568 10 126 126 CD cord-009417-458rrhcm 568 11 ( ( -LRB- cord-009417-458rrhcm 568 12 DAT DAT NNP cord-009417-458rrhcm 568 13 , , , cord-009417-458rrhcm 568 14 commonly commonly RB cord-009417-458rrhcm 568 15 known know VBN cord-009417-458rrhcm 568 16 as as IN cord-009417-458rrhcm 568 17 the the DT cord-009417-458rrhcm 568 18 Coombs Coombs NNP cord-009417-458rrhcm 568 19 test test NN cord-009417-458rrhcm 568 20 ) ) -RRB- cord-009417-458rrhcm 568 21 and and CC cord-009417-458rrhcm 568 22 varying vary VBG cord-009417-458rrhcm 568 23 degrees degree NNS cord-009417-458rrhcm 568 24 of of IN cord-009417-458rrhcm 568 25 he -PRON- PRP cord-009417-458rrhcm 568 26 molysis molysis NN cord-009417-458rrhcm 568 27 , , , cord-009417-458rrhcm 568 28 and and CC cord-009417-458rrhcm 568 29 their -PRON- PRP$ cord-009417-458rrhcm 568 30 autoantibodies autoantibody NNS cord-009417-458rrhcm 568 31 cause cause VBP cord-009417-458rrhcm 568 32 agglutination agglutination NN cord-009417-458rrhcm 568 33 of of IN cord-009417-458rrhcm 568 34 RBCs rbc NNS cord-009417-458rrhcm 568 35 from from IN cord-009417-458rrhcm 568 36 all all DT cord-009417-458rrhcm 568 37 donors donor NNS cord-009417-458rrhcm 568 38 during during IN cord-009417-458rrhcm 568 39 crossmatching crossmatching NN cord-009417-458rrhcm 568 40 . . . cord-009417-458rrhcm 569 1 If if IN cord-009417-458rrhcm 569 2 the the DT cord-009417-458rrhcm 569 3 hemolysis hemolysis NN cord-009417-458rrhcm 569 4 is be VBZ cord-009417-458rrhcm 569 5 brisk brisk JJ cord-009417-458rrhcm 569 6 , , , cord-009417-458rrhcm 569 7 patients patient NNS cord-009417-458rrhcm 569 8 may may MD cord-009417-458rrhcm 569 9 require require VB cord-009417-458rrhcm 569 10 red red JJ cord-009417-458rrhcm 569 11 cell cell NN cord-009417-458rrhcm 569 12 transfusion transfusion NN cord-009417-458rrhcm 569 13 to to TO cord-009417-458rrhcm 569 14 support support VB cord-009417-458rrhcm 569 15 oxygen oxygen NN cord-009417-458rrhcm 569 16 needs need NNS cord-009417-458rrhcm 569 17 before before IN cord-009417-458rrhcm 569 18 medical medical JJ cord-009417-458rrhcm 569 19 management management NN cord-009417-458rrhcm 569 20 of of IN cord-009417-458rrhcm 569 21 the the DT cord-009417-458rrhcm 569 22 AIHA AIHA NNP cord-009417-458rrhcm 569 23 is be VBZ cord-009417-458rrhcm 569 24 effective effective JJ cord-009417-458rrhcm 569 25 . . . cord-009417-458rrhcm 570 1 Hence hence RB cord-009417-458rrhcm 570 2 , , , cord-009417-458rrhcm 570 3 transfusion transfusion NN cord-009417-458rrhcm 570 4 is be VBZ cord-009417-458rrhcm 570 5 diffi diffi JJ cord-009417-458rrhcm 570 6 cult cult NN cord-009417-458rrhcm 570 7 because because IN cord-009417-458rrhcm 570 8 agglutination agglutination NN cord-009417-458rrhcm 570 9 during during IN cord-009417-458rrhcm 570 10 crossmatching crossmatching NN cord-009417-458rrhcm 570 11 interferes interfere VBZ cord-009417-458rrhcm 570 12 with with IN cord-009417-458rrhcm 570 13 proper proper JJ cord-009417-458rrhcm 570 14 defi defi NNP cord-009417-458rrhcm 570 15 nition nition NN cord-009417-458rrhcm 570 16 of of IN cord-009417-458rrhcm 570 17 compatible compatible JJ cord-009417-458rrhcm 570 18 units unit NNS cord-009417-458rrhcm 570 19 of of IN cord-009417-458rrhcm 570 20 RBCs rbc NNS cord-009417-458rrhcm 570 21 and and CC cord-009417-458rrhcm 570 22 because because IN cord-009417-458rrhcm 570 23 the the DT cord-009417-458rrhcm 570 24 transfused transfuse VBN cord-009417-458rrhcm 570 25 RBCs rbc NNS cord-009417-458rrhcm 570 26 are be VBP cord-009417-458rrhcm 570 27 themselves -PRON- PRP cord-009417-458rrhcm 570 28 subject subject JJ cord-009417-458rrhcm 570 29 to to IN cord-009417-458rrhcm 570 30 the the DT cord-009417-458rrhcm 570 31 same same JJ cord-009417-458rrhcm 570 32 immune immune JJ cord-009417-458rrhcm 570 33 hemolysis hemolysis NN cord-009417-458rrhcm 570 34 as as IN cord-009417-458rrhcm 570 35 the the DT cord-009417-458rrhcm 570 36 host host NN cord-009417-458rrhcm 570 37 RBCs rbc NNS cord-009417-458rrhcm 570 38 . . . cord-009417-458rrhcm 571 1 Many many JJ cord-009417-458rrhcm 571 2 blood blood NN cord-009417-458rrhcm 571 3 banks bank NNS cord-009417-458rrhcm 571 4 have have VBP cord-009417-458rrhcm 571 5 methods method NNS cord-009417-458rrhcm 571 6 for for IN cord-009417-458rrhcm 571 7 depletion depletion NN cord-009417-458rrhcm 571 8 of of IN cord-009417-458rrhcm 571 9 autoantibodies autoantibody NNS cord-009417-458rrhcm 571 10 from from IN cord-009417-458rrhcm 571 11 the the DT cord-009417-458rrhcm 571 12 recipient recipient NN cord-009417-458rrhcm 571 13 's 's POS cord-009417-458rrhcm 571 14 plasma plasma NN cord-009417-458rrhcm 571 15 and and CC cord-009417-458rrhcm 571 16 elution elution NN cord-009417-458rrhcm 571 17 of of IN cord-009417-458rrhcm 571 18 antibodies antibody NNS cord-009417-458rrhcm 571 19 from from IN cord-009417-458rrhcm 571 20 RBCs rbc NNS cord-009417-458rrhcm 571 21 to to TO cord-009417-458rrhcm 571 22 arrive arrive VB cord-009417-458rrhcm 571 23 at at IN cord-009417-458rrhcm 571 24 a a DT cord-009417-458rrhcm 571 25 proper proper JJ cord-009417-458rrhcm 571 26 crossmatch crossmatch NN cord-009417-458rrhcm 571 27 . . . cord-009417-458rrhcm 572 1 127 127 CD cord-009417-458rrhcm 573 1 Although although IN cord-009417-458rrhcm 573 2 such such JJ cord-009417-458rrhcm 573 3 crossmatches crossmatche NNS cord-009417-458rrhcm 573 4 are be VBP cord-009417-458rrhcm 573 5 time time NN cord-009417-458rrhcm 573 6 consuming consume VBG cord-009417-458rrhcm 573 7 and and CC cord-009417-458rrhcm 573 8 not not RB cord-009417-458rrhcm 573 9 generally generally RB cord-009417-458rrhcm 573 10 available available JJ cord-009417-458rrhcm 573 11 on on IN cord-009417-458rrhcm 573 12 an an DT cord-009417-458rrhcm 573 13 emergency emergency NN cord-009417-458rrhcm 573 14 basis basis NN cord-009417-458rrhcm 573 15 , , , cord-009417-458rrhcm 573 16 they -PRON- PRP cord-009417-458rrhcm 573 17 can can MD cord-009417-458rrhcm 573 18 be be VB cord-009417-458rrhcm 573 19 lifesaving lifesave VBG cord-009417-458rrhcm 573 20 . . . cord-009417-458rrhcm 574 1 Criteria criterion NNS cord-009417-458rrhcm 574 2 for for IN cord-009417-458rrhcm 574 3 transfusion transfusion NN cord-009417-458rrhcm 574 4 should should MD cord-009417-458rrhcm 574 5 remain remain VB cord-009417-458rrhcm 574 6 the the DT cord-009417-458rrhcm 574 7 same same JJ cord-009417-458rrhcm 574 8 as as IN cord-009417-458rrhcm 574 9 for for IN cord-009417-458rrhcm 574 10 other other JJ cord-009417-458rrhcm 574 11 recipients recipient NNS cord-009417-458rrhcm 574 12 . . . cord-009417-458rrhcm 575 1 RBCs rbc NNS cord-009417-458rrhcm 575 2 are be VBP cord-009417-458rrhcm 575 3 crossmatched crossmatche VBN cord-009417-458rrhcm 575 4 for for IN cord-009417-458rrhcm 575 5 red red JJ cord-009417-458rrhcm 575 6 cell cell NN cord-009417-458rrhcm 575 7 antigens antigen NNS cord-009417-458rrhcm 575 8 in in IN cord-009417-458rrhcm 575 9 the the DT cord-009417-458rrhcm 575 10 ABO ABO NNP cord-009417-458rrhcm 575 11 and and CC cord-009417-458rrhcm 575 12 Rh Rh NNP cord-009417-458rrhcm 575 13 0 0 NFP cord-009417-458rrhcm 575 14 ( ( -LRB- cord-009417-458rrhcm 575 15 D D NNP cord-009417-458rrhcm 575 16 ) ) -RRB- cord-009417-458rrhcm 575 17 group group NN cord-009417-458rrhcm 575 18 and and CC cord-009417-458rrhcm 575 19 for for IN cord-009417-458rrhcm 575 20 other other JJ cord-009417-458rrhcm 575 21 red red JJ cord-009417-458rrhcm 575 22 cell cell NN cord-009417-458rrhcm 575 23 antigens antigen NNS cord-009417-458rrhcm 575 24 when when WRB cord-009417-458rrhcm 575 25 antibodies antibody NNS cord-009417-458rrhcm 575 26 are be VBP cord-009417-458rrhcm 575 27 present present JJ cord-009417-458rrhcm 575 28 . . . cord-009417-458rrhcm 576 1 However however RB cord-009417-458rrhcm 576 2 , , , cord-009417-458rrhcm 576 3 there there EX cord-009417-458rrhcm 576 4 are be VBP cord-009417-458rrhcm 576 5 several several JJ cord-009417-458rrhcm 576 6 hundred hundred CD cord-009417-458rrhcm 576 7 other other JJ cord-009417-458rrhcm 576 8 red red JJ cord-009417-458rrhcm 576 9 cell cell NN cord-009417-458rrhcm 576 10 antigens antigen NNS cord-009417-458rrhcm 576 11 in in IN cord-009417-458rrhcm 576 12 the the DT cord-009417-458rrhcm 576 13 human human JJ cord-009417-458rrhcm 576 14 family family NN cord-009417-458rrhcm 576 15 , , , cord-009417-458rrhcm 576 16 and and CC cord-009417-458rrhcm 576 17 with with IN cord-009417-458rrhcm 576 18 repeated repeat VBN cord-009417-458rrhcm 576 19 transfusion transfusion NN cord-009417-458rrhcm 576 20 recipients recipient NNS cord-009417-458rrhcm 576 21 may may MD cord-009417-458rrhcm 576 22 become become VB cord-009417-458rrhcm 576 23 alloimmunized alloimmunize VBN cord-009417-458rrhcm 576 24 to to IN cord-009417-458rrhcm 576 25 other other JJ cord-009417-458rrhcm 576 26 antigens antigen NNS cord-009417-458rrhcm 576 27 . . . cord-009417-458rrhcm 577 1 Generally generally RB cord-009417-458rrhcm 577 2 , , , cord-009417-458rrhcm 577 3 alloimmunization alloimmunization NN cord-009417-458rrhcm 577 4 occurs occur VBZ cord-009417-458rrhcm 577 5 in in IN cord-009417-458rrhcm 577 6 approximately approximately RB cord-009417-458rrhcm 577 7 1 1 CD cord-009417-458rrhcm 577 8 % % NN cord-009417-458rrhcm 577 9 of of IN cord-009417-458rrhcm 577 10 transfusions transfusion NNS cord-009417-458rrhcm 577 11 , , , cord-009417-458rrhcm 577 12 68 68 CD cord-009417-458rrhcm 577 13 but but CC cord-009417-458rrhcm 577 14 the the DT cord-009417-458rrhcm 577 15 prevalence prevalence NN cord-009417-458rrhcm 577 16 of of IN cord-009417-458rrhcm 577 17 alloantibodies alloantibody NNS cord-009417-458rrhcm 577 18 is be VBZ cord-009417-458rrhcm 577 19 higher high JJR cord-009417-458rrhcm 577 20 in in IN cord-009417-458rrhcm 577 21 chronically chronically RB cord-009417-458rrhcm 577 22 transfused transfuse VBN cord-009417-458rrhcm 577 23 , , , cord-009417-458rrhcm 577 24 relatively relatively RB cord-009417-458rrhcm 577 25 immunocompetent immunocompetent JJ cord-009417-458rrhcm 577 26 patients patient NNS cord-009417-458rrhcm 577 27 , , , cord-009417-458rrhcm 577 28 especially especially RB cord-009417-458rrhcm 577 29 African African NNPS cord-009417-458rrhcm 577 30 Americans Americans NNPS cord-009417-458rrhcm 577 31 , , , cord-009417-458rrhcm 577 32 whose whose WP$ cord-009417-458rrhcm 577 33 distribution distribution NN cord-009417-458rrhcm 577 34 of of IN cord-009417-458rrhcm 577 35 red red JJ cord-009417-458rrhcm 577 36 cell cell NN cord-009417-458rrhcm 577 37 antigens antigen NNS cord-009417-458rrhcm 577 38 has have VBZ cord-009417-458rrhcm 577 39 signifi signifi NNP cord-009417-458rrhcm 577 40 ca can MD cord-009417-458rrhcm 577 41 nt not RB cord-009417-458rrhcm 577 42 variation variation NN cord-009417-458rrhcm 577 43 from from IN cord-009417-458rrhcm 577 44 the the DT cord-009417-458rrhcm 577 45 white white JJ cord-009417-458rrhcm 577 46 population population NN cord-009417-458rrhcm 577 47 . . . cord-009417-458rrhcm 578 1 Alloimmunization alloimmunization NN cord-009417-458rrhcm 578 2 rates rate NNS cord-009417-458rrhcm 578 3 of of IN cord-009417-458rrhcm 578 4 30 30 CD cord-009417-458rrhcm 578 5 % % NN cord-009417-458rrhcm 578 6 or or CC cord-009417-458rrhcm 578 7 higher high JJR cord-009417-458rrhcm 578 8 may may MD cord-009417-458rrhcm 578 9 be be VB cord-009417-458rrhcm 578 10 found find VBN cord-009417-458rrhcm 578 11 in in IN cord-009417-458rrhcm 578 12 chronically chronically RB cord-009417-458rrhcm 578 13 transfused transfuse VBN cord-009417-458rrhcm 578 14 patients patient NNS cord-009417-458rrhcm 578 15 with with IN cord-009417-458rrhcm 578 16 hemoglobinopathies hemoglobinopathy NNS cord-009417-458rrhcm 578 17 who who WP cord-009417-458rrhcm 578 18 have have VBP cord-009417-458rrhcm 578 19 not not RB cord-009417-458rrhcm 578 20 received receive VBN cord-009417-458rrhcm 578 21 RBCs rbc NNS cord-009417-458rrhcm 578 22 matched match VBN cord-009417-458rrhcm 578 23 to to IN cord-009417-458rrhcm 578 24 potent potent JJ cord-009417-458rrhcm 578 25 minor minor JJ cord-009417-458rrhcm 578 26 antigens antigen NNS cord-009417-458rrhcm 578 27 such such JJ cord-009417-458rrhcm 578 28 as as IN cord-009417-458rrhcm 578 29 Kell Kell NNP cord-009417-458rrhcm 578 30 , , , cord-009417-458rrhcm 578 31 Duffy Duffy NNP cord-009417-458rrhcm 578 32 , , , cord-009417-458rrhcm 578 33 and and CC cord-009417-458rrhcm 578 34 Lewis Lewis NNP cord-009417-458rrhcm 578 35 . . . cord-009417-458rrhcm 579 1 Alloimmunization Alloimmunization NNP cord-009417-458rrhcm 579 2 may may MD cord-009417-458rrhcm 579 3 present present VB cord-009417-458rrhcm 579 4 diffi diffi NNP cord-009417-458rrhcm 579 5 culties cultie NNS cord-009417-458rrhcm 579 6 in in IN cord-009417-458rrhcm 579 7 crossmatching crossmatching NN cord-009417-458rrhcm 579 8 of of IN cord-009417-458rrhcm 579 9 blood blood NN cord-009417-458rrhcm 579 10 , , , cord-009417-458rrhcm 579 11 to to IN cord-009417-458rrhcm 579 12 the the DT cord-009417-458rrhcm 579 13 point point NN cord-009417-458rrhcm 579 14 that that IN cord-009417-458rrhcm 579 15 compatible compatible JJ cord-009417-458rrhcm 579 16 blood blood NN cord-009417-458rrhcm 579 17 must must MD cord-009417-458rrhcm 579 18 be be VB cord-009417-458rrhcm 579 19 obtained obtain VBN cord-009417-458rrhcm 579 20 from from IN cord-009417-458rrhcm 579 21 raredonor raredonor NNP cord-009417-458rrhcm 579 22 registries registry NNS cord-009417-458rrhcm 579 23 , , , cord-009417-458rrhcm 579 24 if if IN cord-009417-458rrhcm 579 25 at at RB cord-009417-458rrhcm 579 26 all all RB cord-009417-458rrhcm 579 27 . . . cord-009417-458rrhcm 580 1 Other other JJ cord-009417-458rrhcm 580 2 patients patient NNS cord-009417-458rrhcm 580 3 present present VBP cord-009417-458rrhcm 580 4 unresolved unresolved JJ cord-009417-458rrhcm 580 5 serologic serologic NN cord-009417-458rrhcm 580 6 problems problem NNS cord-009417-458rrhcm 580 7 in in IN cord-009417-458rrhcm 580 8 that that IN cord-009417-458rrhcm 580 9 the the DT cord-009417-458rrhcm 580 10 alloantibody alloantibody NN cord-009417-458rrhcm 580 11 is be VBZ cord-009417-458rrhcm 580 12 never never RB cord-009417-458rrhcm 580 13 precisely precisely RB cord-009417-458rrhcm 580 14 identifi identifi NNP cord-009417-458rrhcm 580 15 ed ed NN cord-009417-458rrhcm 581 1 yet yet RB cord-009417-458rrhcm 581 2 the the DT cord-009417-458rrhcm 581 3 majority majority NN cord-009417-458rrhcm 581 4 of of IN cord-009417-458rrhcm 581 5 blood blood NN cord-009417-458rrhcm 581 6 available available JJ cord-009417-458rrhcm 581 7 for for IN cord-009417-458rrhcm 581 8 transfusion transfusion NN cord-009417-458rrhcm 581 9 is be VBZ cord-009417-458rrhcm 581 10 incompatible incompatible JJ cord-009417-458rrhcm 581 11 . . . cord-009417-458rrhcm 582 1 The the DT cord-009417-458rrhcm 582 2 delay delay NN cord-009417-458rrhcm 582 3 engendered engender VBN cord-009417-458rrhcm 582 4 by by IN cord-009417-458rrhcm 582 5 working work VBG cord-009417-458rrhcm 582 6 with with IN cord-009417-458rrhcm 582 7 multiple multiple JJ cord-009417-458rrhcm 582 8 or or CC cord-009417-458rrhcm 582 9 unidentifi unidentifi JJ cord-009417-458rrhcm 582 10 ed ed NN cord-009417-458rrhcm 582 11 antibodies antibody NNS cord-009417-458rrhcm 582 12 may may MD cord-009417-458rrhcm 582 13 be be VB cord-009417-458rrhcm 582 14 unacceptable unacceptable JJ cord-009417-458rrhcm 582 15 in in IN cord-009417-458rrhcm 582 16 some some DT cord-009417-458rrhcm 582 17 critical critical JJ cord-009417-458rrhcm 582 18 care care NN cord-009417-458rrhcm 582 19 situations situation NNS cord-009417-458rrhcm 582 20 in in IN cord-009417-458rrhcm 582 21 which which WDT cord-009417-458rrhcm 582 22 the the DT cord-009417-458rrhcm 582 23 need need NN cord-009417-458rrhcm 582 24 for for IN cord-009417-458rrhcm 582 25 oxygen oxygen NN cord-009417-458rrhcm 582 26 - - HYPH cord-009417-458rrhcm 582 27 carrying carry VBG cord-009417-458rrhcm 582 28 capacity capacity NN cord-009417-458rrhcm 582 29 leaves leave VBZ cord-009417-458rrhcm 582 30 no no DT cord-009417-458rrhcm 582 31 choice choice NN cord-009417-458rrhcm 582 32 but but IN cord-009417-458rrhcm 582 33 to to TO cord-009417-458rrhcm 582 34 transfuse transfuse VB cord-009417-458rrhcm 582 35 incompatible incompatible JJ cord-009417-458rrhcm 582 36 blood blood NN cord-009417-458rrhcm 582 37 . . . cord-009417-458rrhcm 583 1 The the DT cord-009417-458rrhcm 583 2 behavior behavior NN cord-009417-458rrhcm 583 3 of of IN cord-009417-458rrhcm 583 4 these these DT cord-009417-458rrhcm 583 5 antibodies antibody NNS cord-009417-458rrhcm 583 6 in in IN cord-009417-458rrhcm 583 7 the the DT cord-009417-458rrhcm 583 8 laboratory laboratory NN cord-009417-458rrhcm 583 9 may may MD cord-009417-458rrhcm 583 10 assist assist VB cord-009417-458rrhcm 583 11 in in IN cord-009417-458rrhcm 583 12 predicting predict VBG cord-009417-458rrhcm 583 13 the the DT cord-009417-458rrhcm 583 14 clinical clinical JJ cord-009417-458rrhcm 583 15 outcome outcome NN cord-009417-458rrhcm 583 16 of of IN cord-009417-458rrhcm 583 17 the the DT cord-009417-458rrhcm 583 18 incompatible incompatible JJ cord-009417-458rrhcm 583 19 transfusion transfusion NN cord-009417-458rrhcm 583 20 . . . cord-009417-458rrhcm 584 1 128 128 CD cord-009417-458rrhcm 584 2 Special special JJ cord-009417-458rrhcm 584 3 procedures procedure NNS cord-009417-458rrhcm 584 4 such such JJ cord-009417-458rrhcm 584 5 as as IN cord-009417-458rrhcm 584 6 clearance clearance NN cord-009417-458rrhcm 584 7 studies study NNS cord-009417-458rrhcm 584 8 , , , cord-009417-458rrhcm 584 9 129 129 CD cord-009417-458rrhcm 584 10 fl fl NNP cord-009417-458rrhcm 584 11 ow ow NN cord-009417-458rrhcm 584 12 cytometry cytometry NN cord-009417-458rrhcm 584 13 130 130 CD cord-009417-458rrhcm 584 14 and and CC cord-009417-458rrhcm 584 15 in in IN cord-009417-458rrhcm 584 16 vivo vivo NNP cord-009417-458rrhcm 584 17 crossmatching crossmatching NNP cord-009417-458rrhcm 584 18 ( ( -LRB- cord-009417-458rrhcm 584 19 cautious cautious JJ cord-009417-458rrhcm 584 20 administration administration NN cord-009417-458rrhcm 584 21 of of IN cord-009417-458rrhcm 584 22 a a DT cord-009417-458rrhcm 584 23 small small JJ cord-009417-458rrhcm 584 24 aliquot aliquot NN cord-009417-458rrhcm 584 25 of of IN cord-009417-458rrhcm 584 26 blood blood NN cord-009417-458rrhcm 584 27 , , , cord-009417-458rrhcm 584 28 with with IN cord-009417-458rrhcm 584 29 subsequent subsequent JJ cord-009417-458rrhcm 584 30 observation observation NN cord-009417-458rrhcm 584 31 of of IN cord-009417-458rrhcm 584 32 serum serum NN cord-009417-458rrhcm 584 33 and and CC cord-009417-458rrhcm 584 34 urine urine NN cord-009417-458rrhcm 584 35 for for IN cord-009417-458rrhcm 584 36 evidence evidence NN cord-009417-458rrhcm 584 37 of of IN cord-009417-458rrhcm 584 38 hemolysis hemolysis NN cord-009417-458rrhcm 584 39 ) ) -RRB- cord-009417-458rrhcm 584 40 are be VBP cord-009417-458rrhcm 584 41 useful useful JJ cord-009417-458rrhcm 584 42 if if IN cord-009417-458rrhcm 584 43 time time NN cord-009417-458rrhcm 584 44 permits permit VBZ cord-009417-458rrhcm 584 45 . . . cord-009417-458rrhcm 585 1 Emergency emergency NN cord-009417-458rrhcm 585 2 transfusion transfusion NN cord-009417-458rrhcm 585 3 of of IN cord-009417-458rrhcm 585 4 type type NN cord-009417-458rrhcm 585 5 O o NN cord-009417-458rrhcm 586 1 , , , cord-009417-458rrhcm 586 2 Rh Rh NNP cord-009417-458rrhcm 586 3 - - HYPH cord-009417-458rrhcm 586 4 negative negative JJ cord-009417-458rrhcm 586 5 uncrossmatched uncrossmatched JJ cord-009417-458rrhcm 586 6 blood blood NN cord-009417-458rrhcm 586 7 is be VBZ cord-009417-458rrhcm 586 8 generally generally RB cord-009417-458rrhcm 586 9 reserved reserve VBN cord-009417-458rrhcm 586 10 for for IN cord-009417-458rrhcm 586 11 the the DT cord-009417-458rrhcm 586 12 resuscitation resuscitation NN cord-009417-458rrhcm 586 13 of of IN cord-009417-458rrhcm 586 14 trauma trauma NN cord-009417-458rrhcm 586 15 patients patient NNS cord-009417-458rrhcm 586 16 , , , cord-009417-458rrhcm 586 17 for for IN cord-009417-458rrhcm 586 18 whom whom WP cord-009417-458rrhcm 586 19 the the DT cord-009417-458rrhcm 586 20 delay delay NN cord-009417-458rrhcm 586 21 in in IN cord-009417-458rrhcm 586 22 crossmatching crossmatching NN cord-009417-458rrhcm 586 23 may may MD cord-009417-458rrhcm 586 24 be be VB cord-009417-458rrhcm 586 25 life life NN cord-009417-458rrhcm 586 26 - - HYPH cord-009417-458rrhcm 586 27 threatening threaten VBG cord-009417-458rrhcm 586 28 . . . cord-009417-458rrhcm 587 1 The the DT cord-009417-458rrhcm 587 2 risks risk NNS cord-009417-458rrhcm 587 3 of of IN cord-009417-458rrhcm 587 4 alloimmunization alloimmunization NN cord-009417-458rrhcm 587 5 are be VBP cord-009417-458rrhcm 587 6 generally generally RB cord-009417-458rrhcm 587 7 accepted accept VBN cord-009417-458rrhcm 587 8 as as IN cord-009417-458rrhcm 587 9 low low JJ cord-009417-458rrhcm 587 10 . . . cord-009417-458rrhcm 588 1 Even even RB cord-009417-458rrhcm 588 2 Rh Rh NNP cord-009417-458rrhcm 588 3 - - HYPH cord-009417-458rrhcm 588 4 positive positive JJ cord-009417-458rrhcm 588 5 type type NN cord-009417-458rrhcm 588 6 O o NN cord-009417-458rrhcm 588 7 RBCs rbc NNS cord-009417-458rrhcm 588 8 may may MD cord-009417-458rrhcm 588 9 be be VB cord-009417-458rrhcm 588 10 used use VBN cord-009417-458rrhcm 588 11 because because IN cord-009417-458rrhcm 588 12 rates rate NNS cord-009417-458rrhcm 588 13 of of IN cord-009417-458rrhcm 588 14 alloimmunization alloimmunization NN cord-009417-458rrhcm 588 15 to to IN cord-009417-458rrhcm 588 16 Rh Rh NNP cord-009417-458rrhcm 588 17 0 0 CD cord-009417-458rrhcm 588 18 ( ( -LRB- cord-009417-458rrhcm 588 19 D D NNP cord-009417-458rrhcm 588 20 ) ) -RRB- cord-009417-458rrhcm 588 21 are be VBP cord-009417-458rrhcm 588 22 low low JJ cord-009417-458rrhcm 588 23 under under IN cord-009417-458rrhcm 588 24 the the DT cord-009417-458rrhcm 588 25 circumstances circumstance NNS cord-009417-458rrhcm 588 26 of of IN cord-009417-458rrhcm 588 27 emergency emergency NN cord-009417-458rrhcm 588 28 transfusion transfusion NN cord-009417-458rrhcm 588 29 . . . cord-009417-458rrhcm 589 1 128 128 CD cord-009417-458rrhcm 589 2 , , , cord-009417-458rrhcm 589 3 131 131 CD cord-009417-458rrhcm 589 4 _SP cord-009417-458rrhcm 589 5 DIC DIC NNP cord-009417-458rrhcm 589 6 can can MD cord-009417-458rrhcm 589 7 present present VB cord-009417-458rrhcm 589 8 the the DT cord-009417-458rrhcm 589 9 clinician clinician NN cord-009417-458rrhcm 589 10 with with IN cord-009417-458rrhcm 589 11 diffi diffi NNP cord-009417-458rrhcm 589 12 cult cult NN cord-009417-458rrhcm 589 13 therapeutic therapeutic JJ cord-009417-458rrhcm 589 14 choices choice NNS cord-009417-458rrhcm 589 15 . . . cord-009417-458rrhcm 590 1 This this DT cord-009417-458rrhcm 590 2 common common JJ cord-009417-458rrhcm 590 3 disorder disorder NN cord-009417-458rrhcm 590 4 in in IN cord-009417-458rrhcm 590 5 critically critically RB cord-009417-458rrhcm 590 6 ill ill JJ cord-009417-458rrhcm 590 7 patients patient NNS cord-009417-458rrhcm 590 8 may may MD cord-009417-458rrhcm 590 9 be be VB cord-009417-458rrhcm 590 10 manifested manifest VBN cord-009417-458rrhcm 590 11 as as IN cord-009417-458rrhcm 590 12 severe severe JJ cord-009417-458rrhcm 590 13 hemorrhage hemorrhage NN cord-009417-458rrhcm 590 14 or or CC cord-009417-458rrhcm 590 15 thrombosis thrombosis NN cord-009417-458rrhcm 590 16 . . . cord-009417-458rrhcm 591 1 Therapy therapy NN cord-009417-458rrhcm 591 2 is be VBZ cord-009417-458rrhcm 591 3 primarily primarily RB cord-009417-458rrhcm 591 4 directed direct VBN cord-009417-458rrhcm 591 5 at at IN cord-009417-458rrhcm 591 6 alleviating alleviate VBG cord-009417-458rrhcm 591 7 the the DT cord-009417-458rrhcm 591 8 cause cause NN cord-009417-458rrhcm 591 9 and and CC cord-009417-458rrhcm 591 10 supporting support VBG cord-009417-458rrhcm 591 11 the the DT cord-009417-458rrhcm 591 12 patient patient NN cord-009417-458rrhcm 591 13 . . . cord-009417-458rrhcm 592 1 Supportive supportive JJ cord-009417-458rrhcm 592 2 therapy therapy NN cord-009417-458rrhcm 592 3 includes include VBZ cord-009417-458rrhcm 592 4 the the DT cord-009417-458rrhcm 592 5 transfusion transfusion NN cord-009417-458rrhcm 592 6 of of IN cord-009417-458rrhcm 592 7 components component NNS cord-009417-458rrhcm 592 8 needed need VBN cord-009417-458rrhcm 592 9 to to TO cord-009417-458rrhcm 592 10 correct correct VB cord-009417-458rrhcm 592 11 the the DT cord-009417-458rrhcm 592 12 bleeding bleed VBG cord-009417-458rrhcm 592 13 diathesis diathesis NN cord-009417-458rrhcm 592 14 caused cause VBN cord-009417-458rrhcm 592 15 by by IN cord-009417-458rrhcm 592 16 the the DT cord-009417-458rrhcm 592 17 consumption consumption NN cord-009417-458rrhcm 592 18 of of IN cord-009417-458rrhcm 592 19 platelets platelet NNS cord-009417-458rrhcm 592 20 and and CC cord-009417-458rrhcm 592 21 fi fi NNP cord-009417-458rrhcm 592 22 brinogen brinogen NNP cord-009417-458rrhcm 592 23 , , , cord-009417-458rrhcm 592 24 in in IN cord-009417-458rrhcm 592 25 addition addition NN cord-009417-458rrhcm 592 26 to to IN cord-009417-458rrhcm 592 27 PRBCs prbc NNS cord-009417-458rrhcm 592 28 to to TO cord-009417-458rrhcm 592 29 restore restore VB cord-009417-458rrhcm 592 30 oxygencarrying oxygencarrying NN cord-009417-458rrhcm 592 31 capacity capacity NN cord-009417-458rrhcm 592 32 . . . cord-009417-458rrhcm 593 1 Platelets platelet NNS cord-009417-458rrhcm 593 2 and and CC cord-009417-458rrhcm 593 3 fi fi NNP cord-009417-458rrhcm 593 4 brinogen brinogen NNP cord-009417-458rrhcm 593 5 ( ( -LRB- cord-009417-458rrhcm 593 6 as as IN cord-009417-458rrhcm 593 7 cryoprecipitate cryoprecipitate NNP cord-009417-458rrhcm 593 8 ) ) -RRB- cord-009417-458rrhcm 593 9 are be VBP cord-009417-458rrhcm 593 10 the the DT cord-009417-458rrhcm 593 11 most most RBS cord-009417-458rrhcm 593 12 useful useful JJ cord-009417-458rrhcm 593 13 components component NNS cord-009417-458rrhcm 593 14 needed need VBN cord-009417-458rrhcm 593 15 to to TO cord-009417-458rrhcm 593 16 repair repair VB cord-009417-458rrhcm 593 17 the the DT cord-009417-458rrhcm 593 18 coagulopathy coagulopathy NN cord-009417-458rrhcm 593 19 , , , cord-009417-458rrhcm 593 20 but but CC cord-009417-458rrhcm 593 21 their -PRON- PRP$ cord-009417-458rrhcm 593 22 use use NN cord-009417-458rrhcm 593 23 risks risk NNS cord-009417-458rrhcm 593 24 merely merely RB cord-009417-458rrhcm 593 25 " " `` cord-009417-458rrhcm 593 26 fueling fuel VBG cord-009417-458rrhcm 593 27 the the DT cord-009417-458rrhcm 593 28 fi fi NN cord-009417-458rrhcm 593 29 re re NN cord-009417-458rrhcm 593 30 " " '' cord-009417-458rrhcm 593 31 and and CC cord-009417-458rrhcm 593 32 increasing increase VBG cord-009417-458rrhcm 593 33 the the DT cord-009417-458rrhcm 593 34 microthrombosis microthrombosis NN cord-009417-458rrhcm 593 35 of of IN cord-009417-458rrhcm 593 36 DIC DIC NNP cord-009417-458rrhcm 593 37 . . . cord-009417-458rrhcm 594 1 Heparin heparin JJ cord-009417-458rrhcm 594 2 anticoagulation anticoagulation NN cord-009417-458rrhcm 594 3 is be VBZ cord-009417-458rrhcm 594 4 controversial controversial JJ cord-009417-458rrhcm 594 5 132 132 CD cord-009417-458rrhcm 594 6 , , , cord-009417-458rrhcm 594 7 133 133 CD cord-009417-458rrhcm 594 8 and and CC cord-009417-458rrhcm 594 9 may may MD cord-009417-458rrhcm 594 10 increase increase VB cord-009417-458rrhcm 594 11 the the DT cord-009417-458rrhcm 594 12 risk risk NN cord-009417-458rrhcm 594 13 of of IN cord-009417-458rrhcm 594 14 bleeding bleed VBG cord-009417-458rrhcm 594 15 , , , cord-009417-458rrhcm 594 16 especially especially RB cord-009417-458rrhcm 594 17 if if IN cord-009417-458rrhcm 594 18 depleted deplete VBN cord-009417-458rrhcm 594 19 factors factor NNS cord-009417-458rrhcm 594 20 are be VBP cord-009417-458rrhcm 594 21 not not RB cord-009417-458rrhcm 594 22 replenished replenish VBN cord-009417-458rrhcm 594 23 . . . cord-009417-458rrhcm 595 1 No no DT cord-009417-458rrhcm 595 2 defi defi FW cord-009417-458rrhcm 595 3 nitive nitive JJ cord-009417-458rrhcm 595 4 clinical clinical JJ cord-009417-458rrhcm 595 5 trials trial NNS cord-009417-458rrhcm 595 6 have have VBP cord-009417-458rrhcm 595 7 endorsed endorse VBN cord-009417-458rrhcm 595 8 the the DT cord-009417-458rrhcm 595 9 routine routine JJ cord-009417-458rrhcm 595 10 use use NN cord-009417-458rrhcm 595 11 of of IN cord-009417-458rrhcm 595 12 heparin heparin NN cord-009417-458rrhcm 595 13 , , , cord-009417-458rrhcm 595 14 and and CC cord-009417-458rrhcm 595 15 randomized randomized JJ cord-009417-458rrhcm 595 16 trials trial NNS cord-009417-458rrhcm 595 17 of of IN cord-009417-458rrhcm 595 18 other other JJ cord-009417-458rrhcm 595 19 components component NNS cord-009417-458rrhcm 595 20 and and CC cord-009417-458rrhcm 595 21 coagulation coagulation NN cord-009417-458rrhcm 595 22 inhibitors inhibitor NNS cord-009417-458rrhcm 595 23 have have VBP cord-009417-458rrhcm 595 24 uniformly uniformly RB cord-009417-458rrhcm 595 25 been be VBN cord-009417-458rrhcm 595 26 negative negative JJ cord-009417-458rrhcm 595 27 . . . cord-009417-458rrhcm 596 1 In in IN cord-009417-458rrhcm 596 2 general general JJ cord-009417-458rrhcm 596 3 , , , cord-009417-458rrhcm 596 4 the the DT cord-009417-458rrhcm 596 5 use use NN cord-009417-458rrhcm 596 6 of of IN cord-009417-458rrhcm 596 7 heparin heparin NN cord-009417-458rrhcm 596 8 and and CC cord-009417-458rrhcm 596 9 antifi antifi JJ cord-009417-458rrhcm 596 10 brinolytic brinolytic JJ cord-009417-458rrhcm 596 11 agents agent NNS cord-009417-458rrhcm 596 12 has have VBZ cord-009417-458rrhcm 596 13 been be VBN cord-009417-458rrhcm 596 14 confi confi VBN cord-009417-458rrhcm 596 15 ned ned NNP cord-009417-458rrhcm 596 16 to to IN cord-009417-458rrhcm 596 17 the the DT cord-009417-458rrhcm 596 18 most most RBS cord-009417-458rrhcm 596 19 severe severe JJ cord-009417-458rrhcm 596 20 and and CC cord-009417-458rrhcm 596 21 protracted protracted JJ cord-009417-458rrhcm 596 22 cases case NNS cord-009417-458rrhcm 596 23 of of IN cord-009417-458rrhcm 596 24 DIC DIC NNP cord-009417-458rrhcm 596 25 . . . cord-009417-458rrhcm 597 1 134 134 CD cord-009417-458rrhcm 597 2 Cirrhotic cirrhotic JJ cord-009417-458rrhcm 597 3 patients patient NNS cord-009417-458rrhcm 597 4 or or CC cord-009417-458rrhcm 597 5 those those DT cord-009417-458rrhcm 597 6 with with IN cord-009417-458rrhcm 597 7 fulminant fulminant JJ cord-009417-458rrhcm 597 8 hepatic hepatic JJ cord-009417-458rrhcm 597 9 failure failure NN cord-009417-458rrhcm 597 10 have have VBP cord-009417-458rrhcm 597 11 a a DT cord-009417-458rrhcm 597 12 variety variety NN cord-009417-458rrhcm 597 13 of of IN cord-009417-458rrhcm 597 14 hemostatic hemostatic JJ cord-009417-458rrhcm 597 15 disorders disorder NNS cord-009417-458rrhcm 597 16 that that WDT cord-009417-458rrhcm 597 17 complicate complicate VBP cord-009417-458rrhcm 597 18 transfusion transfusion NN cord-009417-458rrhcm 597 19 management management NN cord-009417-458rrhcm 597 20 of of IN cord-009417-458rrhcm 597 21 a a DT cord-009417-458rrhcm 597 22 bleeding bleed VBG cord-009417-458rrhcm 597 23 patient patient NN cord-009417-458rrhcm 597 24 . . . cord-009417-458rrhcm 598 1 135 135 CD cord-009417-458rrhcm 598 2 Hepatic hepatic JJ cord-009417-458rrhcm 598 3 synthesis synthesis NN cord-009417-458rrhcm 598 4 of of IN cord-009417-458rrhcm 598 5 coagulation coagulation NN cord-009417-458rrhcm 598 6 factors factor NNS cord-009417-458rrhcm 598 7 may may MD cord-009417-458rrhcm 598 8 be be VB cord-009417-458rrhcm 598 9 markedly markedly RB cord-009417-458rrhcm 598 10 diminished diminish VBN cord-009417-458rrhcm 598 11 , , , cord-009417-458rrhcm 598 12 thereby thereby RB cord-009417-458rrhcm 598 13 necessitating necessitate VBG cord-009417-458rrhcm 598 14 replacement replacement NN cord-009417-458rrhcm 598 15 by by IN cord-009417-458rrhcm 598 16 FFP FFP NNP cord-009417-458rrhcm 598 17 or or CC cord-009417-458rrhcm 598 18 cryoprecipitate cryoprecipitate NNP cord-009417-458rrhcm 598 19 . . . cord-009417-458rrhcm 599 1 Patterns pattern NNS cord-009417-458rrhcm 599 2 of of IN cord-009417-458rrhcm 599 3 factor factor NN cord-009417-458rrhcm 599 4 diminution diminution NN cord-009417-458rrhcm 599 5 may may MD cord-009417-458rrhcm 599 6 vary vary VB cord-009417-458rrhcm 599 7 between between IN cord-009417-458rrhcm 599 8 acute acute JJ cord-009417-458rrhcm 599 9 hepatic hepatic JJ cord-009417-458rrhcm 599 10 necrosis necrosis NN cord-009417-458rrhcm 599 11 and and CC cord-009417-458rrhcm 599 12 chronic chronic JJ cord-009417-458rrhcm 599 13 cirrhosis cirrhosis NN cord-009417-458rrhcm 599 14 . . . cord-009417-458rrhcm 600 1 136 136 CD cord-009417-458rrhcm 601 1 Associated associated JJ cord-009417-458rrhcm 601 2 hemodynamic hemodynamic JJ cord-009417-458rrhcm 601 3 alterations alteration NNS cord-009417-458rrhcm 601 4 may may MD cord-009417-458rrhcm 601 5 make make VB cord-009417-458rrhcm 601 6 it -PRON- PRP cord-009417-458rrhcm 601 7 impossible impossible JJ cord-009417-458rrhcm 601 8 to to TO cord-009417-458rrhcm 601 9 administer administer VB cord-009417-458rrhcm 601 10 the the DT cord-009417-458rrhcm 601 11 volumes volume NNS cord-009417-458rrhcm 601 12 required require VBN cord-009417-458rrhcm 601 13 for for IN cord-009417-458rrhcm 601 14 effective effective JJ cord-009417-458rrhcm 601 15 hemostasis hemostasis NN cord-009417-458rrhcm 601 16 , , , cord-009417-458rrhcm 601 17 however however RB cord-009417-458rrhcm 601 18 , , , cord-009417-458rrhcm 601 19 and and CC cord-009417-458rrhcm 601 20 any any DT cord-009417-458rrhcm 601 21 effect effect NN cord-009417-458rrhcm 601 22 is be VBZ cord-009417-458rrhcm 601 23 transient transient JJ cord-009417-458rrhcm 601 24 . . . cord-009417-458rrhcm 602 1 The the DT cord-009417-458rrhcm 602 2 use use NN cord-009417-458rrhcm 602 3 of of IN cord-009417-458rrhcm 602 4 factor factor NN cord-009417-458rrhcm 602 5 concentrates concentrate VBZ cord-009417-458rrhcm 602 6 or or CC cord-009417-458rrhcm 602 7 antifi antifi NN cord-009417-458rrhcm 602 8 brinolytic brinolytic JJ cord-009417-458rrhcm 602 9 agents agent NNS cord-009417-458rrhcm 602 10 may may MD cord-009417-458rrhcm 602 11 precipitate precipitate VB cord-009417-458rrhcm 602 12 thrombosis thrombosis NN cord-009417-458rrhcm 602 13 . . . cord-009417-458rrhcm 603 1 Activation activation NN cord-009417-458rrhcm 603 2 of of IN cord-009417-458rrhcm 603 3 fi fi NNP cord-009417-458rrhcm 603 4 brinolysis brinolysis NN cord-009417-458rrhcm 603 5 and and CC cord-009417-458rrhcm 603 6 decreased decrease VBD cord-009417-458rrhcm 603 7 clearance clearance NN cord-009417-458rrhcm 603 8 of of IN cord-009417-458rrhcm 603 9 activated activate VBN cord-009417-458rrhcm 603 10 factors factor NNS cord-009417-458rrhcm 603 11 may may MD cord-009417-458rrhcm 603 12 produce produce VB cord-009417-458rrhcm 603 13 or or CC cord-009417-458rrhcm 603 14 mimic mimic VB cord-009417-458rrhcm 603 15 chronic chronic JJ cord-009417-458rrhcm 603 16 DIC DIC NNP cord-009417-458rrhcm 603 17 , , , cord-009417-458rrhcm 603 18 thus thus RB cord-009417-458rrhcm 603 19 further further RB cord-009417-458rrhcm 603 20 exacerbating exacerbate VBG cord-009417-458rrhcm 603 21 the the DT cord-009417-458rrhcm 603 22 factor factor NN cord-009417-458rrhcm 603 23 defi defi NNP cord-009417-458rrhcm 603 24 ciencies ciencies NNP cord-009417-458rrhcm 603 25 and and CC cord-009417-458rrhcm 603 26 impairing impair VBG cord-009417-458rrhcm 603 27 coagulation coagulation NN cord-009417-458rrhcm 603 28 . . . cord-009417-458rrhcm 604 1 Abnormal abnormal JJ cord-009417-458rrhcm 604 2 platelet platelet NN cord-009417-458rrhcm 604 3 function function NN cord-009417-458rrhcm 604 4 and and CC cord-009417-458rrhcm 604 5 thrombocytopenia thrombocytopenia NN cord-009417-458rrhcm 604 6 may may MD cord-009417-458rrhcm 604 7 contribute contribute VB cord-009417-458rrhcm 604 8 to to IN cord-009417-458rrhcm 604 9 the the DT cord-009417-458rrhcm 604 10 coagulopathy coagulopathy NN cord-009417-458rrhcm 604 11 of of IN cord-009417-458rrhcm 604 12 liver liver NN cord-009417-458rrhcm 604 13 disease disease NN cord-009417-458rrhcm 604 14 , , , cord-009417-458rrhcm 604 15 with with IN cord-009417-458rrhcm 604 16 concomitant concomitant JJ cord-009417-458rrhcm 604 17 splenomegaly splenomegaly NN cord-009417-458rrhcm 604 18 reducing reduce VBG cord-009417-458rrhcm 604 19 the the DT cord-009417-458rrhcm 604 20 effectiveness effectiveness NN cord-009417-458rrhcm 604 21 of of IN cord-009417-458rrhcm 604 22 platelet platelet NN cord-009417-458rrhcm 604 23 transfusions transfusion NNS cord-009417-458rrhcm 604 24 . . . cord-009417-458rrhcm 605 1 Bleeding bleed VBG cord-009417-458rrhcm 605 2 in in IN cord-009417-458rrhcm 605 3 uremic uremic JJ cord-009417-458rrhcm 605 4 patients patient NNS cord-009417-458rrhcm 605 5 is be VBZ cord-009417-458rrhcm 605 6 exacerbated exacerbate VBN cord-009417-458rrhcm 605 7 by by IN cord-009417-458rrhcm 605 8 an an DT cord-009417-458rrhcm 605 9 acquired acquire VBN cord-009417-458rrhcm 605 10 platelet platelet NN cord-009417-458rrhcm 605 11 defect defect NN cord-009417-458rrhcm 605 12 , , , cord-009417-458rrhcm 605 13 in in IN cord-009417-458rrhcm 605 14 part part NN cord-009417-458rrhcm 605 15 secondary secondary JJ cord-009417-458rrhcm 605 16 to to IN cord-009417-458rrhcm 605 17 dialyzable dialyzable JJ cord-009417-458rrhcm 605 18 circulating circulate VBG cord-009417-458rrhcm 605 19 molecules molecule NNS cord-009417-458rrhcm 605 20 soluble soluble JJ cord-009417-458rrhcm 605 21 in in IN cord-009417-458rrhcm 605 22 platelet platelet NN cord-009417-458rrhcm 605 23 membranes membrane NNS cord-009417-458rrhcm 605 24 . . . cord-009417-458rrhcm 606 1 Plateletassociated Plateletassociated NNP cord-009417-458rrhcm 606 2 vWF vWF NNP cord-009417-458rrhcm 606 3 and and CC cord-009417-458rrhcm 606 4 plasma plasma NN cord-009417-458rrhcm 606 5 high high JJ cord-009417-458rrhcm 606 6 - - HYPH cord-009417-458rrhcm 606 7 molecular molecular JJ cord-009417-458rrhcm 606 8 - - HYPH cord-009417-458rrhcm 606 9 weight weight NN cord-009417-458rrhcm 606 10 vWF vwf NN cord-009417-458rrhcm 606 11 multimers multimer NNS cord-009417-458rrhcm 606 12 have have VBP cord-009417-458rrhcm 606 13 also also RB cord-009417-458rrhcm 606 14 been be VBN cord-009417-458rrhcm 606 15 shown show VBN cord-009417-458rrhcm 606 16 to to TO cord-009417-458rrhcm 606 17 be be VB cord-009417-458rrhcm 606 18 decreased decrease VBN cord-009417-458rrhcm 606 19 , , , cord-009417-458rrhcm 606 20 137 137 CD cord-009417-458rrhcm 606 21 which which WDT cord-009417-458rrhcm 606 22 may may MD cord-009417-458rrhcm 606 23 explain explain VB cord-009417-458rrhcm 606 24 the the DT cord-009417-458rrhcm 606 25 benefi benefi NNP cord-009417-458rrhcm 606 26 t t NN cord-009417-458rrhcm 606 27 shown show VBN cord-009417-458rrhcm 606 28 by by IN cord-009417-458rrhcm 606 29 DDAVP DDAVP NNP cord-009417-458rrhcm 606 30 138 138 CD cord-009417-458rrhcm 606 31 and and CC cord-009417-458rrhcm 606 32 cryoprecipitate cryoprecipitate NNP cord-009417-458rrhcm 606 33 in in IN cord-009417-458rrhcm 606 34 shortening shorten VBG cord-009417-458rrhcm 606 35 the the DT cord-009417-458rrhcm 606 36 bleeding bleed VBG cord-009417-458rrhcm 606 37 time time NN cord-009417-458rrhcm 606 38 and and CC cord-009417-458rrhcm 606 39 improving improve VBG cord-009417-458rrhcm 606 40 hemostasis hemostasis NN cord-009417-458rrhcm 606 41 in in IN cord-009417-458rrhcm 606 42 some some DT cord-009417-458rrhcm 606 43 uremic uremic JJ cord-009417-458rrhcm 606 44 patients patient NNS cord-009417-458rrhcm 606 45 . . . cord-009417-458rrhcm 607 1 Raising raise VBG cord-009417-458rrhcm 607 2 the the DT cord-009417-458rrhcm 607 3 Hct Hct NNP cord-009417-458rrhcm 607 4 by by IN cord-009417-458rrhcm 607 5 red red JJ cord-009417-458rrhcm 607 6 cell cell NN cord-009417-458rrhcm 607 7 transfusion transfusion NN cord-009417-458rrhcm 607 8 in in IN cord-009417-458rrhcm 607 9 anemic anemic JJ cord-009417-458rrhcm 607 10 patients patient NNS cord-009417-458rrhcm 607 11 has have VBZ cord-009417-458rrhcm 607 12 also also RB cord-009417-458rrhcm 607 13 been be VBN cord-009417-458rrhcm 607 14 shown show VBN cord-009417-458rrhcm 607 15 to to TO cord-009417-458rrhcm 607 16 shorten shorten VB cord-009417-458rrhcm 607 17 the the DT cord-009417-458rrhcm 607 18 bleeding bleed VBG cord-009417-458rrhcm 607 19 time time NN cord-009417-458rrhcm 607 20 , , , cord-009417-458rrhcm 607 21 presumably presumably RB cord-009417-458rrhcm 607 22 as as IN cord-009417-458rrhcm 607 23 a a DT cord-009417-458rrhcm 607 24 result result NN cord-009417-458rrhcm 607 25 of of IN cord-009417-458rrhcm 607 26 blood blood NN cord-009417-458rrhcm 607 27 vessel vessel NN cord-009417-458rrhcm 607 28 wall wall NN cord-009417-458rrhcm 607 29 - - HYPH cord-009417-458rrhcm 607 30 laminar laminar JJ cord-009417-458rrhcm 607 31 blood blood NN cord-009417-458rrhcm 607 32 fl fl NNP cord-009417-458rrhcm 607 33 ow ow NNP cord-009417-458rrhcm 607 34 interaction interaction NN cord-009417-458rrhcm 607 35 . . . cord-009417-458rrhcm 608 1 Transfusion transfusion NN cord-009417-458rrhcm 608 2 of of IN cord-009417-458rrhcm 608 3 platelets platelet NNS cord-009417-458rrhcm 608 4 in in IN cord-009417-458rrhcm 608 5 the the DT cord-009417-458rrhcm 608 6 absence absence NN cord-009417-458rrhcm 608 7 of of IN cord-009417-458rrhcm 608 8 thrombocytopenia thrombocytopenia NN cord-009417-458rrhcm 608 9 is be VBZ cord-009417-458rrhcm 608 10 unlikely unlikely JJ cord-009417-458rrhcm 608 11 to to TO cord-009417-458rrhcm 608 12 be be VB cord-009417-458rrhcm 608 13 of of IN cord-009417-458rrhcm 608 14 benefi benefi NNP cord-009417-458rrhcm 608 15 t t NNP cord-009417-458rrhcm 608 16 because because IN cord-009417-458rrhcm 608 17 the the DT cord-009417-458rrhcm 608 18 transfused transfuse VBN cord-009417-458rrhcm 608 19 platelets platelet NNS cord-009417-458rrhcm 608 20 rapidly rapidly RB cord-009417-458rrhcm 608 21 become become VBP cord-009417-458rrhcm 608 22 dysfunctional dysfunctional JJ cord-009417-458rrhcm 608 23 . . . cord-009417-458rrhcm 609 1 More more RBR cord-009417-458rrhcm 609 2 aggressive aggressive JJ cord-009417-458rrhcm 609 3 hemodialysis hemodialysis NN cord-009417-458rrhcm 609 4 is be VBZ cord-009417-458rrhcm 609 5 the the DT cord-009417-458rrhcm 609 6 most most RBS cord-009417-458rrhcm 609 7 widely widely RB cord-009417-458rrhcm 609 8 accepted accept VBN cord-009417-458rrhcm 609 9 method method NN cord-009417-458rrhcm 609 10 of of IN cord-009417-458rrhcm 609 11 reducing reduce VBG cord-009417-458rrhcm 609 12 platelet platelet NN cord-009417-458rrhcm 609 13 dysfunction dysfunction NN cord-009417-458rrhcm 609 14 . . . cord-009417-458rrhcm 610 1 BMT BMT NNP cord-009417-458rrhcm 610 2 patients patient NNS cord-009417-458rrhcm 610 3 are be VBP cord-009417-458rrhcm 610 4 vulnerable vulnerable JJ cord-009417-458rrhcm 610 5 to to IN cord-009417-458rrhcm 610 6 the the DT cord-009417-458rrhcm 610 7 severe severe JJ cord-009417-458rrhcm 610 8 infectious infectious JJ cord-009417-458rrhcm 610 9 and and CC cord-009417-458rrhcm 610 10 toxic toxic JJ cord-009417-458rrhcm 610 11 side side NN cord-009417-458rrhcm 610 12 effects effect NNS cord-009417-458rrhcm 610 13 of of IN cord-009417-458rrhcm 610 14 ablative ablative JJ cord-009417-458rrhcm 610 15 treatment treatment NN cord-009417-458rrhcm 610 16 and and CC cord-009417-458rrhcm 610 17 hence hence RB cord-009417-458rrhcm 610 18 may may MD cord-009417-458rrhcm 610 19 be be VB cord-009417-458rrhcm 610 20 cared care VBN cord-009417-458rrhcm 610 21 for for IN cord-009417-458rrhcm 610 22 in in IN cord-009417-458rrhcm 610 23 critical critical JJ cord-009417-458rrhcm 610 24 care care NN cord-009417-458rrhcm 610 25 units unit NNS cord-009417-458rrhcm 610 26 . . . cord-009417-458rrhcm 611 1 These these DT cord-009417-458rrhcm 611 2 patients patient NNS cord-009417-458rrhcm 611 3 may may MD cord-009417-458rrhcm 611 4 have have VB cord-009417-458rrhcm 611 5 intensive intensive JJ cord-009417-458rrhcm 611 6 red red JJ cord-009417-458rrhcm 611 7 cell cell NN cord-009417-458rrhcm 611 8 and and CC cord-009417-458rrhcm 611 9 platelet platelet NN cord-009417-458rrhcm 611 10 transfusion transfusion NN cord-009417-458rrhcm 611 11 requirements requirement NNS cord-009417-458rrhcm 611 12 and and CC cord-009417-458rrhcm 611 13 need need VB cord-009417-458rrhcm 611 14 specialized specialized JJ cord-009417-458rrhcm 611 15 products product NNS cord-009417-458rrhcm 611 16 such such JJ cord-009417-458rrhcm 611 17 as as IN cord-009417-458rrhcm 611 18 CMV CMV NNP cord-009417-458rrhcm 611 19 - - HYPH cord-009417-458rrhcm 611 20 negative negative JJ cord-009417-458rrhcm 611 21 and and CC cord-009417-458rrhcm 611 22 irradiated irradiated JJ cord-009417-458rrhcm 611 23 blood blood NN cord-009417-458rrhcm 611 24 components component NNS cord-009417-458rrhcm 611 25 . . . cord-009417-458rrhcm 612 1 A a DT cord-009417-458rrhcm 612 2 blood blood NN cord-009417-458rrhcm 612 3 bank bank NN cord-009417-458rrhcm 612 4 problem problem NN cord-009417-458rrhcm 612 5 uniquely uniquely RB cord-009417-458rrhcm 612 6 encountered encounter VBN cord-009417-458rrhcm 612 7 in in IN cord-009417-458rrhcm 612 8 BMT BMT NNP cord-009417-458rrhcm 612 9 is be VBZ cord-009417-458rrhcm 612 10 the the DT cord-009417-458rrhcm 612 11 need need NN cord-009417-458rrhcm 612 12 to to TO cord-009417-458rrhcm 612 13 switch switch VB cord-009417-458rrhcm 612 14 the the DT cord-009417-458rrhcm 612 15 patient patient NN cord-009417-458rrhcm 612 16 's 's POS cord-009417-458rrhcm 612 17 ABO ABO NNP cord-009417-458rrhcm 612 18 group group NN cord-009417-458rrhcm 612 19 because because IN cord-009417-458rrhcm 612 20 of of IN cord-009417-458rrhcm 612 21 an an DT cord-009417-458rrhcm 612 22 ABO ABO NNP cord-009417-458rrhcm 612 23 - - HYPH cord-009417-458rrhcm 612 24 mismatched mismatch VBN cord-009417-458rrhcm 612 25 transplant transplant NN cord-009417-458rrhcm 612 26 , , , cord-009417-458rrhcm 612 27 thus thus RB cord-009417-458rrhcm 612 28 necessitating necessitate VBG cord-009417-458rrhcm 612 29 an an DT cord-009417-458rrhcm 612 30 exchange exchange NN cord-009417-458rrhcm 612 31 transfusion transfusion NN cord-009417-458rrhcm 612 32 of of IN cord-009417-458rrhcm 612 33 red red JJ cord-009417-458rrhcm 612 34 cells cell NNS cord-009417-458rrhcm 612 35 and and CC cord-009417-458rrhcm 612 36 plasma plasma NN cord-009417-458rrhcm 612 37 - - HYPH cord-009417-458rrhcm 612 38 containing contain VBG cord-009417-458rrhcm 612 39 products product NNS cord-009417-458rrhcm 612 40 ( ( -LRB- cord-009417-458rrhcm 612 41 i.e. i.e. FW cord-009417-458rrhcm 612 42 , , , cord-009417-458rrhcm 612 43 platelet platelet NN cord-009417-458rrhcm 612 44 concentrates concentrate NNS cord-009417-458rrhcm 612 45 ) ) -RRB- cord-009417-458rrhcm 612 46 of of IN cord-009417-458rrhcm 612 47 differing differ VBG cord-009417-458rrhcm 612 48 ABO ABO NNP cord-009417-458rrhcm 612 49 type type NN cord-009417-458rrhcm 612 50 to to TO cord-009417-458rrhcm 612 51 avoid avoid VB cord-009417-458rrhcm 612 52 hemolysis hemolysis NN cord-009417-458rrhcm 612 53 of of IN cord-009417-458rrhcm 612 54 donor donor NN cord-009417-458rrhcm 612 55 and and CC cord-009417-458rrhcm 612 56 recipient recipient NN cord-009417-458rrhcm 612 57 cells cell NNS cord-009417-458rrhcm 612 58 . . . cord-009417-458rrhcm 613 1 BMT BMT NNP cord-009417-458rrhcm 613 2 patients patient NNS cord-009417-458rrhcm 613 3 may may MD cord-009417-458rrhcm 613 4 also also RB cord-009417-458rrhcm 613 5 manifest manifest VB cord-009417-458rrhcm 613 6 an an DT cord-009417-458rrhcm 613 7 increased increase VBN cord-009417-458rrhcm 613 8 rate rate NN cord-009417-458rrhcm 613 9 of of IN cord-009417-458rrhcm 613 10 delayed delayed JJ cord-009417-458rrhcm 613 11 hemolytic hemolytic JJ cord-009417-458rrhcm 613 12 reactions reaction NNS cord-009417-458rrhcm 613 13 139 139 CD cord-009417-458rrhcm 613 14 as as IN cord-009417-458rrhcm 613 15 donor donor NN cord-009417-458rrhcm 613 16 " " `` cord-009417-458rrhcm 613 17 passenger passenger NN cord-009417-458rrhcm 613 18 " " '' cord-009417-458rrhcm 613 19 lymphocytes lymphocyte NNS cord-009417-458rrhcm 613 20 recognize recognize VBP cord-009417-458rrhcm 613 21 recipient recipient NN cord-009417-458rrhcm 613 22 or or CC cord-009417-458rrhcm 613 23 transfused transfuse VBN cord-009417-458rrhcm 613 24 red red JJ cord-009417-458rrhcm 613 25 cell cell NN cord-009417-458rrhcm 613 26 antigens antigen NNS cord-009417-458rrhcm 613 27 . . . cord-009417-458rrhcm 614 1 Patients patient NNS cord-009417-458rrhcm 614 2 should should MD cord-009417-458rrhcm 614 3 be be VB cord-009417-458rrhcm 614 4 monitored monitor VBN cord-009417-458rrhcm 614 5 particularly particularly RB cord-009417-458rrhcm 614 6 closely closely RB cord-009417-458rrhcm 614 7 between between IN cord-009417-458rrhcm 614 8 days day NNS cord-009417-458rrhcm 614 9 10 10 CD cord-009417-458rrhcm 614 10 and and CC cord-009417-458rrhcm 614 11 20 20 CD cord-009417-458rrhcm 614 12 after after IN cord-009417-458rrhcm 614 13 a a DT cord-009417-458rrhcm 614 14 minormismatched minormismatche VBN cord-009417-458rrhcm 614 15 allogeneic allogeneic NN cord-009417-458rrhcm 614 16 transplant transplant NN cord-009417-458rrhcm 614 17 , , , cord-009417-458rrhcm 614 18 and and CC cord-009417-458rrhcm 614 19 aggressive aggressive JJ cord-009417-458rrhcm 614 20 transfusion transfusion NN cord-009417-458rrhcm 614 21 should should MD cord-009417-458rrhcm 614 22 be be VB cord-009417-458rrhcm 614 23 undertaken undertake VBN cord-009417-458rrhcm 614 24 if if IN cord-009417-458rrhcm 614 25 the the DT cord-009417-458rrhcm 614 26 hemoglobin hemoglobin NN cord-009417-458rrhcm 614 27 level level NN cord-009417-458rrhcm 614 28 falls fall VBZ cord-009417-458rrhcm 614 29 and and CC cord-009417-458rrhcm 614 30 the the DT cord-009417-458rrhcm 614 31 DAT DAT NNP cord-009417-458rrhcm 614 32 result result NN cord-009417-458rrhcm 614 33 becomes become VBZ cord-009417-458rrhcm 614 34 positive positive JJ cord-009417-458rrhcm 614 35 . . . cord-009417-458rrhcm 615 1 The the DT cord-009417-458rrhcm 615 2 safest safe JJS cord-009417-458rrhcm 615 3 transfusion transfusion NN cord-009417-458rrhcm 615 4 is be VBZ cord-009417-458rrhcm 615 5 one one NN cord-009417-458rrhcm 615 6 that that WDT cord-009417-458rrhcm 615 7 is be VBZ cord-009417-458rrhcm 615 8 not not RB cord-009417-458rrhcm 615 9 given give VBN cord-009417-458rrhcm 615 10 . . . cord-009417-458rrhcm 616 1 Therefore therefore RB cord-009417-458rrhcm 616 2 , , , cord-009417-458rrhcm 616 3 alternatives alternative NNS cord-009417-458rrhcm 616 4 to to IN cord-009417-458rrhcm 616 5 blood blood NN cord-009417-458rrhcm 616 6 component component NN cord-009417-458rrhcm 616 7 therapy therapy NN cord-009417-458rrhcm 616 8 continue continue VBP cord-009417-458rrhcm 616 9 to to TO cord-009417-458rrhcm 616 10 be be VB cord-009417-458rrhcm 616 11 sought seek VBN cord-009417-458rrhcm 616 12 and and CC cord-009417-458rrhcm 616 13 are be VBP cord-009417-458rrhcm 616 14 valuable valuable JJ cord-009417-458rrhcm 616 15 adjuncts adjunct NNS cord-009417-458rrhcm 616 16 in in IN cord-009417-458rrhcm 616 17 some some DT cord-009417-458rrhcm 616 18 instances instance NNS cord-009417-458rrhcm 616 19 . . . cord-009417-458rrhcm 617 1 It -PRON- PRP cord-009417-458rrhcm 617 2 is be VBZ cord-009417-458rrhcm 617 3 possible possible JJ cord-009417-458rrhcm 617 4 to to TO cord-009417-458rrhcm 617 5 limit limit VB cord-009417-458rrhcm 617 6 homologous homologous JJ cord-009417-458rrhcm 617 7 blood blood NN cord-009417-458rrhcm 617 8 exposure exposure NN cord-009417-458rrhcm 617 9 by by IN cord-009417-458rrhcm 617 10 the the DT cord-009417-458rrhcm 617 11 appropriate appropriate JJ cord-009417-458rrhcm 617 12 use use NN cord-009417-458rrhcm 617 13 of of IN cord-009417-458rrhcm 617 14 pharmacologic pharmacologic JJ cord-009417-458rrhcm 617 15 agents agent NNS cord-009417-458rrhcm 617 16 that that WDT cord-009417-458rrhcm 617 17 promote promote VBP cord-009417-458rrhcm 617 18 hemostasis hemostasis NN cord-009417-458rrhcm 617 19 and and CC cord-009417-458rrhcm 617 20 the the DT cord-009417-458rrhcm 617 21 administration administration NN cord-009417-458rrhcm 617 22 of of IN cord-009417-458rrhcm 617 23 recombinant recombinant JJ cord-009417-458rrhcm 617 24 hematopoietic hematopoietic JJ cord-009417-458rrhcm 617 25 growth growth NN cord-009417-458rrhcm 617 26 factors factor NNS cord-009417-458rrhcm 617 27 or or CC cord-009417-458rrhcm 617 28 biologic biologic JJ cord-009417-458rrhcm 617 29 growth growth NN cord-009417-458rrhcm 618 1 modifi modifi NNP cord-009417-458rrhcm 618 2 ers er NNS cord-009417-458rrhcm 618 3 to to TO cord-009417-458rrhcm 618 4 stimulate stimulate VB cord-009417-458rrhcm 618 5 marrow marrow NN cord-009417-458rrhcm 618 6 hematopoiesis hematopoiesis NN cord-009417-458rrhcm 618 7 . . . cord-009417-458rrhcm 619 1 Only only RB cord-009417-458rrhcm 619 2 one one CD cord-009417-458rrhcm 619 3 substitute substitute NN cord-009417-458rrhcm 619 4 for for IN cord-009417-458rrhcm 619 5 RBC RBC NNP cord-009417-458rrhcm 619 6 transfusions transfusion NNS cord-009417-458rrhcm 619 7 has have VBZ cord-009417-458rrhcm 619 8 been be VBN cord-009417-458rrhcm 619 9 approved approve VBN cord-009417-458rrhcm 619 10 in in IN cord-009417-458rrhcm 619 11 the the DT cord-009417-458rrhcm 619 12 United United NNP cord-009417-458rrhcm 619 13 States States NNP cord-009417-458rrhcm 619 14 , , , cord-009417-458rrhcm 619 15 a a DT cord-009417-458rrhcm 619 16 polyfl polyfl NNP cord-009417-458rrhcm 619 17 uorocarbon uorocarbon NNP cord-009417-458rrhcm 619 18 oxygen oxygen NN cord-009417-458rrhcm 619 19 carrier carrier NN cord-009417-458rrhcm 619 20 with with IN cord-009417-458rrhcm 619 21 signifi signifi NNP cord-009417-458rrhcm 619 22 ca can MD cord-009417-458rrhcm 619 23 nt not RB cord-009417-458rrhcm 619 24 limitations limitation NNS cord-009417-458rrhcm 619 25 as as IN cord-009417-458rrhcm 619 26 a a DT cord-009417-458rrhcm 619 27 blood blood NN cord-009417-458rrhcm 619 28 substitute substitute NN cord-009417-458rrhcm 619 29 . . . cord-009417-458rrhcm 620 1 140 140 CD cord-009417-458rrhcm 620 2 Other other JJ cord-009417-458rrhcm 620 3 preparations preparation NNS cord-009417-458rrhcm 620 4 that that WDT cord-009417-458rrhcm 620 5 have have VBP cord-009417-458rrhcm 620 6 been be VBN cord-009417-458rrhcm 620 7 explored explore VBN cord-009417-458rrhcm 620 8 in in IN cord-009417-458rrhcm 620 9 clinical clinical JJ cord-009417-458rrhcm 620 10 trials trial NNS cord-009417-458rrhcm 620 11 are be VBP cord-009417-458rrhcm 620 12 cell cell NN cord-009417-458rrhcm 620 13 - - HYPH cord-009417-458rrhcm 620 14 free free JJ cord-009417-458rrhcm 620 15 hemoglobin hemoglobin NN cord-009417-458rrhcm 620 16 solutions solution NNS cord-009417-458rrhcm 620 17 cross cross NN cord-009417-458rrhcm 620 18 - - JJ cord-009417-458rrhcm 620 19 linked link VBN cord-009417-458rrhcm 620 20 or or CC cord-009417-458rrhcm 620 21 polymerized polymerize VBN cord-009417-458rrhcm 620 22 by by IN cord-009417-458rrhcm 620 23 chemical chemical JJ cord-009417-458rrhcm 620 24 manipulation manipulation NN cord-009417-458rrhcm 620 25 to to TO cord-009417-458rrhcm 620 26 prevent prevent VB cord-009417-458rrhcm 620 27 rapid rapid JJ cord-009417-458rrhcm 620 28 clearance clearance NN cord-009417-458rrhcm 620 29 from from IN cord-009417-458rrhcm 620 30 the the DT cord-009417-458rrhcm 620 31 circulation circulation NN cord-009417-458rrhcm 620 32 . . . cord-009417-458rrhcm 621 1 They -PRON- PRP cord-009417-458rrhcm 621 2 are be VBP cord-009417-458rrhcm 621 3 intended intend VBN cord-009417-458rrhcm 621 4 to to TO cord-009417-458rrhcm 621 5 provide provide VB cord-009417-458rrhcm 621 6 short short JJ cord-009417-458rrhcm 621 7 - - HYPH cord-009417-458rrhcm 621 8 term term NN cord-009417-458rrhcm 621 9 oxygen oxygen NN cord-009417-458rrhcm 621 10 - - HYPH cord-009417-458rrhcm 621 11 carrying carry VBG cord-009417-458rrhcm 621 12 capacity capacity NN cord-009417-458rrhcm 621 13 for for IN cord-009417-458rrhcm 621 14 acutely acutely RB cord-009417-458rrhcm 621 15 ill ill JJ cord-009417-458rrhcm 621 16 patients patient NNS cord-009417-458rrhcm 621 17 and and CC cord-009417-458rrhcm 621 18 have have VBP cord-009417-458rrhcm 621 19 the the DT cord-009417-458rrhcm 621 20 advantage advantage NN cord-009417-458rrhcm 621 21 of of IN cord-009417-458rrhcm 621 22 not not RB cord-009417-458rrhcm 621 23 requiring require VBG cord-009417-458rrhcm 621 24 crossmatching crossmatching NN cord-009417-458rrhcm 621 25 or or CC cord-009417-458rrhcm 621 26 infection infection NN cord-009417-458rrhcm 621 27 control control NN cord-009417-458rrhcm 621 28 . . . cord-009417-458rrhcm 622 1 Although although IN cord-009417-458rrhcm 622 2 these these DT cord-009417-458rrhcm 622 3 proposed propose VBN cord-009417-458rrhcm 622 4 products product NNS cord-009417-458rrhcm 622 5 may may MD cord-009417-458rrhcm 622 6 have have VB cord-009417-458rrhcm 622 7 a a DT cord-009417-458rrhcm 622 8 longer long JJR cord-009417-458rrhcm 622 9 shelf shelf NN cord-009417-458rrhcm 622 10 - - HYPH cord-009417-458rrhcm 622 11 life life NN cord-009417-458rrhcm 622 12 and and CC cord-009417-458rrhcm 622 13 are be VBP cord-009417-458rrhcm 622 14 easier easy JJR cord-009417-458rrhcm 622 15 to to TO cord-009417-458rrhcm 622 16 transport transport VB cord-009417-458rrhcm 622 17 , , , cord-009417-458rrhcm 622 18 their -PRON- PRP$ cord-009417-458rrhcm 622 19 drawbacks drawback NNS cord-009417-458rrhcm 622 20 are be VBP cord-009417-458rrhcm 622 21 many many JJ cord-009417-458rrhcm 622 22 . . . cord-009417-458rrhcm 623 1 Most Most JJS cord-009417-458rrhcm 623 2 have have VBP cord-009417-458rrhcm 623 3 a a DT cord-009417-458rrhcm 623 4 circulatory circulatory JJ cord-009417-458rrhcm 623 5 half half JJ cord-009417-458rrhcm 623 6 - - HYPH cord-009417-458rrhcm 623 7 life life NN cord-009417-458rrhcm 623 8 of of IN cord-009417-458rrhcm 623 9 only only RB cord-009417-458rrhcm 623 10 about about RB cord-009417-458rrhcm 623 11 24 24 CD cord-009417-458rrhcm 623 12 hours hour NNS cord-009417-458rrhcm 623 13 . . . cord-009417-458rrhcm 624 1 The the DT cord-009417-458rrhcm 624 2 oxygen oxygen NN cord-009417-458rrhcm 624 3 dissociation dissociation NN cord-009417-458rrhcm 624 4 curve curve NN cord-009417-458rrhcm 624 5 for for IN cord-009417-458rrhcm 624 6 these these DT cord-009417-458rrhcm 624 7 substitutes substitute NNS cord-009417-458rrhcm 624 8 is be VBZ cord-009417-458rrhcm 624 9 also also RB cord-009417-458rrhcm 624 10 frequently frequently RB cord-009417-458rrhcm 624 11 not not RB cord-009417-458rrhcm 624 12 favorable favorable JJ cord-009417-458rrhcm 624 13 : : : cord-009417-458rrhcm 624 14 either either CC cord-009417-458rrhcm 624 15 a a DT cord-009417-458rrhcm 624 16 high high JJ cord-009417-458rrhcm 624 17 FIO FIO NNP cord-009417-458rrhcm 624 18 2 2 CD cord-009417-458rrhcm 624 19 is be VBZ cord-009417-458rrhcm 624 20 required require VBN cord-009417-458rrhcm 624 21 to to TO cord-009417-458rrhcm 624 22 " " `` cord-009417-458rrhcm 624 23 load load VB cord-009417-458rrhcm 624 24 " " '' cord-009417-458rrhcm 624 25 these these DT cord-009417-458rrhcm 624 26 molecules molecule NNS cord-009417-458rrhcm 625 1 or or CC cord-009417-458rrhcm 625 2 they -PRON- PRP cord-009417-458rrhcm 625 3 are be VBP cord-009417-458rrhcm 625 4 less less RBR cord-009417-458rrhcm 625 5 likely likely JJ cord-009417-458rrhcm 625 6 to to TO cord-009417-458rrhcm 625 7 deliver deliver VB cord-009417-458rrhcm 625 8 oxygen oxygen NN cord-009417-458rrhcm 625 9 efficiently efficiently RB cord-009417-458rrhcm 625 10 at at IN cord-009417-458rrhcm 625 11 lower low JJR cord-009417-458rrhcm 625 12 PO PO NNP cord-009417-458rrhcm 625 13 2 2 CD cord-009417-458rrhcm 625 14 levels level NNS cord-009417-458rrhcm 625 15 . . . cord-009417-458rrhcm 626 1 141 141 CD cord-009417-458rrhcm 627 1 Because because IN cord-009417-458rrhcm 627 2 the the DT cord-009417-458rrhcm 627 3 hemoglobin hemoglobin NN cord-009417-458rrhcm 627 4 source source NN cord-009417-458rrhcm 627 5 is be VBZ cord-009417-458rrhcm 627 6 reclaimed reclaim VBN cord-009417-458rrhcm 627 7 bovine bovine JJ cord-009417-458rrhcm 627 8 or or CC cord-009417-458rrhcm 627 9 human human JJ cord-009417-458rrhcm 627 10 red red JJ cord-009417-458rrhcm 627 11 cells cell NNS cord-009417-458rrhcm 627 12 , , , cord-009417-458rrhcm 627 13 it -PRON- PRP cord-009417-458rrhcm 627 14 is be VBZ cord-009417-458rrhcm 627 15 unlikely unlikely JJ cord-009417-458rrhcm 627 16 that that IN cord-009417-458rrhcm 627 17 patients patient NNS cord-009417-458rrhcm 627 18 who who WP cord-009417-458rrhcm 627 19 do do VBP cord-009417-458rrhcm 627 20 not not RB cord-009417-458rrhcm 627 21 accept accept VB cord-009417-458rrhcm 627 22 blood blood NN cord-009417-458rrhcm 627 23 components component NNS cord-009417-458rrhcm 627 24 because because IN cord-009417-458rrhcm 627 25 of of IN cord-009417-458rrhcm 627 26 their -PRON- PRP$ cord-009417-458rrhcm 627 27 religious religious JJ cord-009417-458rrhcm 627 28 beliefs belief NNS cord-009417-458rrhcm 627 29 ( ( -LRB- cord-009417-458rrhcm 627 30 Jehovah Jehovah NNP cord-009417-458rrhcm 627 31 's 's POS cord-009417-458rrhcm 627 32 Witnesses Witnesses NNPS cord-009417-458rrhcm 627 33 ) ) -RRB- cord-009417-458rrhcm 627 34 will will MD cord-009417-458rrhcm 627 35 accept accept VB cord-009417-458rrhcm 627 36 these these DT cord-009417-458rrhcm 627 37 types type NNS cord-009417-458rrhcm 627 38 of of IN cord-009417-458rrhcm 627 39 hemoglobin hemoglobin NN cord-009417-458rrhcm 627 40 solutions solution NNS cord-009417-458rrhcm 627 41 . . . cord-009417-458rrhcm 628 1 One one CD cord-009417-458rrhcm 628 2 product product NN cord-009417-458rrhcm 628 3 in in IN cord-009417-458rrhcm 628 4 development development NN cord-009417-458rrhcm 628 5 uses use VBZ cord-009417-458rrhcm 628 6 recombinant recombinant JJ cord-009417-458rrhcm 628 7 technology technology NN cord-009417-458rrhcm 628 8 to to TO cord-009417-458rrhcm 628 9 generate generate VB cord-009417-458rrhcm 628 10 hemoglobin hemoglobin NN cord-009417-458rrhcm 628 11 , , , cord-009417-458rrhcm 628 12 and and CC cord-009417-458rrhcm 628 13 it -PRON- PRP cord-009417-458rrhcm 628 14 is be VBZ cord-009417-458rrhcm 628 15 hoped hope VBN cord-009417-458rrhcm 628 16 that that IN cord-009417-458rrhcm 628 17 this this DT cord-009417-458rrhcm 628 18 solution solution NN cord-009417-458rrhcm 628 19 may may MD cord-009417-458rrhcm 628 20 be be VB cord-009417-458rrhcm 628 21 acceptable acceptable JJ cord-009417-458rrhcm 628 22 to to IN cord-009417-458rrhcm 628 23 these these DT cord-009417-458rrhcm 628 24 patients patient NNS cord-009417-458rrhcm 628 25 . . . cord-009417-458rrhcm 629 1 The the DT cord-009417-458rrhcm 629 2 licensed licensed JJ cord-009417-458rrhcm 629 3 perfl perfl NNP cord-009417-458rrhcm 629 4 uorocarbon uorocarbon NNP cord-009417-458rrhcm 629 5 solutions solution NNS cord-009417-458rrhcm 629 6 have have VBP cord-009417-458rrhcm 629 7 failed fail VBN cord-009417-458rrhcm 629 8 to to TO cord-009417-458rrhcm 629 9 demonstrate demonstrate VB cord-009417-458rrhcm 629 10 any any DT cord-009417-458rrhcm 629 11 utility utility NN cord-009417-458rrhcm 629 12 as as IN cord-009417-458rrhcm 629 13 intravascular intravascular JJ cord-009417-458rrhcm 629 14 oxygen oxygen NN cord-009417-458rrhcm 629 15 carriers carrier NNS cord-009417-458rrhcm 629 16 because because IN cord-009417-458rrhcm 629 17 of of IN cord-009417-458rrhcm 629 18 their -PRON- PRP$ cord-009417-458rrhcm 629 19 unfavorable unfavorable JJ cord-009417-458rrhcm 629 20 P-50 P-50 NNP cord-009417-458rrhcm 629 21 ( ( -LRB- cord-009417-458rrhcm 629 22 oxygen oxygen NN cord-009417-458rrhcm 629 23 half half JJ cord-009417-458rrhcm 629 24 - - HYPH cord-009417-458rrhcm 629 25 saturation saturation NN cord-009417-458rrhcm 629 26 pressure pressure NN cord-009417-458rrhcm 629 27 ) ) -RRB- cord-009417-458rrhcm 629 28 and and CC cord-009417-458rrhcm 629 29 oxygen oxygen NN cord-009417-458rrhcm 629 30 off off IN cord-009417-458rrhcm 629 31 - - HYPH cord-009417-458rrhcm 629 32 loading loading NN cord-009417-458rrhcm 629 33 characteristics characteristic NNS cord-009417-458rrhcm 629 34 . . . cord-009417-458rrhcm 630 1 They -PRON- PRP cord-009417-458rrhcm 630 2 are be VBP cord-009417-458rrhcm 630 3 fi fi IN cord-009417-458rrhcm 630 4 nding nde VBG cord-009417-458rrhcm 630 5 limited limited JJ cord-009417-458rrhcm 630 6 application application NN cord-009417-458rrhcm 630 7 in in IN cord-009417-458rrhcm 630 8 regional regional JJ cord-009417-458rrhcm 630 9 oxygenation oxygenation NN cord-009417-458rrhcm 630 10 during during IN cord-009417-458rrhcm 630 11 angioplasty angioplasty NN cord-009417-458rrhcm 630 12 or or CC cord-009417-458rrhcm 630 13 stent stent NN cord-009417-458rrhcm 630 14 placement placement NN cord-009417-458rrhcm 630 15 procedures procedure NNS cord-009417-458rrhcm 630 16 and and CC cord-009417-458rrhcm 630 17 a a DT cord-009417-458rrhcm 630 18 more more RBR cord-009417-458rrhcm 630 19 novel novel JJ cord-009417-458rrhcm 630 20 use use NN cord-009417-458rrhcm 630 21 in in IN cord-009417-458rrhcm 630 22 " " `` cord-009417-458rrhcm 630 23 liquid liquid JJ cord-009417-458rrhcm 630 24 ventilation ventilation NN cord-009417-458rrhcm 630 25 . . . cord-009417-458rrhcm 631 1 " " `` cord-009417-458rrhcm 631 2 This this DT cord-009417-458rrhcm 631 3 involves involve VBZ cord-009417-458rrhcm 631 4 the the DT cord-009417-458rrhcm 631 5 ventilation ventilation NN cord-009417-458rrhcm 631 6 of of IN cord-009417-458rrhcm 631 7 intubated intubate VBN cord-009417-458rrhcm 631 8 patients patient NNS cord-009417-458rrhcm 631 9 experiencing experience VBG cord-009417-458rrhcm 631 10 severe severe JJ cord-009417-458rrhcm 631 11 pulmonary pulmonary JJ cord-009417-458rrhcm 631 12 compromise compromise NN cord-009417-458rrhcm 631 13 with with IN cord-009417-458rrhcm 631 14 superoxygenated superoxygenated NNP cord-009417-458rrhcm 631 15 perfl perfl NNP cord-009417-458rrhcm 631 16 uorocarbon uorocarbon NNP cord-009417-458rrhcm 631 17 solutions solution NNS cord-009417-458rrhcm 631 18 in in IN cord-009417-458rrhcm 631 19 place place NN cord-009417-458rrhcm 631 20 of of IN cord-009417-458rrhcm 631 21 oxygen oxygen NN cord-009417-458rrhcm 631 22 - - HYPH cord-009417-458rrhcm 631 23 enriched enrich VBN cord-009417-458rrhcm 631 24 air air NN cord-009417-458rrhcm 631 25 . . . cord-009417-458rrhcm 632 1 142 142 CD cord-009417-458rrhcm 633 1 The the DT cord-009417-458rrhcm 633 2 synthetic synthetic JJ cord-009417-458rrhcm 633 3 vasopressin vasopressin NN cord-009417-458rrhcm 633 4 analogue analogue NN cord-009417-458rrhcm 633 5 DDAVP DDAVP NNP cord-009417-458rrhcm 633 6 increases increase VBZ cord-009417-458rrhcm 633 7 plasma plasma NN cord-009417-458rrhcm 633 8 factor factor NN cord-009417-458rrhcm 633 9 VIII VIII NNP cord-009417-458rrhcm 633 10 : : : cord-009417-458rrhcm 634 1 c c NNP cord-009417-458rrhcm 634 2 and and CC cord-009417-458rrhcm 634 3 promotes promote VBZ cord-009417-458rrhcm 634 4 the the DT cord-009417-458rrhcm 634 5 release release NN cord-009417-458rrhcm 634 6 of of IN cord-009417-458rrhcm 634 7 vWF vwf NN cord-009417-458rrhcm 634 8 from from IN cord-009417-458rrhcm 634 9 endothelial endothelial JJ cord-009417-458rrhcm 634 10 stores store NNS cord-009417-458rrhcm 634 11 . . . cord-009417-458rrhcm 635 1 143 143 CD cord-009417-458rrhcm 635 2 DDAVP DDAVP NNP cord-009417-458rrhcm 635 3 has have VBZ cord-009417-458rrhcm 635 4 provided provide VBN cord-009417-458rrhcm 635 5 effective effective JJ cord-009417-458rrhcm 635 6 hemostasis hemostasis NN cord-009417-458rrhcm 635 7 in in IN cord-009417-458rrhcm 635 8 bleeding bleed VBG cord-009417-458rrhcm 635 9 patients patient NNS cord-009417-458rrhcm 635 10 with with IN cord-009417-458rrhcm 635 11 mild mild JJ cord-009417-458rrhcm 635 12 hemophilia hemophilia NN cord-009417-458rrhcm 635 13 A a NN cord-009417-458rrhcm 635 14 and and CC cord-009417-458rrhcm 635 15 type type NN cord-009417-458rrhcm 635 16 I -PRON- PRP cord-009417-458rrhcm 635 17 von von VBP cord-009417-458rrhcm 635 18 Willebrand Willebrand NNP cord-009417-458rrhcm 635 19 's 's POS cord-009417-458rrhcm 635 20 disease disease NN cord-009417-458rrhcm 635 21 and and CC cord-009417-458rrhcm 635 22 has have VBZ cord-009417-458rrhcm 635 23 been be VBN cord-009417-458rrhcm 635 24 used use VBN cord-009417-458rrhcm 635 25 as as IN cord-009417-458rrhcm 635 26 prophylaxis prophylaxis NN cord-009417-458rrhcm 635 27 for for IN cord-009417-458rrhcm 635 28 patients patient NNS cord-009417-458rrhcm 635 29 undergoing undergo VBG cord-009417-458rrhcm 635 30 surgery surgery NN cord-009417-458rrhcm 635 31 . . . cord-009417-458rrhcm 636 1 DDAVP DDAVP NNP cord-009417-458rrhcm 636 2 reportedly reportedly RB cord-009417-458rrhcm 636 3 improves improve VBZ cord-009417-458rrhcm 636 4 platelet platelet NN cord-009417-458rrhcm 636 5 function function NN cord-009417-458rrhcm 636 6 in in IN cord-009417-458rrhcm 636 7 some some DT cord-009417-458rrhcm 636 8 patients patient NNS cord-009417-458rrhcm 636 9 with with IN cord-009417-458rrhcm 636 10 qualitative qualitative JJ cord-009417-458rrhcm 636 11 platelet platelet NN cord-009417-458rrhcm 636 12 disorders disorder NNS cord-009417-458rrhcm 636 13 associated associate VBN cord-009417-458rrhcm 636 14 with with IN cord-009417-458rrhcm 636 15 uremia uremia NN cord-009417-458rrhcm 636 16 , , , cord-009417-458rrhcm 636 17 136 136 CD cord-009417-458rrhcm 636 18 cirrhosis cirrhosis NN cord-009417-458rrhcm 636 19 , , , cord-009417-458rrhcm 636 20 and and CC cord-009417-458rrhcm 636 21 aspirin aspirin NN cord-009417-458rrhcm 636 22 ingestion ingestion NN cord-009417-458rrhcm 636 23 . . . cord-009417-458rrhcm 637 1 Studies study NNS cord-009417-458rrhcm 637 2 of of IN cord-009417-458rrhcm 637 3 its -PRON- PRP$ cord-009417-458rrhcm 637 4 effi effi NNP cord-009417-458rrhcm 637 5 cacy cacy NN cord-009417-458rrhcm 637 6 in in IN cord-009417-458rrhcm 637 7 cardiopulmonary cardiopulmonary JJ cord-009417-458rrhcm 637 8 bypass bypass NN cord-009417-458rrhcm 637 9 procedures procedure NNS cord-009417-458rrhcm 637 10 are be VBP cord-009417-458rrhcm 637 11 confl confl NN cord-009417-458rrhcm 637 12 icting icting NN cord-009417-458rrhcm 637 13 , , , cord-009417-458rrhcm 637 14 but but CC cord-009417-458rrhcm 637 15 a a DT cord-009417-458rrhcm 637 16 subset subset NN cord-009417-458rrhcm 637 17 of of IN cord-009417-458rrhcm 637 18 these these DT cord-009417-458rrhcm 637 19 patients patient NNS cord-009417-458rrhcm 637 20 may may MD cord-009417-458rrhcm 637 21 benefi benefi VB cord-009417-458rrhcm 637 22 t. t. NNP cord-009417-458rrhcm 638 1 The the DT cord-009417-458rrhcm 638 2 chief chief JJ cord-009417-458rrhcm 638 3 drawback drawback NN cord-009417-458rrhcm 638 4 to to IN cord-009417-458rrhcm 638 5 its -PRON- PRP$ cord-009417-458rrhcm 638 6 use use NN cord-009417-458rrhcm 638 7 is be VBZ cord-009417-458rrhcm 638 8 tachyphylaxis tachyphylaxis NNP cord-009417-458rrhcm 638 9 , , , cord-009417-458rrhcm 638 10 which which WDT cord-009417-458rrhcm 638 11 develops develop VBZ cord-009417-458rrhcm 638 12 in in IN cord-009417-458rrhcm 638 13 essentially essentially RB cord-009417-458rrhcm 638 14 all all DT cord-009417-458rrhcm 638 15 cases case NNS cord-009417-458rrhcm 638 16 after after IN cord-009417-458rrhcm 638 17 short short JJ cord-009417-458rrhcm 638 18 - - HYPH cord-009417-458rrhcm 638 19 term term NN cord-009417-458rrhcm 638 20 repeated repeat VBN cord-009417-458rrhcm 638 21 administration administration NN cord-009417-458rrhcm 638 22 . . . cord-009417-458rrhcm 639 1 The the DT cord-009417-458rrhcm 639 2 lysine lysine NN cord-009417-458rrhcm 639 3 analogues analogue NNS cord-009417-458rrhcm 639 4 ε ε NNP cord-009417-458rrhcm 639 5 - - HYPH cord-009417-458rrhcm 639 6 aminocaproic aminocaproic NNP cord-009417-458rrhcm 639 7 acid acid NN cord-009417-458rrhcm 639 8 and and CC cord-009417-458rrhcm 639 9 tranexamic tranexamic JJ cord-009417-458rrhcm 639 10 acid acid NN cord-009417-458rrhcm 640 1 inhibit inhibit VB cord-009417-458rrhcm 640 2 fi fi IN cord-009417-458rrhcm 640 3 brinolysis brinolysis NN cord-009417-458rrhcm 640 4 by by IN cord-009417-458rrhcm 640 5 blocking block VBG cord-009417-458rrhcm 640 6 the the DT cord-009417-458rrhcm 640 7 binding binding NN cord-009417-458rrhcm 640 8 of of IN cord-009417-458rrhcm 640 9 plasminogen plasminogen NN cord-009417-458rrhcm 640 10 and and CC cord-009417-458rrhcm 640 11 plasmin plasmin NN cord-009417-458rrhcm 640 12 to to IN cord-009417-458rrhcm 640 13 fi fi NNP cord-009417-458rrhcm 640 14 brin brin NNP cord-009417-458rrhcm 640 15 . . . cord-009417-458rrhcm 641 1 These these DT cord-009417-458rrhcm 641 2 antifi antifi NN cord-009417-458rrhcm 641 3 brinolytic brinolytic JJ cord-009417-458rrhcm 641 4 agents agent NNS cord-009417-458rrhcm 641 5 may may MD cord-009417-458rrhcm 641 6 decrease decrease VB cord-009417-458rrhcm 641 7 bleeding bleed VBG cord-009417-458rrhcm 641 8 and and CC cord-009417-458rrhcm 641 9 thus thus RB cord-009417-458rrhcm 641 10 the the DT cord-009417-458rrhcm 641 11 need need NN cord-009417-458rrhcm 641 12 for for IN cord-009417-458rrhcm 641 13 homologous homologous JJ cord-009417-458rrhcm 641 14 blood blood NN cord-009417-458rrhcm 641 15 components component NNS cord-009417-458rrhcm 641 16 in in IN cord-009417-458rrhcm 641 17 patients patient NNS cord-009417-458rrhcm 641 18 with with IN cord-009417-458rrhcm 641 19 hemophilia hemophilia NN cord-009417-458rrhcm 641 20 , , , cord-009417-458rrhcm 641 21 thrombocytopenia thrombocytopenia NN cord-009417-458rrhcm 641 22 , , , cord-009417-458rrhcm 641 23 and and CC cord-009417-458rrhcm 641 24 systemic systemic JJ cord-009417-458rrhcm 641 25 fi fi NN cord-009417-458rrhcm 641 26 brinolysis brinolysis NN cord-009417-458rrhcm 641 27 . . . cord-009417-458rrhcm 642 1 A a DT cord-009417-458rrhcm 642 2 novel novel JJ cord-009417-458rrhcm 642 3 and and CC cord-009417-458rrhcm 642 4 effective effective JJ cord-009417-458rrhcm 642 5 use use NN cord-009417-458rrhcm 642 6 of of IN cord-009417-458rrhcm 642 7 tranexamic tranexamic JJ cord-009417-458rrhcm 642 8 acid acid NN cord-009417-458rrhcm 642 9 involves involve VBZ cord-009417-458rrhcm 642 10 administration administration NN cord-009417-458rrhcm 642 11 as as IN cord-009417-458rrhcm 642 12 a a DT cord-009417-458rrhcm 642 13 mouthwash mouthwash NN cord-009417-458rrhcm 642 14 in in IN cord-009417-458rrhcm 642 15 preparation preparation NN cord-009417-458rrhcm 642 16 for for IN cord-009417-458rrhcm 642 17 oral oral JJ cord-009417-458rrhcm 642 18 surgery surgery NN cord-009417-458rrhcm 642 19 in in IN cord-009417-458rrhcm 642 20 patients patient NNS cord-009417-458rrhcm 642 21 with with IN cord-009417-458rrhcm 642 22 hemophilia hemophilia NN cord-009417-458rrhcm 642 23 or or CC cord-009417-458rrhcm 642 24 those those DT cord-009417-458rrhcm 642 25 receiving receive VBG cord-009417-458rrhcm 642 26 oral oral JJ cord-009417-458rrhcm 642 27 anticoagulant anticoagulant NN cord-009417-458rrhcm 642 28 therapy therapy NN cord-009417-458rrhcm 642 29 . . . cord-009417-458rrhcm 643 1 144 144 CD cord-009417-458rrhcm 644 1 The the DT cord-009417-458rrhcm 644 2 most most RBS cord-009417-458rrhcm 644 3 serious serious JJ cord-009417-458rrhcm 644 4 side side NN cord-009417-458rrhcm 644 5 effect effect NN cord-009417-458rrhcm 644 6 of of IN cord-009417-458rrhcm 644 7 these these DT cord-009417-458rrhcm 644 8 agents agent NNS cord-009417-458rrhcm 644 9 when when WRB cord-009417-458rrhcm 644 10 systemically systemically RB cord-009417-458rrhcm 644 11 administered administer VBN cord-009417-458rrhcm 644 12 is be VBZ cord-009417-458rrhcm 644 13 thrombosis thrombosis NN cord-009417-458rrhcm 644 14 ; ; : cord-009417-458rrhcm 644 15 thus thus RB cord-009417-458rrhcm 644 16 , , , cord-009417-458rrhcm 644 17 it -PRON- PRP cord-009417-458rrhcm 644 18 is be VBZ cord-009417-458rrhcm 644 19 important important JJ cord-009417-458rrhcm 644 20 to to TO cord-009417-458rrhcm 644 21 use use VB cord-009417-458rrhcm 644 22 them -PRON- PRP cord-009417-458rrhcm 644 23 appropriately appropriately RB cord-009417-458rrhcm 644 24 and and CC cord-009417-458rrhcm 644 25 monitor monitor VB cord-009417-458rrhcm 644 26 the the DT cord-009417-458rrhcm 644 27 patient patient NN cord-009417-458rrhcm 644 28 carefully carefully RB cord-009417-458rrhcm 644 29 during during IN cord-009417-458rrhcm 644 30 their -PRON- PRP$ cord-009417-458rrhcm 644 31 use use NN cord-009417-458rrhcm 644 32 . . . cord-009417-458rrhcm 645 1 Aprotinin Aprotinin NNP cord-009417-458rrhcm 645 2 is be VBZ cord-009417-458rrhcm 645 3 a a DT cord-009417-458rrhcm 645 4 naturally naturally RB cord-009417-458rrhcm 645 5 occurring occur VBG cord-009417-458rrhcm 645 6 bovine bovine JJ cord-009417-458rrhcm 645 7 serine serine NN cord-009417-458rrhcm 645 8 protease protease NN cord-009417-458rrhcm 645 9 inhibitor inhibitor NN cord-009417-458rrhcm 645 10 that that WDT cord-009417-458rrhcm 645 11 acts act VBZ cord-009417-458rrhcm 645 12 on on IN cord-009417-458rrhcm 645 13 plasma plasma NN cord-009417-458rrhcm 645 14 serine serine NN cord-009417-458rrhcm 645 15 proteases protease NNS cord-009417-458rrhcm 645 16 such such JJ cord-009417-458rrhcm 645 17 as as IN cord-009417-458rrhcm 645 18 plasmin plasmin NNP cord-009417-458rrhcm 645 19 , , , cord-009417-458rrhcm 645 20 kallikrein kallikrein NNP cord-009417-458rrhcm 645 21 , , , cord-009417-458rrhcm 645 22 trypsin trypsin NN cord-009417-458rrhcm 645 23 , , , cord-009417-458rrhcm 645 24 and and CC cord-009417-458rrhcm 645 25 some some DT cord-009417-458rrhcm 645 26 coagulation coagulation NN cord-009417-458rrhcm 645 27 proteins protein NNS cord-009417-458rrhcm 645 28 . . . cord-009417-458rrhcm 646 1 Aprotinin Aprotinin NNP cord-009417-458rrhcm 646 2 has have VBZ cord-009417-458rrhcm 646 3 been be VBN cord-009417-458rrhcm 646 4 shown show VBN cord-009417-458rrhcm 646 5 to to TO cord-009417-458rrhcm 646 6 reduce reduce VB cord-009417-458rrhcm 646 7 blood blood NN cord-009417-458rrhcm 646 8 loss loss NN cord-009417-458rrhcm 646 9 in in IN cord-009417-458rrhcm 646 10 patients patient NNS cord-009417-458rrhcm 646 11 undergoing undergo VBG cord-009417-458rrhcm 646 12 cardiopulmonary cardiopulmonary JJ cord-009417-458rrhcm 646 13 bypass bypass NN cord-009417-458rrhcm 646 14 surgery surgery NN cord-009417-458rrhcm 646 15 145 145 CD cord-009417-458rrhcm 646 16 by by IN cord-009417-458rrhcm 646 17 inhibiting inhibit VBG cord-009417-458rrhcm 646 18 fi fi NN cord-009417-458rrhcm 646 19 brinolysis brinolysis NN cord-009417-458rrhcm 646 20 and and CC cord-009417-458rrhcm 646 21 preventing prevent VBG cord-009417-458rrhcm 646 22 platelet platelet NN cord-009417-458rrhcm 646 23 damage damage NN cord-009417-458rrhcm 646 24 . . . cord-009417-458rrhcm 647 1 However however RB cord-009417-458rrhcm 647 2 , , , cord-009417-458rrhcm 647 3 more more RBR cord-009417-458rrhcm 647 4 recent recent JJ cord-009417-458rrhcm 647 5 reports report NNS cord-009417-458rrhcm 647 6 of of IN cord-009417-458rrhcm 647 7 renal renal JJ cord-009417-458rrhcm 647 8 injury injury NN cord-009417-458rrhcm 647 9 and and CC cord-009417-458rrhcm 647 10 longterm longterm JJ cord-009417-458rrhcm 647 11 mortality mortality NN cord-009417-458rrhcm 647 12 may may MD cord-009417-458rrhcm 647 13 mean mean VB cord-009417-458rrhcm 647 14 an an DT cord-009417-458rrhcm 647 15 end end NN cord-009417-458rrhcm 647 16 to to IN cord-009417-458rrhcm 647 17 its -PRON- PRP$ cord-009417-458rrhcm 647 18 use use NN cord-009417-458rrhcm 647 19 . . . cord-009417-458rrhcm 648 1 146 146 CD cord-009417-458rrhcm 648 2 Aprotinin Aprotinin NNP cord-009417-458rrhcm 648 3 has have VBZ cord-009417-458rrhcm 648 4 been be VBN cord-009417-458rrhcm 648 5 used use VBN cord-009417-458rrhcm 648 6 extensively extensively RB cord-009417-458rrhcm 648 7 in in IN cord-009417-458rrhcm 648 8 liver liver NN cord-009417-458rrhcm 648 9 transplantation transplantation NN cord-009417-458rrhcm 648 10 , , , cord-009417-458rrhcm 648 11 which which WDT cord-009417-458rrhcm 648 12 involves involve VBZ cord-009417-458rrhcm 648 13 high high JJ cord-009417-458rrhcm 648 14 blood blood NN cord-009417-458rrhcm 648 15 loss loss NN cord-009417-458rrhcm 648 16 . . . cord-009417-458rrhcm 649 1 Repeated repeat VBN cord-009417-458rrhcm 649 2 administration administration NN cord-009417-458rrhcm 649 3 poses pose VBZ cord-009417-458rrhcm 649 4 the the DT cord-009417-458rrhcm 649 5 risk risk NN cord-009417-458rrhcm 649 6 of of IN cord-009417-458rrhcm 649 7 anaphylaxis anaphylaxis NN cord-009417-458rrhcm 649 8 and and CC cord-009417-458rrhcm 649 9 renal renal JJ cord-009417-458rrhcm 649 10 dysfunction dysfunction NN cord-009417-458rrhcm 649 11 . . . cord-009417-458rrhcm 650 1 When when WRB cord-009417-458rrhcm 650 2 time time NN cord-009417-458rrhcm 650 3 permits permit NNS cord-009417-458rrhcm 650 4 , , , cord-009417-458rrhcm 650 5 vitamin vitamin NN cord-009417-458rrhcm 650 6 K K NNP cord-009417-458rrhcm 650 7 is be VBZ cord-009417-458rrhcm 650 8 the the DT cord-009417-458rrhcm 650 9 preferred preferred JJ cord-009417-458rrhcm 650 10 agent agent NN cord-009417-458rrhcm 650 11 to to TO cord-009417-458rrhcm 650 12 reverse reverse VB cord-009417-458rrhcm 650 13 the the DT cord-009417-458rrhcm 650 14 coagulopathy coagulopathy NN cord-009417-458rrhcm 650 15 induced induce VBN cord-009417-458rrhcm 650 16 by by IN cord-009417-458rrhcm 650 17 oral oral JJ cord-009417-458rrhcm 650 18 anticoagulants anticoagulant NNS cord-009417-458rrhcm 650 19 . . . cord-009417-458rrhcm 651 1 Normalization normalization NN cord-009417-458rrhcm 651 2 of of IN cord-009417-458rrhcm 651 3 the the DT cord-009417-458rrhcm 651 4 PT pt NN cord-009417-458rrhcm 651 5 can can MD cord-009417-458rrhcm 651 6 be be VB cord-009417-458rrhcm 651 7 seen see VBN cord-009417-458rrhcm 651 8 in in IN cord-009417-458rrhcm 651 9 as as RB cord-009417-458rrhcm 651 10 few few JJ cord-009417-458rrhcm 651 11 as as IN cord-009417-458rrhcm 651 12 6 6 CD cord-009417-458rrhcm 651 13 to to TO cord-009417-458rrhcm 651 14 12 12 CD cord-009417-458rrhcm 651 15 hours hour NNS cord-009417-458rrhcm 651 16 . . . cord-009417-458rrhcm 652 1 Additionally additionally RB cord-009417-458rrhcm 652 2 , , , cord-009417-458rrhcm 652 3 selected select VBN cord-009417-458rrhcm 652 4 cirrhotic cirrhotic JJ cord-009417-458rrhcm 652 5 patients patient NNS cord-009417-458rrhcm 652 6 may may MD cord-009417-458rrhcm 652 7 exhibit exhibit VB cord-009417-458rrhcm 652 8 improvement improvement NN cord-009417-458rrhcm 652 9 in in IN cord-009417-458rrhcm 652 10 the the DT cord-009417-458rrhcm 652 11 PT pt NN cord-009417-458rrhcm 652 12 when when WRB cord-009417-458rrhcm 652 13 treated treat VBN cord-009417-458rrhcm 652 14 with with IN cord-009417-458rrhcm 652 15 therapeutic therapeutic JJ cord-009417-458rrhcm 652 16 doses dose NNS cord-009417-458rrhcm 652 17 of of IN cord-009417-458rrhcm 652 18 vitamin vitamin NN cord-009417-458rrhcm 653 1 K. K. NNP cord-009417-458rrhcm 653 2 Many many JJ cord-009417-458rrhcm 653 3 patients patient NNS cord-009417-458rrhcm 653 4 in in IN cord-009417-458rrhcm 653 5 critical critical JJ cord-009417-458rrhcm 653 6 care care NN cord-009417-458rrhcm 653 7 units unit NNS cord-009417-458rrhcm 653 8 exhibit exhibit VBP cord-009417-458rrhcm 653 9 a a DT cord-009417-458rrhcm 653 10 prolonged prolonged JJ cord-009417-458rrhcm 653 11 PT pt NN cord-009417-458rrhcm 653 12 , , , cord-009417-458rrhcm 653 13 especially especially RB cord-009417-458rrhcm 653 14 if if IN cord-009417-458rrhcm 653 15 dietary dietary JJ cord-009417-458rrhcm 653 16 supplements supplement NNS cord-009417-458rrhcm 653 17 are be VBP cord-009417-458rrhcm 653 18 limited limited JJ cord-009417-458rrhcm 653 19 and and CC cord-009417-458rrhcm 653 20 broad broad JJ cord-009417-458rrhcm 653 21 - - HYPH cord-009417-458rrhcm 653 22 spectrum spectrum NN cord-009417-458rrhcm 653 23 antibiotic antibiotic NN cord-009417-458rrhcm 653 24 therapy therapy NN cord-009417-458rrhcm 653 25 is be VBZ cord-009417-458rrhcm 653 26 given give VBN cord-009417-458rrhcm 653 27 . . . cord-009417-458rrhcm 654 1 Vitamin vitamin NN cord-009417-458rrhcm 654 2 K k NN cord-009417-458rrhcm 654 3 is be VBZ cord-009417-458rrhcm 654 4 a a DT cord-009417-458rrhcm 654 5 safe safe JJ cord-009417-458rrhcm 654 6 and and CC cord-009417-458rrhcm 654 7 effective effective JJ cord-009417-458rrhcm 654 8 agent agent NN cord-009417-458rrhcm 654 9 for for IN cord-009417-458rrhcm 654 10 reversing reverse VBG cord-009417-458rrhcm 654 11 this this DT cord-009417-458rrhcm 654 12 effect effect NN cord-009417-458rrhcm 654 13 . . . cord-009417-458rrhcm 655 1 Recombinant recombinant JJ cord-009417-458rrhcm 655 2 erythropoietin erythropoietin NN cord-009417-458rrhcm 655 3 ( ( -LRB- cord-009417-458rrhcm 655 4 EPO EPO NNP cord-009417-458rrhcm 655 5 ) ) -RRB- cord-009417-458rrhcm 655 6 has have VBZ cord-009417-458rrhcm 655 7 dramatically dramatically RB cord-009417-458rrhcm 655 8 reduced reduce VBN cord-009417-458rrhcm 655 9 the the DT cord-009417-458rrhcm 655 10 red red JJ cord-009417-458rrhcm 655 11 cell cell NN cord-009417-458rrhcm 655 12 transfusion transfusion NN cord-009417-458rrhcm 655 13 requirements requirement NNS cord-009417-458rrhcm 655 14 of of IN cord-009417-458rrhcm 655 15 patients patient NNS cord-009417-458rrhcm 655 16 in in IN cord-009417-458rrhcm 655 17 chronic chronic JJ cord-009417-458rrhcm 655 18 renal renal JJ cord-009417-458rrhcm 655 19 failure failure NN cord-009417-458rrhcm 655 20 . . . cord-009417-458rrhcm 656 1 EPO EPO NNP cord-009417-458rrhcm 656 2 also also RB cord-009417-458rrhcm 656 3 has have VBZ cord-009417-458rrhcm 656 4 applications application NNS cord-009417-458rrhcm 656 5 in in IN cord-009417-458rrhcm 656 6 the the DT cord-009417-458rrhcm 656 7 adjunctive adjunctive JJ cord-009417-458rrhcm 656 8 treatment treatment NN cord-009417-458rrhcm 656 9 of of IN cord-009417-458rrhcm 656 10 the the DT cord-009417-458rrhcm 656 11 anemia anemia NN cord-009417-458rrhcm 656 12 of of IN cord-009417-458rrhcm 656 13 premature premature JJ cord-009417-458rrhcm 656 14 infants infant NNS cord-009417-458rrhcm 656 15 and and CC cord-009417-458rrhcm 656 16 the the DT cord-009417-458rrhcm 656 17 anemia anemia NN cord-009417-458rrhcm 656 18 of of IN cord-009417-458rrhcm 656 19 chronic chronic JJ cord-009417-458rrhcm 656 20 disease disease NN cord-009417-458rrhcm 656 21 , , , cord-009417-458rrhcm 656 22 especially especially RB cord-009417-458rrhcm 656 23 rheumatoid rheumatoid JJ cord-009417-458rrhcm 656 24 arthritis arthritis NN cord-009417-458rrhcm 656 25 , , , cord-009417-458rrhcm 656 26 cancer cancer NN cord-009417-458rrhcm 656 27 , , , cord-009417-458rrhcm 656 28 and and CC cord-009417-458rrhcm 656 29 AIDS AIDS NNP cord-009417-458rrhcm 656 30 . . . cord-009417-458rrhcm 657 1 Studies study NNS cord-009417-458rrhcm 657 2 of of IN cord-009417-458rrhcm 657 3 its -PRON- PRP$ cord-009417-458rrhcm 657 4 effi effi NNP cord-009417-458rrhcm 657 5 cacy cacy NN cord-009417-458rrhcm 657 6 in in IN cord-009417-458rrhcm 657 7 reducing reduce VBG cord-009417-458rrhcm 657 8 perioperative perioperative JJ cord-009417-458rrhcm 657 9 red red JJ cord-009417-458rrhcm 657 10 cell cell NN cord-009417-458rrhcm 657 11 transfusion transfusion NN cord-009417-458rrhcm 657 12 requirements requirement NNS cord-009417-458rrhcm 657 13 by by IN cord-009417-458rrhcm 657 14 increasing increase VBG cord-009417-458rrhcm 657 15 the the DT cord-009417-458rrhcm 657 16 yield yield NN cord-009417-458rrhcm 657 17 of of IN cord-009417-458rrhcm 657 18 predeposited predeposited JJ cord-009417-458rrhcm 657 19 autologous autologous JJ cord-009417-458rrhcm 657 20 blood blood NN cord-009417-458rrhcm 657 21 or or CC cord-009417-458rrhcm 657 22 stimulating stimulate VBG cord-009417-458rrhcm 657 23 bone bone NN cord-009417-458rrhcm 657 24 marrow marrow NN cord-009417-458rrhcm 657 25 synthesis synthesis NN cord-009417-458rrhcm 657 26 after after IN cord-009417-458rrhcm 657 27 surgery surgery NN cord-009417-458rrhcm 657 28 have have VBP cord-009417-458rrhcm 657 29 shown show VBN cord-009417-458rrhcm 657 30 benefi benefi NNP cord-009417-458rrhcm 657 31 t t NN cord-009417-458rrhcm 657 32 in in IN cord-009417-458rrhcm 657 33 reducing reduce VBG cord-009417-458rrhcm 657 34 blood blood NN cord-009417-458rrhcm 657 35 transfusion transfusion NN cord-009417-458rrhcm 657 36 , , , cord-009417-458rrhcm 657 37 although although IN cord-009417-458rrhcm 657 38 preoperative preoperative JJ cord-009417-458rrhcm 657 39 planning planning NN cord-009417-458rrhcm 657 40 and and CC cord-009417-458rrhcm 657 41 autologous autologous JJ cord-009417-458rrhcm 657 42 deposits deposit NNS cord-009417-458rrhcm 657 43 are be VBP cord-009417-458rrhcm 657 44 required require VBN cord-009417-458rrhcm 657 45 . . . cord-009417-458rrhcm 658 1 147 147 CD cord-009417-458rrhcm 659 1 In in IN cord-009417-458rrhcm 659 2 contrast contrast NN cord-009417-458rrhcm 659 3 and and CC cord-009417-458rrhcm 659 4 probably probably RB cord-009417-458rrhcm 659 5 because because IN cord-009417-458rrhcm 659 6 the the DT cord-009417-458rrhcm 659 7 impact impact NN cord-009417-458rrhcm 659 8 of of IN cord-009417-458rrhcm 659 9 EPO EPO NNP cord-009417-458rrhcm 659 10 is be VBZ cord-009417-458rrhcm 659 11 not not RB cord-009417-458rrhcm 659 12 immediate immediate JJ cord-009417-458rrhcm 659 13 , , , cord-009417-458rrhcm 659 14 the the DT cord-009417-458rrhcm 659 15 effi effi NNP cord-009417-458rrhcm 659 16 cacy cacy NN cord-009417-458rrhcm 659 17 of of IN cord-009417-458rrhcm 659 18 EPO EPO NNP cord-009417-458rrhcm 659 19 in in IN cord-009417-458rrhcm 659 20 the the DT cord-009417-458rrhcm 659 21 ICU ICU NNP cord-009417-458rrhcm 659 22 is be VBZ cord-009417-458rrhcm 659 23 unproven unproven JJ cord-009417-458rrhcm 659 24 and and CC cord-009417-458rrhcm 659 25 awaits await VBZ cord-009417-458rrhcm 659 26 the the DT cord-009417-458rrhcm 659 27 results result NNS cord-009417-458rrhcm 659 28 of of IN cord-009417-458rrhcm 659 29 large large JJ cord-009417-458rrhcm 659 30 clinical clinical JJ cord-009417-458rrhcm 659 31 trials trial NNS cord-009417-458rrhcm 659 32 . . . cord-009417-458rrhcm 660 1 Recombinant recombinant JJ cord-009417-458rrhcm 660 2 growth growth NN cord-009417-458rrhcm 660 3 factors factor NNS cord-009417-458rrhcm 660 4 such such JJ cord-009417-458rrhcm 660 5 as as IN cord-009417-458rrhcm 660 6 granulocytemacrophage granulocytemacrophage NN cord-009417-458rrhcm 660 7 colony colony NN cord-009417-458rrhcm 660 8 - - HYPH cord-009417-458rrhcm 660 9 stimulating stimulate VBG cord-009417-458rrhcm 660 10 factor factor NN cord-009417-458rrhcm 660 11 ( ( -LRB- cord-009417-458rrhcm 660 12 GM GM NNP cord-009417-458rrhcm 660 13 - - HYPH cord-009417-458rrhcm 660 14 CSF CSF NNP cord-009417-458rrhcm 660 15 ) ) -RRB- cord-009417-458rrhcm 660 16 and and CC cord-009417-458rrhcm 660 17 G G NNP cord-009417-458rrhcm 660 18 - - HYPH cord-009417-458rrhcm 660 19 CSF csf NN cord-009417-458rrhcm 660 20 stimulate stimulate VBP cord-009417-458rrhcm 660 21 marrow marrow NN cord-009417-458rrhcm 660 22 production production NN cord-009417-458rrhcm 660 23 of of IN cord-009417-458rrhcm 660 24 leukocytes leukocyte NNS cord-009417-458rrhcm 660 25 by by IN cord-009417-458rrhcm 660 26 enhancing enhance VBG cord-009417-458rrhcm 660 27 several several JJ cord-009417-458rrhcm 660 28 different different JJ cord-009417-458rrhcm 660 29 granulocyte granulocyte NN cord-009417-458rrhcm 660 30 and and CC cord-009417-458rrhcm 660 31 macrophage macrophage NN cord-009417-458rrhcm 660 32 functions function NNS cord-009417-458rrhcm 660 33 . . . cord-009417-458rrhcm 661 1 These these DT cord-009417-458rrhcm 661 2 agents agent NNS cord-009417-458rrhcm 661 3 are be VBP cord-009417-458rrhcm 661 4 fi fi NNP cord-009417-458rrhcm 661 5 nding nding NN cord-009417-458rrhcm 661 6 application application NN cord-009417-458rrhcm 661 7 in in IN cord-009417-458rrhcm 661 8 reducing reduce VBG cord-009417-458rrhcm 661 9 the the DT cord-009417-458rrhcm 661 10 neutropenic neutropenic JJ cord-009417-458rrhcm 661 11 period period NN cord-009417-458rrhcm 661 12 in in IN cord-009417-458rrhcm 661 13 BMT BMT NNP cord-009417-458rrhcm 661 14 and and CC cord-009417-458rrhcm 662 1 cancer cancer NN cord-009417-458rrhcm 662 2 chemotherapy chemotherapy NN cord-009417-458rrhcm 662 3 by by IN cord-009417-458rrhcm 662 4 increasing increase VBG cord-009417-458rrhcm 662 5 the the DT cord-009417-458rrhcm 662 6 leukocyte leukocyte NN cord-009417-458rrhcm 662 7 count count NN cord-009417-458rrhcm 662 8 in in IN cord-009417-458rrhcm 662 9 hypoproliferative hypoproliferative JJ cord-009417-458rrhcm 662 10 marrow marrow NN cord-009417-458rrhcm 662 11 conditions condition NNS cord-009417-458rrhcm 662 12 . . . cord-009417-458rrhcm 663 1 These these DT cord-009417-458rrhcm 663 2 myeloid myeloid JJ cord-009417-458rrhcm 663 3 growth growth NN cord-009417-458rrhcm 663 4 factors factor NNS cord-009417-458rrhcm 663 5 are be VBP cord-009417-458rrhcm 663 6 replacing replace VBG cord-009417-458rrhcm 663 7 granulocyte granulocyte NN cord-009417-458rrhcm 663 8 transfusions transfusion NNS cord-009417-458rrhcm 663 9 for for IN cord-009417-458rrhcm 663 10 their -PRON- PRP$ cord-009417-458rrhcm 663 11 few few JJ cord-009417-458rrhcm 663 12 remaining remain VBG cord-009417-458rrhcm 663 13 indications indication NNS cord-009417-458rrhcm 663 14 . . . cord-009417-458rrhcm 664 1 Cell cell NN cord-009417-458rrhcm 664 2 salvage salvage NN cord-009417-458rrhcm 664 3 equipment equipment NN cord-009417-458rrhcm 664 4 has have VBZ cord-009417-458rrhcm 664 5 been be VBN cord-009417-458rrhcm 664 6 in in IN cord-009417-458rrhcm 664 7 clinical clinical JJ cord-009417-458rrhcm 664 8 use use NN cord-009417-458rrhcm 664 9 for for IN cord-009417-458rrhcm 664 10 several several JJ cord-009417-458rrhcm 664 11 decades decade NNS cord-009417-458rrhcm 664 12 , , , cord-009417-458rrhcm 664 13 and and CC cord-009417-458rrhcm 664 14 although although IN cord-009417-458rrhcm 664 15 cell cell NN cord-009417-458rrhcm 664 16 salvage salvage NN cord-009417-458rrhcm 664 17 is be VBZ cord-009417-458rrhcm 664 18 clearly clearly RB cord-009417-458rrhcm 664 19 capable capable JJ cord-009417-458rrhcm 664 20 of of IN cord-009417-458rrhcm 664 21 rescuing rescue VBG cord-009417-458rrhcm 664 22 otherwise otherwise RB cord-009417-458rrhcm 664 23 " " `` cord-009417-458rrhcm 664 24 lost lose VBN cord-009417-458rrhcm 664 25 " " '' cord-009417-458rrhcm 664 26 red red JJ cord-009417-458rrhcm 664 27 cells cell NNS cord-009417-458rrhcm 664 28 , , , cord-009417-458rrhcm 664 29 its -PRON- PRP$ cord-009417-458rrhcm 664 30 full full JJ cord-009417-458rrhcm 664 31 impact impact NN cord-009417-458rrhcm 664 32 on on IN cord-009417-458rrhcm 664 33 transfusions transfusion NNS cord-009417-458rrhcm 664 34 has have VBZ cord-009417-458rrhcm 664 35 been be VBN cord-009417-458rrhcm 664 36 poorly poorly RB cord-009417-458rrhcm 664 37 documented document VBN cord-009417-458rrhcm 664 38 . . . cord-009417-458rrhcm 665 1 Cell cell NN cord-009417-458rrhcm 665 2 salvage salvage NN cord-009417-458rrhcm 665 3 generally generally RB cord-009417-458rrhcm 665 4 consists consist VBZ cord-009417-458rrhcm 665 5 of of IN cord-009417-458rrhcm 665 6 collection collection NN cord-009417-458rrhcm 665 7 of of IN cord-009417-458rrhcm 665 8 shed shed JJ cord-009417-458rrhcm 665 9 blood blood NN cord-009417-458rrhcm 665 10 from from IN cord-009417-458rrhcm 665 11 a a DT cord-009417-458rrhcm 665 12 clean clean JJ cord-009417-458rrhcm 665 13 , , , cord-009417-458rrhcm 665 14 uncontaminated uncontaminated JJ cord-009417-458rrhcm 665 15 operating operating NN cord-009417-458rrhcm 665 16 fi fi NNP cord-009417-458rrhcm 665 17 eld eld NN cord-009417-458rrhcm 665 18 , , , cord-009417-458rrhcm 665 19 followed follow VBN cord-009417-458rrhcm 665 20 by by IN cord-009417-458rrhcm 665 21 removal removal NN cord-009417-458rrhcm 665 22 of of IN cord-009417-458rrhcm 665 23 the the DT cord-009417-458rrhcm 665 24 cellular cellular JJ cord-009417-458rrhcm 665 25 elements element NNS cord-009417-458rrhcm 665 26 and and CC cord-009417-458rrhcm 665 27 retransfusion retransfusion NN cord-009417-458rrhcm 665 28 into into IN cord-009417-458rrhcm 665 29 the the DT cord-009417-458rrhcm 665 30 patient patient NN cord-009417-458rrhcm 665 31 . . . cord-009417-458rrhcm 666 1 Cell cell NN cord-009417-458rrhcm 666 2 salvage salvage NN cord-009417-458rrhcm 666 3 has have VBZ cord-009417-458rrhcm 666 4 been be VBN cord-009417-458rrhcm 666 5 used use VBN cord-009417-458rrhcm 666 6 both both CC cord-009417-458rrhcm 666 7 intraoperatively intraoperatively RB cord-009417-458rrhcm 666 8 and and CC cord-009417-458rrhcm 666 9 postoperatively postoperatively RB cord-009417-458rrhcm 666 10 , , , cord-009417-458rrhcm 666 11 especially especially RB cord-009417-458rrhcm 666 12 in in IN cord-009417-458rrhcm 666 13 cardiac cardiac JJ cord-009417-458rrhcm 666 14 surgery surgery NN cord-009417-458rrhcm 666 15 . . . cord-009417-458rrhcm 667 1 Although although IN cord-009417-458rrhcm 667 2 the the DT cord-009417-458rrhcm 667 3 clinical clinical JJ cord-009417-458rrhcm 667 4 studies study NNS cord-009417-458rrhcm 667 5 of of IN cord-009417-458rrhcm 667 6 cell cell NN cord-009417-458rrhcm 667 7 salvage salvage NN cord-009417-458rrhcm 667 8 have have VBP cord-009417-458rrhcm 667 9 many many JJ cord-009417-458rrhcm 667 10 fl fl NNP cord-009417-458rrhcm 667 11 aws aws NNP cord-009417-458rrhcm 667 12 , , , cord-009417-458rrhcm 667 13 the the DT cord-009417-458rrhcm 667 14 overall overall JJ cord-009417-458rrhcm 667 15 success success NN cord-009417-458rrhcm 667 16 of of IN cord-009417-458rrhcm 667 17 this this DT cord-009417-458rrhcm 667 18 therapy therapy NN cord-009417-458rrhcm 667 19 in in IN cord-009417-458rrhcm 667 20 reducing reduce VBG cord-009417-458rrhcm 667 21 transfusion transfusion NN cord-009417-458rrhcm 667 22 has have VBZ cord-009417-458rrhcm 667 23 resulted result VBN cord-009417-458rrhcm 667 24 in in IN cord-009417-458rrhcm 667 25 its -PRON- PRP$ cord-009417-458rrhcm 667 26 wide wide JJ cord-009417-458rrhcm 667 27 application application NN cord-009417-458rrhcm 667 28 . . . cord-009417-458rrhcm 668 1 148 148 CD cord-009417-458rrhcm 668 2 Risks risk NNS cord-009417-458rrhcm 668 3 include include VBP cord-009417-458rrhcm 668 4 bacterial bacterial JJ cord-009417-458rrhcm 668 5 contamination contamination NN cord-009417-458rrhcm 668 6 , , , cord-009417-458rrhcm 668 7 febrile febrile JJ cord-009417-458rrhcm 668 8 reactions reaction NNS cord-009417-458rrhcm 668 9 , , , cord-009417-458rrhcm 668 10 triggering trigger VBG cord-009417-458rrhcm 668 11 of of IN cord-009417-458rrhcm 668 12 DIC DIC NNP cord-009417-458rrhcm 668 13 , , , cord-009417-458rrhcm 668 14 and and CC cord-009417-458rrhcm 668 15 coagulopathy coagulopathy NN cord-009417-458rrhcm 668 16 as as IN cord-009417-458rrhcm 668 17 a a DT cord-009417-458rrhcm 668 18 result result NN cord-009417-458rrhcm 668 19 of of IN cord-009417-458rrhcm 668 20 dilution dilution NN cord-009417-458rrhcm 668 21 . . . cord-009417-458rrhcm 669 1 When when WRB cord-009417-458rrhcm 669 2 combined combine VBN cord-009417-458rrhcm 669 3 with with IN cord-009417-458rrhcm 669 4 acute acute JJ cord-009417-458rrhcm 669 5 intraoperative intraoperative JJ cord-009417-458rrhcm 669 6 hemodilution hemodilution NN cord-009417-458rrhcm 669 7 , , , cord-009417-458rrhcm 669 8 this this DT cord-009417-458rrhcm 669 9 technology technology NN cord-009417-458rrhcm 669 10 is be VBZ cord-009417-458rrhcm 669 11 also also RB cord-009417-458rrhcm 669 12 potentially potentially RB cord-009417-458rrhcm 669 13 cost cost NN cord-009417-458rrhcm 669 14 saving saving NN cord-009417-458rrhcm 669 15 . . . cord-009417-458rrhcm 670 1 149 149 CD cord-009417-458rrhcm 671 1 The the DT cord-009417-458rrhcm 671 2 word word NN cord-009417-458rrhcm 671 3 apheresis apheresis NN cord-009417-458rrhcm 671 4 is be VBZ cord-009417-458rrhcm 671 5 derived derive VBN cord-009417-458rrhcm 671 6 from from IN cord-009417-458rrhcm 671 7 the the DT cord-009417-458rrhcm 671 8 Greek greek JJ cord-009417-458rrhcm 671 9 aphairein aphairein NN cord-009417-458rrhcm 671 10 , , , cord-009417-458rrhcm 671 11 " " '' cord-009417-458rrhcm 671 12 to to TO cord-009417-458rrhcm 671 13 take take VB cord-009417-458rrhcm 671 14 away away RB cord-009417-458rrhcm 671 15 " " '' cord-009417-458rrhcm 671 16 ; ; : cord-009417-458rrhcm 671 17 thus thus RB cord-009417-458rrhcm 671 18 , , , cord-009417-458rrhcm 671 19 therapeutic therapeutic JJ cord-009417-458rrhcm 671 20 hemapheresis hemapheresis NN cord-009417-458rrhcm 671 21 is be VBZ cord-009417-458rrhcm 671 22 performed perform VBN cord-009417-458rrhcm 671 23 to to TO cord-009417-458rrhcm 671 24 remove remove VB cord-009417-458rrhcm 671 25 unwanted unwanted JJ cord-009417-458rrhcm 671 26 plasma plasma NN cord-009417-458rrhcm 671 27 constituents constituent NNS cord-009417-458rrhcm 671 28 ( ( -LRB- cord-009417-458rrhcm 671 29 plasmapheresis plasmapheresis NN cord-009417-458rrhcm 671 30 ) ) -RRB- cord-009417-458rrhcm 671 31 or or CC cord-009417-458rrhcm 671 32 blood blood NN cord-009417-458rrhcm 671 33 cells cell NNS cord-009417-458rrhcm 671 34 ( ( -LRB- cord-009417-458rrhcm 671 35 cytapheresis cytapheresis NNP cord-009417-458rrhcm 671 36 ) ) -RRB- cord-009417-458rrhcm 671 37 . . . cord-009417-458rrhcm 672 1 Automated automated JJ cord-009417-458rrhcm 672 2 cell cell NN cord-009417-458rrhcm 672 3 separators separator NNS cord-009417-458rrhcm 672 4 use use VBP cord-009417-458rrhcm 672 5 centrifugation centrifugation NN cord-009417-458rrhcm 672 6 or or CC cord-009417-458rrhcm 672 7 membrane membrane NN cord-009417-458rrhcm 672 8 fi fi IN cord-009417-458rrhcm 672 9 ltration ltration NN cord-009417-458rrhcm 672 10 to to TO cord-009417-458rrhcm 672 11 remove remove VB cord-009417-458rrhcm 672 12 and and CC cord-009417-458rrhcm 672 13 concentrate concentrate VB cord-009417-458rrhcm 672 14 the the DT cord-009417-458rrhcm 672 15 selected select VBN cord-009417-458rrhcm 672 16 blood blood NN cord-009417-458rrhcm 672 17 element element NN cord-009417-458rrhcm 672 18 . . . cord-009417-458rrhcm 673 1 Many many JJ cord-009417-458rrhcm 673 2 of of IN cord-009417-458rrhcm 673 3 the the DT cord-009417-458rrhcm 673 4 same same JJ cord-009417-458rrhcm 673 5 devices device NNS cord-009417-458rrhcm 673 6 used use VBD cord-009417-458rrhcm 673 7 to to TO cord-009417-458rrhcm 673 8 prepare prepare VB cord-009417-458rrhcm 673 9 apheresis apheresis NN cord-009417-458rrhcm 673 10 blood blood NN cord-009417-458rrhcm 673 11 components component NNS cord-009417-458rrhcm 673 12 for for IN cord-009417-458rrhcm 673 13 transfusion transfusion NN cord-009417-458rrhcm 673 14 are be VBP cord-009417-458rrhcm 673 15 used use VBN cord-009417-458rrhcm 673 16 to to TO cord-009417-458rrhcm 673 17 perform perform VB cord-009417-458rrhcm 673 18 patient patient JJ cord-009417-458rrhcm 673 19 procedures procedure NNS cord-009417-458rrhcm 673 20 , , , cord-009417-458rrhcm 673 21 so so RB cord-009417-458rrhcm 673 22 therapeutic therapeutic JJ cord-009417-458rrhcm 673 23 apheresis apheresis NN cord-009417-458rrhcm 673 24 is be VBZ cord-009417-458rrhcm 673 25 often often RB cord-009417-458rrhcm 673 26 administered administer VBN cord-009417-458rrhcm 673 27 under under IN cord-009417-458rrhcm 673 28 the the DT cord-009417-458rrhcm 673 29 auspices auspex NNS cord-009417-458rrhcm 673 30 of of IN cord-009417-458rrhcm 673 31 the the DT cord-009417-458rrhcm 673 32 transfusion transfusion NN cord-009417-458rrhcm 673 33 medicine medicine NN cord-009417-458rrhcm 673 34 service service NN cord-009417-458rrhcm 673 35 . . . cord-009417-458rrhcm 674 1 Rapid rapid JJ cord-009417-458rrhcm 674 2 removal removal NN cord-009417-458rrhcm 674 3 of of IN cord-009417-458rrhcm 674 4 plasma plasma NN cord-009417-458rrhcm 674 5 or or CC cord-009417-458rrhcm 674 6 cells cell NNS cord-009417-458rrhcm 675 1 may may MD cord-009417-458rrhcm 675 2 fi fi VB cord-009417-458rrhcm 676 1 nd nd NNP cord-009417-458rrhcm 677 1 several several JJ cord-009417-458rrhcm 677 2 applications application NNS cord-009417-458rrhcm 677 3 in in IN cord-009417-458rrhcm 677 4 intensive intensive JJ cord-009417-458rrhcm 677 5 care care NN cord-009417-458rrhcm 677 6 practice practice NN cord-009417-458rrhcm 677 7 ( ( -LRB- cord-009417-458rrhcm 677 8 Box Box NNP cord-009417-458rrhcm 677 9 80 80 CD cord-009417-458rrhcm 677 10 - - SYM cord-009417-458rrhcm 677 11 2 2 CD cord-009417-458rrhcm 677 12 ) ) -RRB- cord-009417-458rrhcm 677 13 . . . cord-009417-458rrhcm 678 1 The the DT cord-009417-458rrhcm 678 2 goal goal NN cord-009417-458rrhcm 678 3 of of IN cord-009417-458rrhcm 678 4 plasmapheresis plasmapheresis NN cord-009417-458rrhcm 678 5 , , , cord-009417-458rrhcm 678 6 or or CC cord-009417-458rrhcm 678 7 plasma plasma NN cord-009417-458rrhcm 678 8 exchange exchange NN cord-009417-458rrhcm 678 9 ( ( -LRB- cord-009417-458rrhcm 678 10 PE PE NNP cord-009417-458rrhcm 678 11 ) ) -RRB- cord-009417-458rrhcm 678 12 , , , cord-009417-458rrhcm 678 13 is be VBZ cord-009417-458rrhcm 678 14 to to TO cord-009417-458rrhcm 678 15 remove remove VB cord-009417-458rrhcm 678 16 or or CC cord-009417-458rrhcm 678 17 reduce reduce VB cord-009417-458rrhcm 678 18 the the DT cord-009417-458rrhcm 678 19 levels level NNS cord-009417-458rrhcm 678 20 of of IN cord-009417-458rrhcm 678 21 an an DT cord-009417-458rrhcm 678 22 undesirable undesirable JJ cord-009417-458rrhcm 678 23 plasma plasma NN cord-009417-458rrhcm 678 24 constituent constituent NN cord-009417-458rrhcm 678 25 or or CC cord-009417-458rrhcm 678 26 , , , cord-009417-458rrhcm 678 27 alternatively alternatively RB cord-009417-458rrhcm 678 28 , , , cord-009417-458rrhcm 678 29 by by IN cord-009417-458rrhcm 678 30 means mean NNS cord-009417-458rrhcm 678 31 of of IN cord-009417-458rrhcm 678 32 plasma plasma NN cord-009417-458rrhcm 678 33 replacement replacement NN cord-009417-458rrhcm 678 34 , , , cord-009417-458rrhcm 678 35 to to TO cord-009417-458rrhcm 678 36 supply supply VB cord-009417-458rrhcm 678 37 a a DT cord-009417-458rrhcm 678 38 missing miss VBG cord-009417-458rrhcm 678 39 substance substance NN cord-009417-458rrhcm 678 40 . . . cord-009417-458rrhcm 679 1 The the DT cord-009417-458rrhcm 679 2 agent agent NN cord-009417-458rrhcm 679 3 to to TO cord-009417-458rrhcm 679 4 be be VB cord-009417-458rrhcm 679 5 removed remove VBN cord-009417-458rrhcm 679 6 by by IN cord-009417-458rrhcm 679 7 PE PE NNP cord-009417-458rrhcm 679 8 is be VBZ cord-009417-458rrhcm 679 9 thought think VBN cord-009417-458rrhcm 679 10 to to TO cord-009417-458rrhcm 679 11 be be VB cord-009417-458rrhcm 679 12 an an DT cord-009417-458rrhcm 679 13 autoantibody autoantibody NN cord-009417-458rrhcm 679 14 in in IN cord-009417-458rrhcm 679 15 some some DT cord-009417-458rrhcm 679 16 of of IN cord-009417-458rrhcm 679 17 the the DT cord-009417-458rrhcm 679 18 neurologic neurologic JJ cord-009417-458rrhcm 679 19 , , , cord-009417-458rrhcm 679 20 renal renal JJ cord-009417-458rrhcm 679 21 , , , cord-009417-458rrhcm 679 22 or or CC cord-009417-458rrhcm 679 23 hematologic hematologic JJ cord-009417-458rrhcm 679 24 conditions condition NNS cord-009417-458rrhcm 679 25 treated treat VBN cord-009417-458rrhcm 679 26 in in IN cord-009417-458rrhcm 679 27 this this DT cord-009417-458rrhcm 679 28 manner manner NN cord-009417-458rrhcm 679 29 . . . cord-009417-458rrhcm 680 1 150 150 CD cord-009417-458rrhcm 680 2 Immunomodulation Immunomodulation NNP cord-009417-458rrhcm 680 3 by by IN cord-009417-458rrhcm 680 4 PE PE NNP cord-009417-458rrhcm 680 5 is be VBZ cord-009417-458rrhcm 680 6 another another DT cord-009417-458rrhcm 680 7 explanation explanation NN cord-009417-458rrhcm 680 8 for for IN cord-009417-458rrhcm 680 9 its -PRON- PRP$ cord-009417-458rrhcm 680 10 effect effect NN cord-009417-458rrhcm 680 11 , , , cord-009417-458rrhcm 680 12 a a DT cord-009417-458rrhcm 680 13 theory theory NN cord-009417-458rrhcm 680 14 indirectly indirectly RB cord-009417-458rrhcm 680 15 supported support VBN cord-009417-458rrhcm 680 16 by by IN cord-009417-458rrhcm 680 17 the the DT cord-009417-458rrhcm 680 18 equivalent equivalent JJ cord-009417-458rrhcm 680 19 effi effi NNP cord-009417-458rrhcm 680 20 cacy cacy NN cord-009417-458rrhcm 680 21 of of IN cord-009417-458rrhcm 680 22 IVIG IVIG NNP cord-009417-458rrhcm 680 23 therapy therapy NN cord-009417-458rrhcm 680 24 for for IN cord-009417-458rrhcm 680 25 several several JJ cord-009417-458rrhcm 680 26 of of IN cord-009417-458rrhcm 680 27 these these DT cord-009417-458rrhcm 680 28 disorders disorder NNS cord-009417-458rrhcm 680 29 . . . cord-009417-458rrhcm 681 1 151 151 CD cord-009417-458rrhcm 681 2 PE pe NN cord-009417-458rrhcm 681 3 for for IN cord-009417-458rrhcm 681 4 the the DT cord-009417-458rrhcm 681 5 amelioration amelioration NN cord-009417-458rrhcm 681 6 of of IN cord-009417-458rrhcm 681 7 hyperviscosity hyperviscosity NN cord-009417-458rrhcm 681 8 from from IN cord-009417-458rrhcm 681 9 either either CC cord-009417-458rrhcm 681 10 excess excess JJ cord-009417-458rrhcm 681 11 IgM igm NN cord-009417-458rrhcm 681 12 in in IN cord-009417-458rrhcm 681 13 Waldenström Waldenström NNP cord-009417-458rrhcm 681 14 's 's POS cord-009417-458rrhcm 681 15 macroglobulinemia macroglobulinemia NN cord-009417-458rrhcm 681 16 or or CC cord-009417-458rrhcm 681 17 excess excess JJ cord-009417-458rrhcm 681 18 Ig Ig NNP cord-009417-458rrhcm 681 19 in in IN cord-009417-458rrhcm 681 20 multiple multiple JJ cord-009417-458rrhcm 681 21 myeloma myeloma NN cord-009417-458rrhcm 681 22 is be VBZ cord-009417-458rrhcm 681 23 an an DT cord-009417-458rrhcm 681 24 effective effective JJ cord-009417-458rrhcm 681 25 temporizing temporizing JJ cord-009417-458rrhcm 681 26 measure measure NN cord-009417-458rrhcm 681 27 in in IN cord-009417-458rrhcm 681 28 the the DT cord-009417-458rrhcm 681 29 treatment treatment NN cord-009417-458rrhcm 681 30 of of IN cord-009417-458rrhcm 681 31 these these DT cord-009417-458rrhcm 681 32 conditions condition NNS cord-009417-458rrhcm 681 33 . . . cord-009417-458rrhcm 682 1 152 152 CD cord-009417-458rrhcm 683 1 Plasmapheresis Plasmapheresis NNP cord-009417-458rrhcm 683 2 with with IN cord-009417-458rrhcm 683 3 PE PE NNP cord-009417-458rrhcm 683 4 is be VBZ cord-009417-458rrhcm 683 5 the the DT cord-009417-458rrhcm 683 6 standard standard JJ cord-009417-458rrhcm 683 7 therapy therapy NN cord-009417-458rrhcm 683 8 for for IN cord-009417-458rrhcm 683 9 TTP TTP NNP cord-009417-458rrhcm 683 10 . . . cord-009417-458rrhcm 684 1 153 153 CD cord-009417-458rrhcm 685 1 Unfortunately unfortunately RB cord-009417-458rrhcm 685 2 , , , cord-009417-458rrhcm 685 3 few few JJ cord-009417-458rrhcm 685 4 controlled control VBN cord-009417-458rrhcm 685 5 trials trial NNS cord-009417-458rrhcm 685 6 of of IN cord-009417-458rrhcm 685 7 PE PE NNP cord-009417-458rrhcm 685 8 exist exist VBP cord-009417-458rrhcm 685 9 , , , cord-009417-458rrhcm 685 10 although although IN cord-009417-458rrhcm 685 11 anecdotal anecdotal JJ cord-009417-458rrhcm 685 12 reports report NNS cord-009417-458rrhcm 685 13 abound abound VBP cord-009417-458rrhcm 685 14 . . . cord-009417-458rrhcm 686 1 PE PE NNP cord-009417-458rrhcm 686 2 is be VBZ cord-009417-458rrhcm 686 3 seldom seldom RB cord-009417-458rrhcm 686 4 the the DT cord-009417-458rrhcm 686 5 defi defi NNP cord-009417-458rrhcm 686 6 nitive nitive JJ cord-009417-458rrhcm 686 7 treatment treatment NN cord-009417-458rrhcm 686 8 of of IN cord-009417-458rrhcm 686 9 most most JJS cord-009417-458rrhcm 686 10 of of IN cord-009417-458rrhcm 686 11 these these DT cord-009417-458rrhcm 686 12 conditions condition NNS cord-009417-458rrhcm 686 13 and and CC cord-009417-458rrhcm 686 14 is be VBZ cord-009417-458rrhcm 686 15 used use VBN cord-009417-458rrhcm 686 16 most most RBS cord-009417-458rrhcm 686 17 appropriately appropriately RB cord-009417-458rrhcm 686 18 as as IN cord-009417-458rrhcm 686 19 a a DT cord-009417-458rrhcm 686 20 short short JJ cord-009417-458rrhcm 686 21 - - HYPH cord-009417-458rrhcm 686 22 term term NN cord-009417-458rrhcm 686 23 adjunct adjunct NN cord-009417-458rrhcm 686 24 to to IN cord-009417-458rrhcm 686 25 other other JJ cord-009417-458rrhcm 686 26 medical medical JJ cord-009417-458rrhcm 686 27 modalities modality NNS cord-009417-458rrhcm 686 28 . . . cord-009417-458rrhcm 687 1 The the DT cord-009417-458rrhcm 687 2 kinetics kinetic NNS cord-009417-458rrhcm 687 3 of of IN cord-009417-458rrhcm 687 4 PE PE NNP cord-009417-458rrhcm 687 5 predicts predict VBZ cord-009417-458rrhcm 687 6 that that IN cord-009417-458rrhcm 687 7 a a DT cord-009417-458rrhcm 687 8 one one CD cord-009417-458rrhcm 687 9 - - HYPH cord-009417-458rrhcm 687 10 volume volume NN cord-009417-458rrhcm 687 11 exchange exchange NN cord-009417-458rrhcm 687 12 removes remove VBZ cord-009417-458rrhcm 687 13 65 65 CD cord-009417-458rrhcm 687 14 % % NN cord-009417-458rrhcm 687 15 of of IN cord-009417-458rrhcm 687 16 a a DT cord-009417-458rrhcm 687 17 given give VBN cord-009417-458rrhcm 687 18 plasma plasma NN cord-009417-458rrhcm 687 19 constituent constituent NN cord-009417-458rrhcm 687 20 if if IN cord-009417-458rrhcm 687 21 the the DT cord-009417-458rrhcm 687 22 blood blood NN cord-009417-458rrhcm 687 23 volume volume NN cord-009417-458rrhcm 687 24 does do VBZ cord-009417-458rrhcm 687 25 not not RB cord-009417-458rrhcm 687 26 change change VB cord-009417-458rrhcm 687 27 or or CC cord-009417-458rrhcm 687 28 additional additional JJ cord-009417-458rrhcm 687 29 synthesis synthesis NN cord-009417-458rrhcm 687 30 or or CC cord-009417-458rrhcm 687 31 mobilization mobilization NN cord-009417-458rrhcm 687 32 of of IN cord-009417-458rrhcm 687 33 the the DT cord-009417-458rrhcm 687 34 substance substance NN cord-009417-458rrhcm 687 35 does do VBZ cord-009417-458rrhcm 687 36 not not RB cord-009417-458rrhcm 687 37 occur occur VB cord-009417-458rrhcm 687 38 . . . cord-009417-458rrhcm 688 1 Two two CD cord-009417-458rrhcm 688 2 or or CC cord-009417-458rrhcm 688 3 three three CD cord-009417-458rrhcm 688 4 volume volume NN cord-009417-458rrhcm 688 5 exchanges exchange NNS cord-009417-458rrhcm 688 6 remove remove VBP cord-009417-458rrhcm 688 7 87 87 CD cord-009417-458rrhcm 688 8 % % NN cord-009417-458rrhcm 688 9 and and CC cord-009417-458rrhcm 688 10 95 95 CD cord-009417-458rrhcm 688 11 % % NN cord-009417-458rrhcm 688 12 , , , cord-009417-458rrhcm 688 13 respectively respectively RB cord-009417-458rrhcm 688 14 . . . cord-009417-458rrhcm 689 1 Highly highly RB cord-009417-458rrhcm 689 2 protein protein NN cord-009417-458rrhcm 689 3 - - HYPH cord-009417-458rrhcm 689 4 bound bind VBN cord-009417-458rrhcm 689 5 , , , cord-009417-458rrhcm 689 6 intravascularly intravascularly RB cord-009417-458rrhcm 689 7 concentrated concentrated JJ cord-009417-458rrhcm 689 8 substances substance NNS cord-009417-458rrhcm 689 9 are be VBP cord-009417-458rrhcm 689 10 most most RBS cord-009417-458rrhcm 689 11 effi effi NNP cord-009417-458rrhcm 689 12 ciently ciently RB cord-009417-458rrhcm 689 13 removed remove VBN cord-009417-458rrhcm 689 14 , , , cord-009417-458rrhcm 689 15 whereas whereas IN cord-009417-458rrhcm 689 16 substances substance NNS cord-009417-458rrhcm 689 17 with with IN cord-009417-458rrhcm 689 18 a a DT cord-009417-458rrhcm 689 19 large large JJ cord-009417-458rrhcm 689 20 volume volume NN cord-009417-458rrhcm 689 21 of of IN cord-009417-458rrhcm 689 22 distribution distribution NN cord-009417-458rrhcm 689 23 such such JJ cord-009417-458rrhcm 689 24 as as IN cord-009417-458rrhcm 689 25 IgG IgG NNP cord-009417-458rrhcm 689 26 , , , cord-009417-458rrhcm 689 27 active active JJ cord-009417-458rrhcm 689 28 synthesis synthesis NN cord-009417-458rrhcm 689 29 , , , cord-009417-458rrhcm 689 30 or or CC cord-009417-458rrhcm 689 31 large large JJ cord-009417-458rrhcm 689 32 extravascular extravascular JJ cord-009417-458rrhcm 689 33 stores store NNS cord-009417-458rrhcm 689 34 are be VBP cord-009417-458rrhcm 689 35 removed remove VBN cord-009417-458rrhcm 689 36 at at IN cord-009417-458rrhcm 689 37 less less JJR cord-009417-458rrhcm 689 38 than than IN cord-009417-458rrhcm 689 39 predicted predict VBN cord-009417-458rrhcm 689 40 rates rate NNS cord-009417-458rrhcm 689 41 . . . cord-009417-458rrhcm 690 1 The the DT cord-009417-458rrhcm 690 2 usual usual JJ cord-009417-458rrhcm 690 3 short short JJ cord-009417-458rrhcm 690 4 - - HYPH cord-009417-458rrhcm 690 5 term term NN cord-009417-458rrhcm 690 6 intense intense JJ cord-009417-458rrhcm 690 7 course course NN cord-009417-458rrhcm 690 8 of of IN cord-009417-458rrhcm 690 9 PE PE NNP cord-009417-458rrhcm 690 10 schedules schedule NNS cord-009417-458rrhcm 690 11 fi fi NNP cord-009417-458rrhcm 690 12 ve ve VBD cord-009417-458rrhcm 690 13 one one CD cord-009417-458rrhcm 690 14 - - HYPH cord-009417-458rrhcm 690 15 volume volume NN cord-009417-458rrhcm 690 16 exchanges exchange NNS cord-009417-458rrhcm 690 17 ( ( -LRB- cord-009417-458rrhcm 690 18 approximately approximately RB cord-009417-458rrhcm 690 19 3 3 CD cord-009417-458rrhcm 690 20 L l NN cord-009417-458rrhcm 690 21 in in IN cord-009417-458rrhcm 690 22 normal normal JJ cord-009417-458rrhcm 690 23 - - HYPH cord-009417-458rrhcm 690 24 sized sized JJ cord-009417-458rrhcm 690 25 adults adult NNS cord-009417-458rrhcm 690 26 ) ) -RRB- cord-009417-458rrhcm 690 27 over over IN cord-009417-458rrhcm 690 28 a a DT cord-009417-458rrhcm 690 29 7-day 7-day JJ cord-009417-458rrhcm 690 30 period period NN cord-009417-458rrhcm 690 31 . . . cord-009417-458rrhcm 691 1 The the DT cord-009417-458rrhcm 691 2 appropriate appropriate JJ cord-009417-458rrhcm 691 3 replacement replacement NN cord-009417-458rrhcm 691 4 fl fl NNP cord-009417-458rrhcm 691 5 uid uid NN cord-009417-458rrhcm 691 6 in in IN cord-009417-458rrhcm 691 7 most most JJS cord-009417-458rrhcm 691 8 conditions condition NNS cord-009417-458rrhcm 691 9 is be VBZ cord-009417-458rrhcm 691 10 an an DT cord-009417-458rrhcm 691 11 albumin albumin NN cord-009417-458rrhcm 691 12 - - HYPH cord-009417-458rrhcm 691 13 saline saline NN cord-009417-458rrhcm 691 14 mixture mixture NN cord-009417-458rrhcm 691 15 , , , cord-009417-458rrhcm 691 16 which which WDT cord-009417-458rrhcm 691 17 provides provide VBZ cord-009417-458rrhcm 691 18 oncotic oncotic JJ cord-009417-458rrhcm 691 19 support support NN cord-009417-458rrhcm 691 20 without without IN cord-009417-458rrhcm 691 21 the the DT cord-009417-458rrhcm 691 22 risk risk NN cord-009417-458rrhcm 691 23 of of IN cord-009417-458rrhcm 691 24 disease disease NN cord-009417-458rrhcm 691 25 transmission transmission NN cord-009417-458rrhcm 691 26 borne bear VBN cord-009417-458rrhcm 691 27 by by IN cord-009417-458rrhcm 691 28 FFP FFP NNP cord-009417-458rrhcm 691 29 . . . cord-009417-458rrhcm 692 1 PE PE NNP cord-009417-458rrhcm 692 2 in in IN cord-009417-458rrhcm 692 3 patients patient NNS cord-009417-458rrhcm 692 4 with with IN cord-009417-458rrhcm 692 5 TTP TTP NNP cord-009417-458rrhcm 692 6 uses use VBZ cord-009417-458rrhcm 692 7 replacement replacement NN cord-009417-458rrhcm 692 8 with with IN cord-009417-458rrhcm 692 9 FFP FFP NNP cord-009417-458rrhcm 692 10 to to TO cord-009417-458rrhcm 692 11 supply supply VB cord-009417-458rrhcm 692 12 the the DT cord-009417-458rrhcm 692 13 plasma plasma NN cord-009417-458rrhcm 692 14 protease protease NN cord-009417-458rrhcm 692 15 that that WDT cord-009417-458rrhcm 692 16 is be VBZ cord-009417-458rrhcm 692 17 consumed consume VBN cord-009417-458rrhcm 692 18 during during IN cord-009417-458rrhcm 692 19 the the DT cord-009417-458rrhcm 692 20 disease disease NN cord-009417-458rrhcm 692 21 . . . cord-009417-458rrhcm 693 1 Side side JJ cord-009417-458rrhcm 693 2 effects effect NNS cord-009417-458rrhcm 693 3 of of IN cord-009417-458rrhcm 693 4 PE PE NNP cord-009417-458rrhcm 693 5 are be VBP cord-009417-458rrhcm 693 6 relatively relatively RB cord-009417-458rrhcm 693 7 common common JJ cord-009417-458rrhcm 693 8 ( ( -LRB- cord-009417-458rrhcm 693 9 10 10 CD cord-009417-458rrhcm 693 10 % % NN cord-009417-458rrhcm 693 11 to to TO cord-009417-458rrhcm 693 12 30 30 CD cord-009417-458rrhcm 693 13 % % NN cord-009417-458rrhcm 693 14 of of IN cord-009417-458rrhcm 693 15 procedures procedure NNS cord-009417-458rrhcm 693 16 ) ) -RRB- cord-009417-458rrhcm 693 17 but but CC cord-009417-458rrhcm 693 18 generally generally RB cord-009417-458rrhcm 693 19 minor minor JJ cord-009417-458rrhcm 693 20 and and CC cord-009417-458rrhcm 693 21 are be VBP cord-009417-458rrhcm 693 22 related relate VBN cord-009417-458rrhcm 693 23 to to IN cord-009417-458rrhcm 693 24 vascular vascular JJ cord-009417-458rrhcm 693 25 access access NN cord-009417-458rrhcm 693 26 , , , cord-009417-458rrhcm 693 27 temporary temporary JJ cord-009417-458rrhcm 693 28 discomfort discomfort NN cord-009417-458rrhcm 693 29 , , , cord-009417-458rrhcm 693 30 or or CC cord-009417-458rrhcm 693 31 vasomotor vasomotor NN cord-009417-458rrhcm 693 32 symptoms symptom NNS cord-009417-458rrhcm 693 33 . . . cord-009417-458rrhcm 694 1 154 154 CD cord-009417-458rrhcm 694 2 Patient patient JJ cord-009417-458rrhcm 694 3 death death NN cord-009417-458rrhcm 694 4 is be VBZ cord-009417-458rrhcm 694 5 rarely rarely RB cord-009417-458rrhcm 694 6 due due JJ cord-009417-458rrhcm 694 7 to to IN cord-009417-458rrhcm 694 8 the the DT cord-009417-458rrhcm 694 9 procedure procedure NN cord-009417-458rrhcm 694 10 itself -PRON- PRP cord-009417-458rrhcm 694 11 but but CC cord-009417-458rrhcm 694 12 is be VBZ cord-009417-458rrhcm 694 13 largely largely RB cord-009417-458rrhcm 694 14 of of IN cord-009417-458rrhcm 694 15 cardiopulmonary cardiopulmonary JJ cord-009417-458rrhcm 694 16 causes cause NNS cord-009417-458rrhcm 694 17 . . . cord-009417-458rrhcm 695 1 Plasma plasma NN cord-009417-458rrhcm 695 2 proteins protein NNS cord-009417-458rrhcm 695 3 such such JJ cord-009417-458rrhcm 695 4 as as IN cord-009417-458rrhcm 695 5 coagulation coagulation NN cord-009417-458rrhcm 695 6 factors factor NNS cord-009417-458rrhcm 695 7 , , , cord-009417-458rrhcm 695 8 immunoglobulins immunoglobulin NNS cord-009417-458rrhcm 695 9 , , , cord-009417-458rrhcm 695 10 and and CC cord-009417-458rrhcm 695 11 complement complement NN cord-009417-458rrhcm 695 12 will will MD cord-009417-458rrhcm 695 13 be be VB cord-009417-458rrhcm 695 14 removed remove VBN cord-009417-458rrhcm 695 15 by by IN cord-009417-458rrhcm 695 16 PE PE NNP cord-009417-458rrhcm 695 17 , , , cord-009417-458rrhcm 695 18 and and CC cord-009417-458rrhcm 695 19 laboratory laboratory NN cord-009417-458rrhcm 695 20 test test NN cord-009417-458rrhcm 695 21 results result NNS cord-009417-458rrhcm 695 22 of of IN cord-009417-458rrhcm 695 23 coagulation coagulation NN cord-009417-458rrhcm 695 24 and and CC cord-009417-458rrhcm 695 25 electrolytes electrolyte NNS cord-009417-458rrhcm 695 26 may may MD cord-009417-458rrhcm 695 27 be be VB cord-009417-458rrhcm 695 28 deranged deranged JJ cord-009417-458rrhcm 695 29 in in IN cord-009417-458rrhcm 695 30 the the DT cord-009417-458rrhcm 695 31 hours hour NNS cord-009417-458rrhcm 695 32 after after IN cord-009417-458rrhcm 695 33 PE PE NNP cord-009417-458rrhcm 695 34 . . . cord-009417-458rrhcm 696 1 Clinical clinical JJ cord-009417-458rrhcm 696 2 bleeding bleeding NN cord-009417-458rrhcm 696 3 is be VBZ cord-009417-458rrhcm 696 4 rarely rarely RB cord-009417-458rrhcm 696 5 observed observe VBN cord-009417-458rrhcm 696 6 . . . cord-009417-458rrhcm 697 1 Most Most JJS cord-009417-458rrhcm 697 2 coagulation coagulation NN cord-009417-458rrhcm 697 3 factors factor NNS cord-009417-458rrhcm 697 4 do do VBP cord-009417-458rrhcm 697 5 not not RB cord-009417-458rrhcm 697 6 fall fall VB cord-009417-458rrhcm 697 7 below below IN cord-009417-458rrhcm 697 8 hemostatic hemostatic JJ cord-009417-458rrhcm 697 9 levels level NNS cord-009417-458rrhcm 697 10 and and CC cord-009417-458rrhcm 697 11 recover recover VB cord-009417-458rrhcm 697 12 within within IN cord-009417-458rrhcm 697 13 hours hour NNS cord-009417-458rrhcm 697 14 , , , cord-009417-458rrhcm 697 15 with with IN cord-009417-458rrhcm 697 16 the the DT cord-009417-458rrhcm 697 17 exception exception NN cord-009417-458rrhcm 697 18 of of IN cord-009417-458rrhcm 697 19 fi fi NNP cord-009417-458rrhcm 697 20 brinogen brinogen NNP cord-009417-458rrhcm 697 21 , , , cord-009417-458rrhcm 697 22 which which WDT cord-009417-458rrhcm 697 23 may may MD cord-009417-458rrhcm 697 24 require require VB cord-009417-458rrhcm 697 25 several several JJ cord-009417-458rrhcm 697 26 days day NNS cord-009417-458rrhcm 697 27 for for IN cord-009417-458rrhcm 697 28 complete complete JJ cord-009417-458rrhcm 697 29 replenishment replenishment NN cord-009417-458rrhcm 697 30 . . . cord-009417-458rrhcm 698 1 Leukapheresis Leukapheresis NNP cord-009417-458rrhcm 698 2 may may MD cord-009417-458rrhcm 698 3 be be VB cord-009417-458rrhcm 698 4 required require VBN cord-009417-458rrhcm 698 5 to to TO cord-009417-458rrhcm 698 6 urgently urgently RB cord-009417-458rrhcm 698 7 reduce reduce VB cord-009417-458rrhcm 698 8 the the DT cord-009417-458rrhcm 698 9 WBC WBC NNP cord-009417-458rrhcm 698 10 count count NN cord-009417-458rrhcm 698 11 in in IN cord-009417-458rrhcm 698 12 patients patient NNS cord-009417-458rrhcm 698 13 with with IN cord-009417-458rrhcm 698 14 acute acute JJ cord-009417-458rrhcm 698 15 myeloid myeloid NN cord-009417-458rrhcm 698 16 or or CC cord-009417-458rrhcm 698 17 lymphoblastic lymphoblastic JJ cord-009417-458rrhcm 698 18 leukemia leukemia NN cord-009417-458rrhcm 698 19 or or CC cord-009417-458rrhcm 698 20 chronic chronic JJ cord-009417-458rrhcm 698 21 myelogenous myelogenous NN cord-009417-458rrhcm 698 22 leukemia leukemia NN cord-009417-458rrhcm 698 23 with with IN cord-009417-458rrhcm 698 24 peripheral peripheral JJ cord-009417-458rrhcm 698 25 counts count NNS cord-009417-458rrhcm 698 26 of of IN cord-009417-458rrhcm 698 27 100 100 CD cord-009417-458rrhcm 698 28 × × NN cord-009417-458rrhcm 698 29 10 10 CD cord-009417-458rrhcm 698 30 9 9 CD cord-009417-458rrhcm 698 31 /L /L , cord-009417-458rrhcm 698 32 or or CC cord-009417-458rrhcm 698 33 greater great JJR cord-009417-458rrhcm 698 34 . . . cord-009417-458rrhcm 699 1 Each each DT cord-009417-458rrhcm 699 2 procedure procedure NN cord-009417-458rrhcm 699 3 is be VBZ cord-009417-458rrhcm 699 4 expected expect VBN cord-009417-458rrhcm 699 5 to to TO cord-009417-458rrhcm 699 6 drop drop VB cord-009417-458rrhcm 699 7 the the DT cord-009417-458rrhcm 699 8 count count NN cord-009417-458rrhcm 699 9 by by IN cord-009417-458rrhcm 699 10 a a DT cord-009417-458rrhcm 699 11 third third NN cord-009417-458rrhcm 699 12 , , , cord-009417-458rrhcm 699 13 but but CC cord-009417-458rrhcm 699 14 the the DT cord-009417-458rrhcm 699 15 effect effect NN cord-009417-458rrhcm 699 16 is be VBZ cord-009417-458rrhcm 699 17 short short RB cord-009417-458rrhcm 699 18 lived live VBN cord-009417-458rrhcm 699 19 . . . cord-009417-458rrhcm 700 1 Leukapheresis Leukapheresis NNP cord-009417-458rrhcm 700 2 should should MD cord-009417-458rrhcm 700 3 be be VB cord-009417-458rrhcm 700 4 reserved reserve VBN cord-009417-458rrhcm 700 5 for for IN cord-009417-458rrhcm 700 6 use use NN cord-009417-458rrhcm 700 7 only only RB cord-009417-458rrhcm 700 8 as as IN cord-009417-458rrhcm 700 9 an an DT cord-009417-458rrhcm 700 10 adjunct adjunct NN cord-009417-458rrhcm 700 11 to to IN cord-009417-458rrhcm 700 12 chemotherapy chemotherapy NN cord-009417-458rrhcm 700 13 in in IN cord-009417-458rrhcm 700 14 patients patient NNS cord-009417-458rrhcm 700 15 with with IN cord-009417-458rrhcm 700 16 pulmonary pulmonary JJ cord-009417-458rrhcm 700 17 or or CC cord-009417-458rrhcm 700 18 cerebral cerebral JJ cord-009417-458rrhcm 700 19 leukostasis leukostasi NNS cord-009417-458rrhcm 700 20 or or CC cord-009417-458rrhcm 700 21 for for IN cord-009417-458rrhcm 700 22 cytoreduction cytoreduction NN cord-009417-458rrhcm 700 23 before before IN cord-009417-458rrhcm 700 24 chemotherapy chemotherapy NN cord-009417-458rrhcm 700 25 in in IN cord-009417-458rrhcm 700 26 patients patient NNS cord-009417-458rrhcm 700 27 at at IN cord-009417-458rrhcm 700 28 risk risk NN cord-009417-458rrhcm 700 29 for for IN cord-009417-458rrhcm 700 30 severe severe JJ cord-009417-458rrhcm 700 31 tumor tumor NN cord-009417-458rrhcm 700 32 lysis lysis NN cord-009417-458rrhcm 700 33 syndrome syndrome NN cord-009417-458rrhcm 700 34 . . . cord-009417-458rrhcm 701 1 Plateletpheresis Plateletpheresis NNP cord-009417-458rrhcm 701 2 may may MD cord-009417-458rrhcm 701 3 be be VB cord-009417-458rrhcm 701 4 benefi benefi NNP cord-009417-458rrhcm 701 5 cial cial JJ cord-009417-458rrhcm 701 6 as as IN cord-009417-458rrhcm 701 7 short short JJ cord-009417-458rrhcm 701 8 - - HYPH cord-009417-458rrhcm 701 9 term term NN cord-009417-458rrhcm 701 10 therapy therapy NN cord-009417-458rrhcm 701 11 in in IN cord-009417-458rrhcm 701 12 patients patient NNS cord-009417-458rrhcm 701 13 with with IN cord-009417-458rrhcm 701 14 symptomatic symptomatic JJ cord-009417-458rrhcm 701 15 thrombocythemia thrombocythemia NN cord-009417-458rrhcm 701 16 manifested manifest VBD cord-009417-458rrhcm 701 17 as as IN cord-009417-458rrhcm 701 18 cerebral cerebral JJ cord-009417-458rrhcm 701 19 or or CC cord-009417-458rrhcm 701 20 myocardial myocardial JJ cord-009417-458rrhcm 701 21 ischemia ischemia NN cord-009417-458rrhcm 701 22 , , , cord-009417-458rrhcm 701 23 pulmonary pulmonary JJ cord-009417-458rrhcm 701 24 emboli emboli NN cord-009417-458rrhcm 701 25 , , , cord-009417-458rrhcm 701 26 or or CC cord-009417-458rrhcm 701 27 gastrointestinal gastrointestinal JJ cord-009417-458rrhcm 701 28 bleeding bleeding NN cord-009417-458rrhcm 701 29 . . . cord-009417-458rrhcm 702 1 Each each DT cord-009417-458rrhcm 702 2 procedure procedure NN cord-009417-458rrhcm 702 3 should should MD cord-009417-458rrhcm 702 4 effect effect VB cord-009417-458rrhcm 702 5 a a DT cord-009417-458rrhcm 702 6 50 50 CD cord-009417-458rrhcm 702 7 % % NN cord-009417-458rrhcm 702 8 reduction reduction NN cord-009417-458rrhcm 702 9 in in IN cord-009417-458rrhcm 702 10 the the DT cord-009417-458rrhcm 702 11 platelet platelet NN cord-009417-458rrhcm 702 12 count count NN cord-009417-458rrhcm 702 13 . . . cord-009417-458rrhcm 703 1 Cytotoxic cytotoxic JJ cord-009417-458rrhcm 703 2 therapy therapy NN cord-009417-458rrhcm 703 3 should should MD cord-009417-458rrhcm 703 4 be be VB cord-009417-458rrhcm 703 5 started start VBN cord-009417-458rrhcm 703 6 concomitantly concomitantly RB cord-009417-458rrhcm 703 7 as as IN cord-009417-458rrhcm 703 8 the the DT cord-009417-458rrhcm 703 9 defi defi NNP cord-009417-458rrhcm 703 10 nitive nitive NNP cord-009417-458rrhcm 703 11 treatment treatment NN cord-009417-458rrhcm 703 12 . . . cord-009417-458rrhcm 704 1 Litigation litigation NN cord-009417-458rrhcm 704 2 related relate VBN cord-009417-458rrhcm 704 3 to to IN cord-009417-458rrhcm 704 4 blood blood NN cord-009417-458rrhcm 704 5 transfusion transfusion NN cord-009417-458rrhcm 704 6 has have VBZ cord-009417-458rrhcm 704 7 become become VBN cord-009417-458rrhcm 704 8 prominent prominent JJ cord-009417-458rrhcm 704 9 , , , cord-009417-458rrhcm 704 10 particularly particularly RB cord-009417-458rrhcm 704 11 after after IN cord-009417-458rrhcm 704 12 the the DT cord-009417-458rrhcm 704 13 epidemic epidemic NN cord-009417-458rrhcm 704 14 of of IN cord-009417-458rrhcm 704 15 transfusionassociated transfusionassociate VBN cord-009417-458rrhcm 704 16 AIDS AIDS NNP cord-009417-458rrhcm 704 17 . . . cord-009417-458rrhcm 705 1 155 155 CD cord-009417-458rrhcm 705 2 Most Most JJS cord-009417-458rrhcm 705 3 states state NNS cord-009417-458rrhcm 705 4 regulate regulate VBP cord-009417-458rrhcm 705 5 blood blood NN cord-009417-458rrhcm 705 6 banking banking NN cord-009417-458rrhcm 705 7 and and CC cord-009417-458rrhcm 705 8 medical medical JJ cord-009417-458rrhcm 705 9 practice practice NN cord-009417-458rrhcm 705 10 , , , cord-009417-458rrhcm 705 11 but but CC cord-009417-458rrhcm 705 12 blood blood NN cord-009417-458rrhcm 705 13 products product NNS cord-009417-458rrhcm 705 14 are be VBP cord-009417-458rrhcm 705 15 regarded regard VBN cord-009417-458rrhcm 705 16 as as IN cord-009417-458rrhcm 705 17 Symptomatic symptomatic JJ cord-009417-458rrhcm 705 18 hyperviscosity hyperviscosity NN cord-009417-458rrhcm 705 19 Thrombotic Thrombotic NNP cord-009417-458rrhcm 705 20 thrombocytopenic thrombocytopenic JJ cord-009417-458rrhcm 705 21 purpura purpura NN cord-009417-458rrhcm 705 22 Neurologic neurologic JJ cord-009417-458rrhcm 705 23 diseases disease NNS cord-009417-458rrhcm 705 24 : : : cord-009417-458rrhcm 705 25 myasthenia myasthenia NN cord-009417-458rrhcm 705 26 gravis gravis NN cord-009417-458rrhcm 705 27 , , . cord-009417-458rrhcm 706 1 Guillain Guillain NNP cord-009417-458rrhcm 706 2 - - HYPH cord-009417-458rrhcm 706 3 Barré Barré NNP cord-009417-458rrhcm 706 4 syndrome syndrome NN cord-009417-458rrhcm 706 5 Uncontrolled uncontrolled JJ cord-009417-458rrhcm 706 6 systemic systemic JJ cord-009417-458rrhcm 706 7 vasculitis vasculitis NN cord-009417-458rrhcm 706 8 with with IN cord-009417-458rrhcm 706 9 critical critical JJ cord-009417-458rrhcm 706 10 end end NN cord-009417-458rrhcm 706 11 - - HYPH cord-009417-458rrhcm 706 12 organ organ NN cord-009417-458rrhcm 706 13 injury injury NN cord-009417-458rrhcm 707 1 Symptomatic symptomatic JJ cord-009417-458rrhcm 707 2 leukocytosis leukocytosis NN cord-009417-458rrhcm 707 3 Symptomatic symptomatic JJ cord-009417-458rrhcm 707 4 thrombocythemia thrombocythemia NNP cord-009417-458rrhcm 707 5 Sickle Sickle NNP cord-009417-458rrhcm 707 6 cell cell NN cord-009417-458rrhcm 707 7 anemia anemia NN cord-009417-458rrhcm 707 8 crisis crisis NN cord-009417-458rrhcm 707 9 ( ( -LRB- cord-009417-458rrhcm 707 10 pulmonary pulmonary JJ cord-009417-458rrhcm 707 11 or or CC cord-009417-458rrhcm 707 12 central central JJ cord-009417-458rrhcm 707 13 nervous nervous JJ cord-009417-458rrhcm 707 14 system system NN cord-009417-458rrhcm 707 15 manifestations manifestation NNS cord-009417-458rrhcm 707 16 ) ) -RRB- cord-009417-458rrhcm 707 17 a a DT cord-009417-458rrhcm 707 18 service service NN cord-009417-458rrhcm 707 19 , , , cord-009417-458rrhcm 707 20 not not RB cord-009417-458rrhcm 707 21 as as IN cord-009417-458rrhcm 707 22 a a DT cord-009417-458rrhcm 707 23 commodity commodity NN cord-009417-458rrhcm 707 24 , , , cord-009417-458rrhcm 708 1 so so RB cord-009417-458rrhcm 708 2 standard standard JJ cord-009417-458rrhcm 708 3 product product NN cord-009417-458rrhcm 708 4 liability liability NN cord-009417-458rrhcm 708 5 does do VBZ cord-009417-458rrhcm 708 6 not not RB cord-009417-458rrhcm 708 7 pertain pertain VB cord-009417-458rrhcm 708 8 to to IN cord-009417-458rrhcm 708 9 blood blood NN cord-009417-458rrhcm 708 10 components component NNS cord-009417-458rrhcm 708 11 . . . cord-009417-458rrhcm 709 1 156 156 CD cord-009417-458rrhcm 710 1 However however RB cord-009417-458rrhcm 710 2 , , , cord-009417-458rrhcm 710 3 negligence negligence NN cord-009417-458rrhcm 710 4 in in IN cord-009417-458rrhcm 710 5 the the DT cord-009417-458rrhcm 710 6 course course NN cord-009417-458rrhcm 710 7 of of IN cord-009417-458rrhcm 710 8 preparing prepare VBG cord-009417-458rrhcm 710 9 , , , cord-009417-458rrhcm 710 10 testing test VBG cord-009417-458rrhcm 710 11 , , , cord-009417-458rrhcm 710 12 transferring transfer VBG cord-009417-458rrhcm 710 13 , , , cord-009417-458rrhcm 710 14 crossmatching crossmatching NN cord-009417-458rrhcm 710 15 , , , cord-009417-458rrhcm 710 16 or or CC cord-009417-458rrhcm 710 17 administering administer VBG cord-009417-458rrhcm 710 18 blood blood NN cord-009417-458rrhcm 710 19 products product NNS cord-009417-458rrhcm 710 20 is be VBZ cord-009417-458rrhcm 710 21 still still RB cord-009417-458rrhcm 710 22 a a DT cord-009417-458rrhcm 710 23 potential potential JJ cord-009417-458rrhcm 710 24 cause cause NN cord-009417-458rrhcm 710 25 for for IN cord-009417-458rrhcm 710 26 legal legal JJ cord-009417-458rrhcm 710 27 action action NN cord-009417-458rrhcm 710 28 . . . cord-009417-458rrhcm 711 1 Every every DT cord-009417-458rrhcm 711 2 clinician clinician NN cord-009417-458rrhcm 711 3 who who WP cord-009417-458rrhcm 711 4 orders order VBZ cord-009417-458rrhcm 711 5 transfusions transfusion NNS cord-009417-458rrhcm 711 6 must must MD cord-009417-458rrhcm 711 7 be be VB cord-009417-458rrhcm 711 8 aware aware JJ cord-009417-458rrhcm 711 9 that that IN cord-009417-458rrhcm 711 10 blood blood NN cord-009417-458rrhcm 711 11 components component NNS cord-009417-458rrhcm 711 12 , , , cord-009417-458rrhcm 711 13 like like IN cord-009417-458rrhcm 711 14 drugs drug NNS cord-009417-458rrhcm 711 15 , , , cord-009417-458rrhcm 711 16 are be VBP cord-009417-458rrhcm 711 17 approved approve VBN cord-009417-458rrhcm 711 18 for for IN cord-009417-458rrhcm 711 19 specifi specifi NNP cord-009417-458rrhcm 711 20 c c NN cord-009417-458rrhcm 711 21 uses use VBZ cord-009417-458rrhcm 711 22 and and CC cord-009417-458rrhcm 711 23 that that IN cord-009417-458rrhcm 711 24 the the DT cord-009417-458rrhcm 711 25 indications indication NNS cord-009417-458rrhcm 711 26 should should MD cord-009417-458rrhcm 711 27 be be VB cord-009417-458rrhcm 711 28 clearly clearly RB cord-009417-458rrhcm 711 29 documented document VBN cord-009417-458rrhcm 711 30 in in IN cord-009417-458rrhcm 711 31 the the DT cord-009417-458rrhcm 711 32 medical medical JJ cord-009417-458rrhcm 711 33 record record NN cord-009417-458rrhcm 711 34 . . . cord-009417-458rrhcm 712 1 The the DT cord-009417-458rrhcm 712 2 informed informed JJ cord-009417-458rrhcm 712 3 consent consent NN cord-009417-458rrhcm 712 4 of of IN cord-009417-458rrhcm 712 5 the the DT cord-009417-458rrhcm 712 6 patient patient NN cord-009417-458rrhcm 712 7 is be VBZ cord-009417-458rrhcm 712 8 an an DT cord-009417-458rrhcm 712 9 important important JJ cord-009417-458rrhcm 712 10 area area NN cord-009417-458rrhcm 712 11 of of IN cord-009417-458rrhcm 712 12 potential potential JJ cord-009417-458rrhcm 712 13 liability liability NN cord-009417-458rrhcm 712 14 . . . cord-009417-458rrhcm 713 1 The the DT cord-009417-458rrhcm 713 2 Joint Joint NNP cord-009417-458rrhcm 713 3 Commission Commission NNP cord-009417-458rrhcm 713 4 on on IN cord-009417-458rrhcm 713 5 Accreditation Accreditation NNP cord-009417-458rrhcm 713 6 of of IN cord-009417-458rrhcm 713 7 Healthcare Healthcare NNP cord-009417-458rrhcm 713 8 Organizations Organizations NNP cord-009417-458rrhcm 713 9 ( ( -LRB- cord-009417-458rrhcm 713 10 JCAHO JCAHO NNP cord-009417-458rrhcm 713 11 ) ) -RRB- cord-009417-458rrhcm 713 12 has have VBZ cord-009417-458rrhcm 713 13 required require VBN cord-009417-458rrhcm 713 14 written write VBN cord-009417-458rrhcm 713 15 patient patient JJ cord-009417-458rrhcm 713 16 consent consent NN cord-009417-458rrhcm 713 17 for for IN cord-009417-458rrhcm 713 18 blood blood NN cord-009417-458rrhcm 713 19 transfusions transfusion NNS cord-009417-458rrhcm 713 20 since since IN cord-009417-458rrhcm 713 21 1996 1996 CD cord-009417-458rrhcm 713 22 . . . cord-009417-458rrhcm 714 1 What what WP cord-009417-458rrhcm 714 2 constitutes constitute VBZ cord-009417-458rrhcm 714 3 adequate adequate JJ cord-009417-458rrhcm 714 4 informed informed JJ cord-009417-458rrhcm 714 5 consent consent NN cord-009417-458rrhcm 714 6 and and CC cord-009417-458rrhcm 714 7 who who WP cord-009417-458rrhcm 714 8 is be VBZ cord-009417-458rrhcm 714 9 responsible responsible JJ cord-009417-458rrhcm 714 10 for for IN cord-009417-458rrhcm 714 11 advising advise VBG cord-009417-458rrhcm 714 12 the the DT cord-009417-458rrhcm 714 13 patient patient NN cord-009417-458rrhcm 714 14 are be VBP cord-009417-458rrhcm 714 15 still still RB cord-009417-458rrhcm 714 16 in in IN cord-009417-458rrhcm 714 17 contention contention NN cord-009417-458rrhcm 714 18 . . . cord-009417-458rrhcm 715 1 Elements element NNS cord-009417-458rrhcm 715 2 of of IN cord-009417-458rrhcm 715 3 informed informed JJ cord-009417-458rrhcm 715 4 consent consent NN cord-009417-458rrhcm 715 5 include include VBP cord-009417-458rrhcm 715 6 an an DT cord-009417-458rrhcm 715 7 understanding understanding NN cord-009417-458rrhcm 715 8 of of IN cord-009417-458rrhcm 715 9 the the DT cord-009417-458rrhcm 715 10 need need NN cord-009417-458rrhcm 715 11 for for IN cord-009417-458rrhcm 715 12 transfusion transfusion NN cord-009417-458rrhcm 715 13 , , , cord-009417-458rrhcm 715 14 its -PRON- PRP$ cord-009417-458rrhcm 715 15 risks risk NNS cord-009417-458rrhcm 715 16 and and CC cord-009417-458rrhcm 715 17 benefi benefi NNP cord-009417-458rrhcm 715 18 ts ts NNP cord-009417-458rrhcm 715 19 , , , cord-009417-458rrhcm 715 20 and and CC cord-009417-458rrhcm 715 21 the the DT cord-009417-458rrhcm 715 22 alternatives alternative NNS cord-009417-458rrhcm 715 23 , , , cord-009417-458rrhcm 715 24 including include VBG cord-009417-458rrhcm 715 25 the the DT cord-009417-458rrhcm 715 26 risk risk NN cord-009417-458rrhcm 715 27 of of IN cord-009417-458rrhcm 715 28 not not RB cord-009417-458rrhcm 715 29 undergoing undergo VBG cord-009417-458rrhcm 715 30 transfusion transfusion NN cord-009417-458rrhcm 715 31 , , , cord-009417-458rrhcm 715 32 as as RB cord-009417-458rrhcm 715 33 well well RB cord-009417-458rrhcm 715 34 as as IN cord-009417-458rrhcm 715 35 the the DT cord-009417-458rrhcm 715 36 opportunity opportunity NN cord-009417-458rrhcm 715 37 to to TO cord-009417-458rrhcm 715 38 ask ask VB cord-009417-458rrhcm 715 39 questions question NNS cord-009417-458rrhcm 715 40 . . . cord-009417-458rrhcm 716 1 Whether whether IN cord-009417-458rrhcm 716 2 the the DT cord-009417-458rrhcm 716 3 clinician clinician NN cord-009417-458rrhcm 716 4 documents document NNS cord-009417-458rrhcm 716 5 informed informed JJ cord-009417-458rrhcm 716 6 consent consent NN cord-009417-458rrhcm 716 7 with with IN cord-009417-458rrhcm 716 8 an an DT cord-009417-458rrhcm 716 9 individual individual JJ cord-009417-458rrhcm 716 10 progress progress NN cord-009417-458rrhcm 716 11 note note NN cord-009417-458rrhcm 716 12 in in IN cord-009417-458rrhcm 716 13 the the DT cord-009417-458rrhcm 716 14 patient patient JJ cord-009417-458rrhcm 716 15 record record NN cord-009417-458rrhcm 716 16 or or CC cord-009417-458rrhcm 716 17 with with IN cord-009417-458rrhcm 716 18 a a DT cord-009417-458rrhcm 716 19 standardized standardized JJ cord-009417-458rrhcm 716 20 form form NN cord-009417-458rrhcm 716 21 is be VBZ cord-009417-458rrhcm 716 22 generally generally RB cord-009417-458rrhcm 716 23 established establish VBN cord-009417-458rrhcm 716 24 as as IN cord-009417-458rrhcm 716 25 institutional institutional JJ cord-009417-458rrhcm 716 26 policy policy NN cord-009417-458rrhcm 716 27 . . . cord-009417-458rrhcm 717 1 Similarly similarly RB cord-009417-458rrhcm 717 2 , , , cord-009417-458rrhcm 717 3 institutions institution NNS cord-009417-458rrhcm 717 4 vary vary VBP cord-009417-458rrhcm 717 5 with with IN cord-009417-458rrhcm 717 6 respect respect NN cord-009417-458rrhcm 717 7 to to IN cord-009417-458rrhcm 717 8 policies policy NNS cord-009417-458rrhcm 717 9 for for IN cord-009417-458rrhcm 717 10 consenting consent VBG cord-009417-458rrhcm 717 11 adults adult NNS cord-009417-458rrhcm 717 12 who who WP cord-009417-458rrhcm 717 13 are be VBP cord-009417-458rrhcm 717 14 temporarily temporarily RB cord-009417-458rrhcm 717 15 incompetent incompetent JJ cord-009417-458rrhcm 717 16 , , , cord-009417-458rrhcm 717 17 such such JJ cord-009417-458rrhcm 717 18 as as IN cord-009417-458rrhcm 717 19 sedated sedated JJ cord-009417-458rrhcm 717 20 patients patient NNS cord-009417-458rrhcm 717 21 in in IN cord-009417-458rrhcm 717 22 the the DT cord-009417-458rrhcm 717 23 ICU ICU NNP cord-009417-458rrhcm 717 24 . . . cord-009417-458rrhcm 718 1 A a DT cord-009417-458rrhcm 718 2 competent competent JJ cord-009417-458rrhcm 718 3 adult adult NN cord-009417-458rrhcm 718 4 patient patient NN cord-009417-458rrhcm 718 5 may may MD cord-009417-458rrhcm 718 6 refuse refuse VB cord-009417-458rrhcm 718 7 blood blood NN cord-009417-458rrhcm 718 8 transfusion transfusion NN cord-009417-458rrhcm 718 9 , , , cord-009417-458rrhcm 718 10 and and CC cord-009417-458rrhcm 718 11 Jehovah Jehovah NNP cord-009417-458rrhcm 718 12 's 's POS cord-009417-458rrhcm 718 13 Witnesses witness NNS cord-009417-458rrhcm 718 14 commonly commonly RB cord-009417-458rrhcm 718 15 do do VBP cord-009417-458rrhcm 718 16 so so RB cord-009417-458rrhcm 718 17 for for IN cord-009417-458rrhcm 718 18 religious religious JJ cord-009417-458rrhcm 718 19 reasons reason NNS cord-009417-458rrhcm 718 20 . . . cord-009417-458rrhcm 719 1 Case case NN cord-009417-458rrhcm 719 2 law law NN cord-009417-458rrhcm 719 3 is be VBZ cord-009417-458rrhcm 719 4 clear clear JJ cord-009417-458rrhcm 719 5 in in IN cord-009417-458rrhcm 719 6 upholding uphold VBG cord-009417-458rrhcm 719 7 this this DT cord-009417-458rrhcm 719 8 right right NN cord-009417-458rrhcm 719 9 of of IN cord-009417-458rrhcm 719 10 the the DT cord-009417-458rrhcm 719 11 patient patient NN cord-009417-458rrhcm 719 12 , , , cord-009417-458rrhcm 719 13 157 157 CD cord-009417-458rrhcm 719 14 which which WDT cord-009417-458rrhcm 719 15 extends extend VBZ cord-009417-458rrhcm 719 16 to to TO cord-009417-458rrhcm 719 17 care care VB cord-009417-458rrhcm 719 18 given give VBN cord-009417-458rrhcm 719 19 at at IN cord-009417-458rrhcm 719 20 such such JJ cord-009417-458rrhcm 719 21 time time NN cord-009417-458rrhcm 719 22 as as IN cord-009417-458rrhcm 719 23 the the DT cord-009417-458rrhcm 719 24 patient patient NN cord-009417-458rrhcm 719 25 may may MD cord-009417-458rrhcm 719 26 become become VB cord-009417-458rrhcm 719 27 incompetent incompetent JJ cord-009417-458rrhcm 719 28 ( ( -LRB- cord-009417-458rrhcm 719 29 i.e. i.e. FW cord-009417-458rrhcm 719 30 , , , cord-009417-458rrhcm 719 31 comatose comatose JJ cord-009417-458rrhcm 719 32 ) ) -RRB- cord-009417-458rrhcm 719 33 after after IN cord-009417-458rrhcm 719 34 such such JJ cord-009417-458rrhcm 719 35 refusal refusal NN cord-009417-458rrhcm 719 36 was be VBD cord-009417-458rrhcm 719 37 expressed express VBN cord-009417-458rrhcm 719 38 before before IN cord-009417-458rrhcm 719 39 becoming become VBG cord-009417-458rrhcm 719 40 incompetent incompetent JJ cord-009417-458rrhcm 719 41 . . . cord-009417-458rrhcm 720 1 Courts court NNS cord-009417-458rrhcm 720 2 will will MD cord-009417-458rrhcm 720 3 usually usually RB cord-009417-458rrhcm 720 4 order order VB cord-009417-458rrhcm 720 5 a a DT cord-009417-458rrhcm 720 6 lifesaving lifesaving JJ cord-009417-458rrhcm 720 7 transfusion transfusion NN cord-009417-458rrhcm 720 8 for for IN cord-009417-458rrhcm 720 9 minors minor NNS cord-009417-458rrhcm 720 10 . . . cord-009417-458rrhcm 721 1 Exceptions exception NNS cord-009417-458rrhcm 721 2 have have VBP cord-009417-458rrhcm 721 3 been be VBN cord-009417-458rrhcm 721 4 made make VBN cord-009417-458rrhcm 721 5 in in IN cord-009417-458rrhcm 721 6 the the DT cord-009417-458rrhcm 721 7 case case NN cord-009417-458rrhcm 721 8 of of IN cord-009417-458rrhcm 721 9 some some DT cord-009417-458rrhcm 721 10 " " `` cord-009417-458rrhcm 721 11 emancipated emancipated JJ cord-009417-458rrhcm 721 12 minors minor NNS cord-009417-458rrhcm 721 13 " " '' cord-009417-458rrhcm 721 14 who who WP cord-009417-458rrhcm 721 15 are be VBP cord-009417-458rrhcm 721 16 at at IN cord-009417-458rrhcm 721 17 the the DT cord-009417-458rrhcm 721 18 age age NN cord-009417-458rrhcm 721 19 of of IN cord-009417-458rrhcm 721 20 reason reason NN cord-009417-458rrhcm 721 21 . . . cord-009417-458rrhcm 722 1 Most Most JJS cord-009417-458rrhcm 722 2 states state NNS cord-009417-458rrhcm 722 3 have have VBP cord-009417-458rrhcm 722 4 evoked evoke VBN cord-009417-458rrhcm 722 5 a a DT cord-009417-458rrhcm 722 6 " " `` cord-009417-458rrhcm 722 7 special special JJ cord-009417-458rrhcm 722 8 interest interest NN cord-009417-458rrhcm 722 9 " " '' cord-009417-458rrhcm 722 10 in in IN cord-009417-458rrhcm 722 11 the the DT cord-009417-458rrhcm 722 12 welfare welfare NN cord-009417-458rrhcm 722 13 of of IN cord-009417-458rrhcm 722 14 a a DT cord-009417-458rrhcm 722 15 fetus fetus NN cord-009417-458rrhcm 722 16 in in IN cord-009417-458rrhcm 722 17 ordering order VBG cord-009417-458rrhcm 722 18 transfusions transfusion NNS cord-009417-458rrhcm 722 19 to to IN cord-009417-458rrhcm 722 20 pregnant pregnant JJ cord-009417-458rrhcm 722 21 women woman NNS cord-009417-458rrhcm 722 22 . . . cord-009417-458rrhcm 723 1 The the DT cord-009417-458rrhcm 723 2 advent advent NN cord-009417-458rrhcm 723 3 of of IN cord-009417-458rrhcm 723 4 sentinel sentinel JJ cord-009417-458rrhcm 723 5 event event NN cord-009417-458rrhcm 723 6 reviews review NNS cord-009417-458rrhcm 723 7 and and CC cord-009417-458rrhcm 723 8 other other JJ cord-009417-458rrhcm 723 9 quality quality NN cord-009417-458rrhcm 723 10 management management NN cord-009417-458rrhcm 723 11 procedures procedure NNS cord-009417-458rrhcm 723 12 for for IN cord-009417-458rrhcm 723 13 patient patient JJ cord-009417-458rrhcm 723 14 safety safety NN cord-009417-458rrhcm 723 15 has have VBZ cord-009417-458rrhcm 723 16 had have VBN cord-009417-458rrhcm 723 17 an an DT cord-009417-458rrhcm 723 18 impact impact NN cord-009417-458rrhcm 723 19 on on IN cord-009417-458rrhcm 723 20 transfusion transfusion NN cord-009417-458rrhcm 723 21 practice practice NN cord-009417-458rrhcm 723 22 as as RB cord-009417-458rrhcm 723 23 well well RB cord-009417-458rrhcm 723 24 . . . cord-009417-458rrhcm 724 1 Procedures procedure NNS cord-009417-458rrhcm 724 2 for for IN cord-009417-458rrhcm 724 3 patient patient JJ cord-009417-458rrhcm 724 4 identifi identifi NNP cord-009417-458rrhcm 724 5 cation cation NN cord-009417-458rrhcm 724 6 before before IN cord-009417-458rrhcm 724 7 surgical surgical JJ cord-009417-458rrhcm 724 8 procedures procedure NNS cord-009417-458rrhcm 724 9 , , , cord-009417-458rrhcm 724 10 including include VBG cord-009417-458rrhcm 724 11 devices device NNS cord-009417-458rrhcm 724 12 such such JJ cord-009417-458rrhcm 724 13 as as IN cord-009417-458rrhcm 724 14 bar bar NN cord-009417-458rrhcm 724 15 code code NN cord-009417-458rrhcm 724 16 readers reader NNS cord-009417-458rrhcm 724 17 , , , cord-009417-458rrhcm 724 18 have have VBP cord-009417-458rrhcm 724 19 also also RB cord-009417-458rrhcm 724 20 been be VBN cord-009417-458rrhcm 724 21 applied apply VBN cord-009417-458rrhcm 724 22 to to IN cord-009417-458rrhcm 724 23 transfusion transfusion NN cord-009417-458rrhcm 724 24 practice practice NN cord-009417-458rrhcm 724 25 . . . cord-009417-458rrhcm 725 1 However however RB cord-009417-458rrhcm 725 2 , , , cord-009417-458rrhcm 725 3 annual annual JJ cord-009417-458rrhcm 725 4 sentinel sentinel JJ cord-009417-458rrhcm 725 5 event event NN cord-009417-458rrhcm 725 6 reviews review NNS cord-009417-458rrhcm 725 7 reporting report VBG cord-009417-458rrhcm 725 8 transfusion transfusion NN cord-009417-458rrhcm 725 9 errors error NNS cord-009417-458rrhcm 725 10 have have VBP cord-009417-458rrhcm 725 11 remained remain VBN cord-009417-458rrhcm 725 12 constant constant JJ cord-009417-458rrhcm 725 13 according accord VBG cord-009417-458rrhcm 725 14 to to IN cord-009417-458rrhcm 725 15 JCAHO JCAHO NNP cord-009417-458rrhcm 725 16 records record NNS cord-009417-458rrhcm 725 17 . . . cord-009417-458rrhcm 726 1 158 158 CD cord-009417-458rrhcm 726 2 _SP cord-009417-458rrhcm 726 3 ■ ■ NNP cord-009417-458rrhcm 726 4 Blood blood NN cord-009417-458rrhcm 726 5 components component NNS cord-009417-458rrhcm 726 6 should should MD cord-009417-458rrhcm 726 7 be be VB cord-009417-458rrhcm 726 8 prescribed prescribe VBN cord-009417-458rrhcm 726 9 like like IN cord-009417-458rrhcm 726 10 drugs drug NNS cord-009417-458rrhcm 726 11 . . . cord-009417-458rrhcm 727 1 Appropriate appropriate JJ cord-009417-458rrhcm 727 2 blood blood NN cord-009417-458rrhcm 727 3 component component NN cord-009417-458rrhcm 727 4 therapy therapy NN cord-009417-458rrhcm 727 5 requires require VBZ cord-009417-458rrhcm 727 6 that that IN cord-009417-458rrhcm 727 7 the the DT cord-009417-458rrhcm 727 8 specifi specifi NN cord-009417-458rrhcm 727 9 c c SYM cord-009417-458rrhcm 727 10 blood blood NN cord-009417-458rrhcm 727 11 product product NN cord-009417-458rrhcm 727 12 needed need VBN cord-009417-458rrhcm 727 13 for for IN cord-009417-458rrhcm 727 14 a a DT cord-009417-458rrhcm 727 15 clear clear JJ cord-009417-458rrhcm 727 16 indication indication NN cord-009417-458rrhcm 727 17 be be VB cord-009417-458rrhcm 727 18 prescribed prescribe VBN cord-009417-458rrhcm 727 19 , , , cord-009417-458rrhcm 727 20 with with IN cord-009417-458rrhcm 727 21 avoidance avoidance NN cord-009417-458rrhcm 727 22 of of IN cord-009417-458rrhcm 727 23 a a DT cord-009417-458rrhcm 727 24 formulaic formulaic JJ cord-009417-458rrhcm 727 25 approach approach NN cord-009417-458rrhcm 727 26 . . . cord-009417-458rrhcm 728 1 ■ ■ NFP cord-009417-458rrhcm 728 2 Red red JJ cord-009417-458rrhcm 728 3 blood blood NN cord-009417-458rrhcm 728 4 cells cell NNS cord-009417-458rrhcm 728 5 should should MD cord-009417-458rrhcm 728 6 be be VB cord-009417-458rrhcm 728 7 transfused transfuse VBN cord-009417-458rrhcm 728 8 only only RB cord-009417-458rrhcm 728 9 to to TO cord-009417-458rrhcm 728 10 increase increase VB cord-009417-458rrhcm 728 11 oxygen oxygen NN cord-009417-458rrhcm 728 12 - - HYPH cord-009417-458rrhcm 728 13 carrying carry VBG cord-009417-458rrhcm 728 14 capacity capacity NN cord-009417-458rrhcm 728 15 . . . cord-009417-458rrhcm 729 1 Transfusion transfusion NN cord-009417-458rrhcm 729 2 decisions decision NNS cord-009417-458rrhcm 729 3 should should MD cord-009417-458rrhcm 729 4 be be VB cord-009417-458rrhcm 729 5 based base VBN cord-009417-458rrhcm 729 6 on on IN cord-009417-458rrhcm 729 7 individual individual JJ cord-009417-458rrhcm 729 8 patient patient NN cord-009417-458rrhcm 729 9 physiology physiology NN cord-009417-458rrhcm 729 10 . . . cord-009417-458rrhcm 730 1 The the DT cord-009417-458rrhcm 730 2 majority majority NN cord-009417-458rrhcm 730 3 of of IN cord-009417-458rrhcm 730 4 patients patient NNS cord-009417-458rrhcm 730 5 with with IN cord-009417-458rrhcm 730 6 hemoglobin hemoglobin NN cord-009417-458rrhcm 730 7 levels level NNS cord-009417-458rrhcm 730 8 greater great JJR cord-009417-458rrhcm 730 9 than than IN cord-009417-458rrhcm 730 10 60 60 CD cord-009417-458rrhcm 730 11 or or CC cord-009417-458rrhcm 730 12 70 70 CD cord-009417-458rrhcm 730 13 g g NN cord-009417-458rrhcm 730 14 / / SYM cord-009417-458rrhcm 730 15 L L NNP cord-009417-458rrhcm 730 16 will will MD cord-009417-458rrhcm 730 17 not not RB cord-009417-458rrhcm 730 18 require require VB cord-009417-458rrhcm 730 19 transfusion transfusion NN cord-009417-458rrhcm 730 20 unless unless IN cord-009417-458rrhcm 730 21 they -PRON- PRP cord-009417-458rrhcm 730 22 have have VBP cord-009417-458rrhcm 730 23 limited limit VBN cord-009417-458rrhcm 730 24 cardiopulmonary cardiopulmonary JJ cord-009417-458rrhcm 730 25 reserve reserve NN cord-009417-458rrhcm 730 26 or or CC cord-009417-458rrhcm 730 27 active active JJ cord-009417-458rrhcm 730 28 bleeding bleeding NN cord-009417-458rrhcm 730 29 . . . cord-009417-458rrhcm 731 1 ■ ■ NFP cord-009417-458rrhcm 731 2 Platelet platelet NN cord-009417-458rrhcm 731 3 transfusions transfusion NNS cord-009417-458rrhcm 731 4 are be VBP cord-009417-458rrhcm 731 5 indicated indicate VBN cord-009417-458rrhcm 731 6 for for IN cord-009417-458rrhcm 731 7 patients patient NNS cord-009417-458rrhcm 731 8 who who WP cord-009417-458rrhcm 731 9 are be VBP cord-009417-458rrhcm 731 10 bleeding bleed VBG cord-009417-458rrhcm 731 11 because because IN cord-009417-458rrhcm 731 12 of of IN cord-009417-458rrhcm 731 13 thrombocytopenia thrombocytopenia NN cord-009417-458rrhcm 731 14 or or CC cord-009417-458rrhcm 731 15 functional functional JJ cord-009417-458rrhcm 731 16 platelet platelet NN cord-009417-458rrhcm 731 17 defects defect NNS cord-009417-458rrhcm 731 18 . . . cord-009417-458rrhcm 732 1 Guidelines guideline NNS cord-009417-458rrhcm 732 2 for for IN cord-009417-458rrhcm 732 3 platelet platelet NN cord-009417-458rrhcm 732 4 transfusion transfusion NN cord-009417-458rrhcm 732 5 are be VBP cord-009417-458rrhcm 732 6 also also RB cord-009417-458rrhcm 732 7 conservative conservative JJ cord-009417-458rrhcm 732 8 . . . cord-009417-458rrhcm 733 1 Prophylactic prophylactic JJ cord-009417-458rrhcm 733 2 platelet platelet NN cord-009417-458rrhcm 733 3 transfusion transfusion NN cord-009417-458rrhcm 733 4 remains remain VBZ cord-009417-458rrhcm 733 5 controversial controversial JJ cord-009417-458rrhcm 733 6 and and CC cord-009417-458rrhcm 733 7 is be VBZ cord-009417-458rrhcm 733 8 not not RB cord-009417-458rrhcm 733 9 warranted warrant VBN cord-009417-458rrhcm 733 10 in in IN cord-009417-458rrhcm 733 11 many many JJ cord-009417-458rrhcm 733 12 situations situation NNS cord-009417-458rrhcm 733 13 . . . cord-009417-458rrhcm 734 1 ■ ■ NFP cord-009417-458rrhcm 734 2 Fresh fresh JJ cord-009417-458rrhcm 734 3 frozen frozen JJ cord-009417-458rrhcm 734 4 plasma plasma NN cord-009417-458rrhcm 734 5 is be VBZ cord-009417-458rrhcm 734 6 indicated indicate VBN cord-009417-458rrhcm 734 7 for for IN cord-009417-458rrhcm 734 8 the the DT cord-009417-458rrhcm 734 9 repletion repletion NN cord-009417-458rrhcm 734 10 of of IN cord-009417-458rrhcm 734 11 coagulation coagulation NN cord-009417-458rrhcm 734 12 factors factor NNS cord-009417-458rrhcm 734 13 in in IN cord-009417-458rrhcm 734 14 bleeding bleed VBG cord-009417-458rrhcm 734 15 patients patient NNS cord-009417-458rrhcm 734 16 defi defi NNP cord-009417-458rrhcm 734 17 cient cient NN cord-009417-458rrhcm 734 18 in in IN cord-009417-458rrhcm 734 19 those those DT cord-009417-458rrhcm 734 20 factors factor NNS cord-009417-458rrhcm 734 21 or or CC cord-009417-458rrhcm 734 22 to to TO cord-009417-458rrhcm 734 23 provide provide VB cord-009417-458rrhcm 734 24 specifi specifi NNP cord-009417-458rrhcm 734 25 c c NN cord-009417-458rrhcm 734 26 plasma plasma NN cord-009417-458rrhcm 734 27 proteins protein NNS cord-009417-458rrhcm 734 28 that that WDT cord-009417-458rrhcm 734 29 can can MD cord-009417-458rrhcm 734 30 not not RB cord-009417-458rrhcm 734 31 be be VB cord-009417-458rrhcm 734 32 obtained obtain VBN cord-009417-458rrhcm 734 33 from from IN cord-009417-458rrhcm 734 34 safer safe JJR cord-009417-458rrhcm 734 35 sources source NNS cord-009417-458rrhcm 734 36 . . . cord-009417-458rrhcm 735 1 ■ ■ NFP cord-009417-458rrhcm 735 2 Cryoprecipitate Cryoprecipitate NNP cord-009417-458rrhcm 735 3 is be VBZ cord-009417-458rrhcm 735 4 a a DT cord-009417-458rrhcm 735 5 concentrated concentrated JJ cord-009417-458rrhcm 735 6 source source NN cord-009417-458rrhcm 735 7 of of IN cord-009417-458rrhcm 735 8 fi fi NNP cord-009417-458rrhcm 735 9 brinogen brinogen NNP cord-009417-458rrhcm 735 10 and and CC cord-009417-458rrhcm 735 11 selected select VBN cord-009417-458rrhcm 735 12 coagulation coagulation NN cord-009417-458rrhcm 735 13 factors factor NNS cord-009417-458rrhcm 735 14 . . . cord-009417-458rrhcm 736 1 Cryoprecipitate Cryoprecipitate NNP cord-009417-458rrhcm 736 2 may may MD cord-009417-458rrhcm 736 3 be be VB cord-009417-458rrhcm 736 4 more more RBR cord-009417-458rrhcm 736 5 helpful helpful JJ cord-009417-458rrhcm 736 6 in in IN cord-009417-458rrhcm 736 7 correcting correct VBG cord-009417-458rrhcm 736 8 the the DT cord-009417-458rrhcm 736 9 hypofi hypofi NNP cord-009417-458rrhcm 736 10 brinogenemia brinogenemia NN cord-009417-458rrhcm 736 11 of of IN cord-009417-458rrhcm 736 12 dilutional dilutional JJ cord-009417-458rrhcm 736 13 or or CC cord-009417-458rrhcm 736 14 consumptive consumptive JJ cord-009417-458rrhcm 736 15 coagulopathy coagulopathy NN cord-009417-458rrhcm 736 16 than than IN cord-009417-458rrhcm 736 17 fresh fresh JJ cord-009417-458rrhcm 736 18 frozen frozen JJ cord-009417-458rrhcm 736 19 plasma plasma NN cord-009417-458rrhcm 736 20 . . . cord-009417-458rrhcm 737 1 ■ ■ NFP cord-009417-458rrhcm 737 2 Adverse adverse JJ cord-009417-458rrhcm 737 3 reactions reaction NNS cord-009417-458rrhcm 737 4 to to IN cord-009417-458rrhcm 737 5 blood blood NN cord-009417-458rrhcm 737 6 components component NNS cord-009417-458rrhcm 737 7 occur occur VBP cord-009417-458rrhcm 737 8 in in IN cord-009417-458rrhcm 737 9 1 1 CD cord-009417-458rrhcm 737 10 % % NN cord-009417-458rrhcm 737 11 to to TO cord-009417-458rrhcm 737 12 2 2 CD cord-009417-458rrhcm 737 13 % % NN cord-009417-458rrhcm 737 14 of of IN cord-009417-458rrhcm 737 15 transfusion transfusion NN cord-009417-458rrhcm 737 16 episodes episode NNS cord-009417-458rrhcm 737 17 . . . cord-009417-458rrhcm 738 1 Adherence adherence NN cord-009417-458rrhcm 738 2 to to IN cord-009417-458rrhcm 738 3 routine routine JJ cord-009417-458rrhcm 738 4 protocols protocol NNS cord-009417-458rrhcm 738 5 for for IN cord-009417-458rrhcm 738 6 the the DT cord-009417-458rrhcm 738 7 evaluation evaluation NN cord-009417-458rrhcm 738 8 of of IN cord-009417-458rrhcm 738 9 transfusion transfusion NN cord-009417-458rrhcm 738 10 reactions reaction NNS cord-009417-458rrhcm 738 11 may may MD cord-009417-458rrhcm 738 12 save save VB cord-009417-458rrhcm 738 13 lives life NNS cord-009417-458rrhcm 738 14 . . . cord-009417-458rrhcm 739 1 ■ ■ NFP cord-009417-458rrhcm 739 2 Acute acute JJ cord-009417-458rrhcm 739 3 hemolytic hemolytic JJ cord-009417-458rrhcm 739 4 reactions reaction NNS cord-009417-458rrhcm 739 5 are be VBP cord-009417-458rrhcm 739 6 the the DT cord-009417-458rrhcm 739 7 leading leading JJ cord-009417-458rrhcm 739 8 cause cause NN cord-009417-458rrhcm 739 9 of of IN cord-009417-458rrhcm 739 10 immediate immediate JJ cord-009417-458rrhcm 739 11 transfusion transfusion NN cord-009417-458rrhcm 739 12 fatalities fatality NNS cord-009417-458rrhcm 739 13 . . . cord-009417-458rrhcm 740 1 Prevention prevention NN cord-009417-458rrhcm 740 2 of of IN cord-009417-458rrhcm 740 3 these these DT cord-009417-458rrhcm 740 4 reactions reaction NNS cord-009417-458rrhcm 740 5 requires require VBZ cord-009417-458rrhcm 740 6 strict strict JJ cord-009417-458rrhcm 740 7 adherence adherence NN cord-009417-458rrhcm 740 8 to to IN cord-009417-458rrhcm 740 9 transfusion transfusion NN cord-009417-458rrhcm 740 10 and and CC cord-009417-458rrhcm 740 11 patient patient NNP cord-009417-458rrhcm 740 12 identifi identifi NNP cord-009417-458rrhcm 740 13 cation cation NN cord-009417-458rrhcm 740 14 procedures procedure NNS cord-009417-458rrhcm 740 15 . . . cord-009417-458rrhcm 741 1 ■ ■ NFP cord-009417-458rrhcm 741 2 Transmission transmission NN cord-009417-458rrhcm 741 3 of of IN cord-009417-458rrhcm 741 4 infectious infectious JJ cord-009417-458rrhcm 741 5 agents agent NNS cord-009417-458rrhcm 741 6 by by IN cord-009417-458rrhcm 741 7 transfusion transfusion NN cord-009417-458rrhcm 741 8 has have VBZ cord-009417-458rrhcm 741 9 been be VBN cord-009417-458rrhcm 741 10 markedly markedly RB cord-009417-458rrhcm 741 11 reduced reduce VBN cord-009417-458rrhcm 741 12 , , , cord-009417-458rrhcm 741 13 and and CC cord-009417-458rrhcm 741 14 bacterial bacterial JJ cord-009417-458rrhcm 741 15 infection infection NN cord-009417-458rrhcm 741 16 is be VBZ cord-009417-458rrhcm 741 17 now now RB cord-009417-458rrhcm 741 18 the the DT cord-009417-458rrhcm 741 19 most most RBS cord-009417-458rrhcm 741 20 common common JJ cord-009417-458rrhcm 741 21 infectious infectious JJ cord-009417-458rrhcm 741 22 complication complication NN cord-009417-458rrhcm 741 23 of of IN cord-009417-458rrhcm 741 24 transfusion transfusion NN cord-009417-458rrhcm 741 25 . . . cord-009417-458rrhcm 742 1 ■ ■ NFP cord-009417-458rrhcm 742 2 Adverse adverse JJ cord-009417-458rrhcm 742 3 effects effect NNS cord-009417-458rrhcm 742 4 unique unique JJ cord-009417-458rrhcm 742 5 to to IN cord-009417-458rrhcm 742 6 massive massive JJ cord-009417-458rrhcm 742 7 transfusion transfusion NN cord-009417-458rrhcm 742 8 are be VBP cord-009417-458rrhcm 742 9 likely likely JJ cord-009417-458rrhcm 742 10 to to TO cord-009417-458rrhcm 742 11 occur occur VB cord-009417-458rrhcm 742 12 in in IN cord-009417-458rrhcm 742 13 the the DT cord-009417-458rrhcm 742 14 ICU ICU NNP cord-009417-458rrhcm 742 15 and and CC cord-009417-458rrhcm 742 16 complicate complicate VB cord-009417-458rrhcm 742 17 the the DT cord-009417-458rrhcm 742 18 management management NN cord-009417-458rrhcm 742 19 of of IN cord-009417-458rrhcm 742 20 critically critically RB cord-009417-458rrhcm 742 21 ill ill JJ cord-009417-458rrhcm 742 22 or or CC cord-009417-458rrhcm 742 23 severely severely RB cord-009417-458rrhcm 742 24 injured injure VBN cord-009417-458rrhcm 742 25 patients patient NNS cord-009417-458rrhcm 742 26 . . . cord-009417-458rrhcm 743 1 Component component NN cord-009417-458rrhcm 743 2 therapy therapy NN cord-009417-458rrhcm 743 3 for for IN cord-009417-458rrhcm 743 4 such such JJ cord-009417-458rrhcm 743 5 patients patient NNS cord-009417-458rrhcm 743 6 should should MD cord-009417-458rrhcm 743 7 remain remain VB cord-009417-458rrhcm 743 8 conservative conservative JJ cord-009417-458rrhcm 743 9 . . . cord-009417-458rrhcm 744 1 The the DT cord-009417-458rrhcm 744 2 emerging emerge VBG cord-009417-458rrhcm 744 3 role role NN cord-009417-458rrhcm 744 4 of of IN cord-009417-458rrhcm 744 5 activated activate VBN cord-009417-458rrhcm 744 6 factor factor NN cord-009417-458rrhcm 744 7 VII vii NN cord-009417-458rrhcm 744 8 in in IN cord-009417-458rrhcm 744 9 the the DT cord-009417-458rrhcm 744 10 treatment treatment NN cord-009417-458rrhcm 744 11 of of IN cord-009417-458rrhcm 744 12 these these DT cord-009417-458rrhcm 744 13 patients patient NNS cord-009417-458rrhcm 744 14 requires require VBZ cord-009417-458rrhcm 744 15 further further JJ cord-009417-458rrhcm 744 16 evaluation evaluation NN cord-009417-458rrhcm 744 17 . . . cord-009417-458rrhcm 745 1 ■ ■ NFP cord-009417-458rrhcm 745 2 Informed Informed NNP cord-009417-458rrhcm 745 3 consent consent NN cord-009417-458rrhcm 745 4 for for IN cord-009417-458rrhcm 745 5 blood blood NN cord-009417-458rrhcm 745 6 transfusion transfusion NN cord-009417-458rrhcm 745 7 is be VBZ cord-009417-458rrhcm 745 8 a a DT cord-009417-458rrhcm 745 9 standard standard NN cord-009417-458rrhcm 745 10 of of IN cord-009417-458rrhcm 745 11 practice practice NN cord-009417-458rrhcm 745 12 . . . cord-009417-458rrhcm 746 1 A a DT cord-009417-458rrhcm 746 2 competent competent JJ cord-009417-458rrhcm 746 3 adult adult NN cord-009417-458rrhcm 746 4 has have VBZ cord-009417-458rrhcm 746 5 the the DT cord-009417-458rrhcm 746 6 legal legal JJ cord-009417-458rrhcm 746 7 right right NN cord-009417-458rrhcm 746 8 to to TO cord-009417-458rrhcm 746 9 refuse refuse VB cord-009417-458rrhcm 746 10 blood blood NN cord-009417-458rrhcm 746 11 transfusion transfusion NN cord-009417-458rrhcm 746 12 . . . cord-009417-458rrhcm 747 1 Consent consent VB cord-009417-458rrhcm 747 2 in in IN cord-009417-458rrhcm 747 3 critically critically RB cord-009417-458rrhcm 747 4 ill ill JJ cord-009417-458rrhcm 747 5 patients patient NNS cord-009417-458rrhcm 747 6 remains remain VBZ cord-009417-458rrhcm 747 7 subject subject JJ cord-009417-458rrhcm 747 8 to to IN cord-009417-458rrhcm 747 9 individual individual JJ cord-009417-458rrhcm 747 10 institution institution NN cord-009417-458rrhcm 747 11 policies policy NNS cord-009417-458rrhcm 747 12 . . . cord-009417-458rrhcm 748 1 Department Department NNP cord-009417-458rrhcm 748 2 of of IN cord-009417-458rrhcm 748 3 Health Health NNP cord-009417-458rrhcm 748 4 and and CC cord-009417-458rrhcm 748 5 Human Human NNP cord-009417-458rrhcm 748 6 Services Services NNPS cord-009417-458rrhcm 748 7 , , , cord-009417-458rrhcm 748 8 Food Food NNP cord-009417-458rrhcm 748 9 and and CC cord-009417-458rrhcm 748 10 Drug Drug NNP cord-009417-458rrhcm 748 11 Administration Administration NNP cord-009417-458rrhcm 748 12 : : : cord-009417-458rrhcm 749 1 The the DT cord-009417-458rrhcm 749 2 Code Code NNP cord-009417-458rrhcm 749 3 of of IN cord-009417-458rrhcm 749 4 Federal Federal NNP cord-009417-458rrhcm 749 5 Regulations Regulations NNPS cord-009417-458rrhcm 749 6 , , , cord-009417-458rrhcm 749 7 21 21 CD cord-009417-458rrhcm 749 8 CFR CFR NNP cord-009417-458rrhcm 749 9 Parts Parts NNPS cord-009417-458rrhcm 749 10 600 600 CD cord-009417-458rrhcm 749 11 , , , cord-009417-458rrhcm 749 12 606 606 CD cord-009417-458rrhcm 749 13 , , , cord-009417-458rrhcm 749 14 640 640 CD cord-009417-458rrhcm 749 15 Standards Standards NNPS cord-009417-458rrhcm 749 16 for for IN cord-009417-458rrhcm 749 17 Blood blood NN cord-009417-458rrhcm 749 18 Banks Banks NNPS cord-009417-458rrhcm 749 19 and and CC cord-009417-458rrhcm 749 20 Transfusion Transfusion NNP cord-009417-458rrhcm 749 21 Services Services NNPS cord-009417-458rrhcm 749 22 Markers Markers NNPS cord-009417-458rrhcm 749 23 for for IN cord-009417-458rrhcm 749 24 transfusiontransmitted transfusiontransmitted JJ cord-009417-458rrhcm 749 25 disease disease NN cord-009417-458rrhcm 749 26 in in IN cord-009417-458rrhcm 749 27 different different JJ cord-009417-458rrhcm 749 28 groups group NNS cord-009417-458rrhcm 749 29 of of IN cord-009417-458rrhcm 749 30 blood blood NN cord-009417-458rrhcm 749 31 donors donor NNS cord-009417-458rrhcm 749 32 Comparative comparative JJ cord-009417-458rrhcm 749 33 safety safety NN cord-009417-458rrhcm 749 34 of of IN cord-009417-458rrhcm 749 35 units unit NNS cord-009417-458rrhcm 749 36 donated donate VBN cord-009417-458rrhcm 749 37 by by IN cord-009417-458rrhcm 749 38 autologous autologous JJ cord-009417-458rrhcm 749 39 , , , cord-009417-458rrhcm 749 40 designated designated JJ cord-009417-458rrhcm 749 41 and and CC cord-009417-458rrhcm 749 42 allogeneic allogeneic JJ cord-009417-458rrhcm 749 43 ( ( -LRB- cord-009417-458rrhcm 749 44 homologous homologous JJ cord-009417-458rrhcm 749 45 ) ) -RRB- cord-009417-458rrhcm 749 46 donors donor NNS cord-009417-458rrhcm 749 47 Directed direct VBD cord-009417-458rrhcm 749 48 blood blood NN cord-009417-458rrhcm 749 49 donations donation NNS cord-009417-458rrhcm 749 50 : : : cord-009417-458rrhcm 749 51 Con Con NNP cord-009417-458rrhcm 749 52 Goldfi Goldfi NNP cord-009417-458rrhcm 749 53 nger nger NN cord-009417-458rrhcm 749 54 D d NN cord-009417-458rrhcm 749 55 : : : cord-009417-458rrhcm 749 56 Directed direct VBN cord-009417-458rrhcm 749 57 blood blood NN cord-009417-458rrhcm 749 58 donations donation NNS cord-009417-458rrhcm 749 59 : : : cord-009417-458rrhcm 749 60 Pro Pro NNP cord-009417-458rrhcm 749 61 Shelf Shelf NNP cord-009417-458rrhcm 749 62 - - HYPH cord-009417-458rrhcm 749 63 life life NN cord-009417-458rrhcm 749 64 of of IN cord-009417-458rrhcm 749 65 bank bank NN cord-009417-458rrhcm 749 66 blood blood NN cord-009417-458rrhcm 749 67 and and CC cord-009417-458rrhcm 749 68 stored store VBD cord-009417-458rrhcm 749 69 plasma plasma NN cord-009417-458rrhcm 749 70 with with IN cord-009417-458rrhcm 749 71 special special JJ cord-009417-458rrhcm 749 72 reference reference NN cord-009417-458rrhcm 749 73 to to IN cord-009417-458rrhcm 749 74 coagulation coagulation NN cord-009417-458rrhcm 749 75 factors factor NNS cord-009417-458rrhcm 750 1 Generation generation NN cord-009417-458rrhcm 750 2 of of IN cord-009417-458rrhcm 750 3 cytokines cytokine NNS cord-009417-458rrhcm 750 4 in in IN cord-009417-458rrhcm 750 5 red red JJ cord-009417-458rrhcm 750 6 cell cell NN cord-009417-458rrhcm 750 7 concentrates concentrate VBZ cord-009417-458rrhcm 750 8 during during IN cord-009417-458rrhcm 750 9 storage storage NN cord-009417-458rrhcm 750 10 is be VBZ cord-009417-458rrhcm 750 11 prevented prevent VBN cord-009417-458rrhcm 750 12 by by IN cord-009417-458rrhcm 750 13 prestorage prestorage JJ cord-009417-458rrhcm 750 14 white white JJ cord-009417-458rrhcm 750 15 cell cell NN cord-009417-458rrhcm 750 16 reduction reduction NN cord-009417-458rrhcm 750 17 Universal Universal NNP cord-009417-458rrhcm 750 18 WBC WBC NNP cord-009417-458rrhcm 750 19 reduction reduction NN cord-009417-458rrhcm 750 20 : : : cord-009417-458rrhcm 750 21 The the DT cord-009417-458rrhcm 750 22 case case NN cord-009417-458rrhcm 750 23 for for IN cord-009417-458rrhcm 750 24 and and CC cord-009417-458rrhcm 750 25 against against IN cord-009417-458rrhcm 750 26 Chemical Chemical NNP cord-009417-458rrhcm 750 27 and and CC cord-009417-458rrhcm 750 28 hematological hematological JJ cord-009417-458rrhcm 750 29 changes change NNS cord-009417-458rrhcm 750 30 in in IN cord-009417-458rrhcm 750 31 stored store VBN cord-009417-458rrhcm 750 32 CPDA-1 CPDA-1 NNP cord-009417-458rrhcm 750 33 blood blood NN cord-009417-458rrhcm 750 34 Restoration restoration NN cord-009417-458rrhcm 750 35 in in IN cord-009417-458rrhcm 750 36 vitro vitro FW cord-009417-458rrhcm 750 37 of of IN cord-009417-458rrhcm 750 38 erythrocyte erythrocyte NN cord-009417-458rrhcm 750 39 adenosine adenosine NN cord-009417-458rrhcm 750 40 triphosphate triphosphate NN cord-009417-458rrhcm 750 41 , , , cord-009417-458rrhcm 750 42 2,3-diphosphoglycerate 2,3-diphosphoglycerate CD cord-009417-458rrhcm 750 43 , , , cord-009417-458rrhcm 750 44 potassium potassium NN cord-009417-458rrhcm 750 45 ion ion NN cord-009417-458rrhcm 750 46 , , , cord-009417-458rrhcm 750 47 and and CC cord-009417-458rrhcm 750 48 sodium sodium NN cord-009417-458rrhcm 750 49 ion ion NN cord-009417-458rrhcm 750 50 concentrations concentration NNS cord-009417-458rrhcm 750 51 following follow VBG cord-009417-458rrhcm 750 52 the the DT cord-009417-458rrhcm 750 53 transfusion transfusion NN cord-009417-458rrhcm 750 54 of of IN cord-009417-458rrhcm 750 55 acid acid NN cord-009417-458rrhcm 750 56 - - HYPH cord-009417-458rrhcm 750 57 citrate citrate NN cord-009417-458rrhcm 750 58 - - HYPH cord-009417-458rrhcm 750 59 dextrose dextrose NN cord-009417-458rrhcm 750 60 stored store VBN cord-009417-458rrhcm 750 61 human human JJ cord-009417-458rrhcm 750 62 red red JJ cord-009417-458rrhcm 750 63 blood blood NN cord-009417-458rrhcm 750 64 cells cell NNS cord-009417-458rrhcm 750 65 Comparison comparison NN cord-009417-458rrhcm 750 66 of of IN cord-009417-458rrhcm 750 67 the the DT cord-009417-458rrhcm 750 68 hemostatic hemostatic JJ cord-009417-458rrhcm 750 69 effects effect NNS cord-009417-458rrhcm 750 70 of of IN cord-009417-458rrhcm 750 71 fresh fresh JJ cord-009417-458rrhcm 750 72 whole whole JJ cord-009417-458rrhcm 750 73 blood blood NN cord-009417-458rrhcm 750 74 , , , cord-009417-458rrhcm 750 75 stored store VBD cord-009417-458rrhcm 750 76 whole whole JJ cord-009417-458rrhcm 750 77 blood blood NN cord-009417-458rrhcm 750 78 , , , cord-009417-458rrhcm 750 79 and and CC cord-009417-458rrhcm 750 80 components component NNS cord-009417-458rrhcm 750 81 after after IN cord-009417-458rrhcm 750 82 open open JJ cord-009417-458rrhcm 750 83 heart heart NN cord-009417-458rrhcm 750 84 surgery surgery NN cord-009417-458rrhcm 750 85 in in IN cord-009417-458rrhcm 750 86 children child NNS cord-009417-458rrhcm 751 1 A a DT cord-009417-458rrhcm 751 2 practice practice NN cord-009417-458rrhcm 751 3 guideline guideline NN cord-009417-458rrhcm 751 4 and and CC cord-009417-458rrhcm 751 5 decision decision NN cord-009417-458rrhcm 751 6 aide aide NN cord-009417-458rrhcm 751 7 for for IN cord-009417-458rrhcm 751 8 blood blood NN cord-009417-458rrhcm 751 9 transfusion transfusion NN cord-009417-458rrhcm 751 10 RBC RBC NNP cord-009417-458rrhcm 751 11 transfusion transfusion NN cord-009417-458rrhcm 751 12 in in IN cord-009417-458rrhcm 751 13 the the DT cord-009417-458rrhcm 751 14 ICU ICU NNP cord-009417-458rrhcm 752 1 : : : cord-009417-458rrhcm 752 2 Is be VBZ cord-009417-458rrhcm 752 3 there there EX cord-009417-458rrhcm 752 4 a a DT cord-009417-458rrhcm 752 5 reason reason NN cord-009417-458rrhcm 752 6 ? ? . cord-009417-458rrhcm 753 1 Descriptive descriptive JJ cord-009417-458rrhcm 753 2 analysis analysis NN cord-009417-458rrhcm 753 3 of of IN cord-009417-458rrhcm 753 4 critical critical JJ cord-009417-458rrhcm 753 5 care care NN cord-009417-458rrhcm 753 6 units unit NNS cord-009417-458rrhcm 753 7 in in IN cord-009417-458rrhcm 753 8 the the DT cord-009417-458rrhcm 753 9 United United NNP cord-009417-458rrhcm 753 10 States States NNP cord-009417-458rrhcm 753 11 : : : cord-009417-458rrhcm 753 12 Patient patient JJ cord-009417-458rrhcm 753 13 characteristics characteristic NNS cord-009417-458rrhcm 753 14 and and CC cord-009417-458rrhcm 753 15 intensive intensive JJ cord-009417-458rrhcm 753 16 care care NN cord-009417-458rrhcm 753 17 unit unit NN cord-009417-458rrhcm 753 18 utilization utilization NN cord-009417-458rrhcm 753 19 Oxygen Oxygen NNP cord-009417-458rrhcm 753 20 transport transport NN cord-009417-458rrhcm 753 21 in in IN cord-009417-458rrhcm 753 22 man man NN cord-009417-458rrhcm 753 23 Physiologic physiologic JJ cord-009417-458rrhcm 753 24 aspects aspect NNS cord-009417-458rrhcm 753 25 of of IN cord-009417-458rrhcm 753 26 anemia anemia NN cord-009417-458rrhcm 753 27 Oxygen oxygen NN cord-009417-458rrhcm 753 28 extraction extraction NN cord-009417-458rrhcm 753 29 ratio ratio NN cord-009417-458rrhcm 753 30 : : : cord-009417-458rrhcm 753 31 A a DT cord-009417-458rrhcm 753 32 valid valid JJ cord-009417-458rrhcm 753 33 indicator indicator NN cord-009417-458rrhcm 753 34 of of IN cord-009417-458rrhcm 753 35 myocardial myocardial JJ cord-009417-458rrhcm 753 36 metabolism metabolism NN cord-009417-458rrhcm 753 37 in in IN cord-009417-458rrhcm 753 38 anemia anemia NN cord-009417-458rrhcm 753 39 Human Human NNP cord-009417-458rrhcm 753 40 cardiovascular cardiovascular NN cord-009417-458rrhcm 753 41 and and CC cord-009417-458rrhcm 753 42 metabolic metabolic JJ cord-009417-458rrhcm 753 43 response response NN cord-009417-458rrhcm 753 44 to to IN cord-009417-458rrhcm 753 45 acute acute JJ cord-009417-458rrhcm 753 46 , , , cord-009417-458rrhcm 753 47 severe severe JJ cord-009417-458rrhcm 753 48 isovolemic isovolemic JJ cord-009417-458rrhcm 753 49 anemia anemia NN cord-009417-458rrhcm 753 50 Transfusion Transfusion NNP cord-009417-458rrhcm 753 51 guidelines guideline NNS cord-009417-458rrhcm 753 52 for for IN cord-009417-458rrhcm 753 53 cardiovascular cardiovascular JJ cord-009417-458rrhcm 753 54 surgery surgery NN cord-009417-458rrhcm 753 55 : : : cord-009417-458rrhcm 753 56 Lessons lesson NNS cord-009417-458rrhcm 753 57 learned learn VBD cord-009417-458rrhcm 753 58 from from IN cord-009417-458rrhcm 753 59 operations operation NNS cord-009417-458rrhcm 753 60 in in IN cord-009417-458rrhcm 753 61 Jehovah Jehovah NNP cord-009417-458rrhcm 753 62 's 's POS cord-009417-458rrhcm 753 63 Witnesses Witnesses NNPS cord-009417-458rrhcm 753 64 Physiologic physiologic JJ cord-009417-458rrhcm 753 65 effects effect NNS cord-009417-458rrhcm 753 66 of of IN cord-009417-458rrhcm 753 67 acute acute JJ cord-009417-458rrhcm 753 68 anemia anemia NN cord-009417-458rrhcm 753 69 : : : cord-009417-458rrhcm 753 70 Implications implication NNS cord-009417-458rrhcm 753 71 for for IN cord-009417-458rrhcm 753 72 a a DT cord-009417-458rrhcm 753 73 reduced reduce VBN cord-009417-458rrhcm 753 74 transfusion transfusion NN cord-009417-458rrhcm 753 75 trigger trigger NN cord-009417-458rrhcm 753 76 A a DT cord-009417-458rrhcm 753 77 multicenter multicenter NN cord-009417-458rrhcm 753 78 , , , cord-009417-458rrhcm 753 79 randomized randomized JJ cord-009417-458rrhcm 753 80 , , , cord-009417-458rrhcm 753 81 controlled control VBN cord-009417-458rrhcm 753 82 clinical clinical JJ cord-009417-458rrhcm 753 83 trial trial NN cord-009417-458rrhcm 753 84 of of IN cord-009417-458rrhcm 753 85 transfusion transfusion NN cord-009417-458rrhcm 753 86 requirements requirement NNS cord-009417-458rrhcm 753 87 in in IN cord-009417-458rrhcm 753 88 critical critical JJ cord-009417-458rrhcm 753 89 care care NN cord-009417-458rrhcm 754 1 Is be VBZ cord-009417-458rrhcm 754 2 a a DT cord-009417-458rrhcm 754 3 low low JJ cord-009417-458rrhcm 754 4 transfusion transfusion NN cord-009417-458rrhcm 754 5 threshold threshold NN cord-009417-458rrhcm 754 6 safe safe JJ cord-009417-458rrhcm 754 7 in in IN cord-009417-458rrhcm 754 8 critically critically RB cord-009417-458rrhcm 754 9 ill ill JJ cord-009417-458rrhcm 754 10 patients patient NNS cord-009417-458rrhcm 754 11 with with IN cord-009417-458rrhcm 754 12 cardiovascular cardiovascular JJ cord-009417-458rrhcm 754 13 diseases disease NNS cord-009417-458rrhcm 754 14 ? ? . cord-009417-458rrhcm 755 1 Oxygen oxygen NN cord-009417-458rrhcm 755 2 extraction extraction NN cord-009417-458rrhcm 755 3 ratio ratio NN cord-009417-458rrhcm 755 4 : : : cord-009417-458rrhcm 755 5 A a DT cord-009417-458rrhcm 755 6 valid valid JJ cord-009417-458rrhcm 755 7 indicator indicator NN cord-009417-458rrhcm 755 8 of of IN cord-009417-458rrhcm 755 9 transfusion transfusion NN cord-009417-458rrhcm 755 10 need need NN cord-009417-458rrhcm 755 11 in in IN cord-009417-458rrhcm 755 12 limited limited JJ cord-009417-458rrhcm 755 13 coronary coronary JJ cord-009417-458rrhcm 755 14 vascular vascular JJ cord-009417-458rrhcm 755 15 reserve reserve NN cord-009417-458rrhcm 755 16 ? ? . cord-009417-458rrhcm 756 1 for for IN cord-009417-458rrhcm 756 2 the the DT cord-009417-458rrhcm 756 3 ABC ABC NNP cord-009417-458rrhcm 756 4 Investigators investigator NNS cord-009417-458rrhcm 756 5 : : : cord-009417-458rrhcm 756 6 Anemia anemia NN cord-009417-458rrhcm 756 7 and and CC cord-009417-458rrhcm 756 8 blood blood NN cord-009417-458rrhcm 756 9 transfusion transfusion NN cord-009417-458rrhcm 756 10 in in IN cord-009417-458rrhcm 756 11 critically critically RB cord-009417-458rrhcm 756 12 ill ill JJ cord-009417-458rrhcm 756 13 patients patient NNS cord-009417-458rrhcm 757 1 The the DT cord-009417-458rrhcm 757 2 CRIT crit NN cord-009417-458rrhcm 757 3 study study NN cord-009417-458rrhcm 757 4 : : : cord-009417-458rrhcm 757 5 Anemia anemia NN cord-009417-458rrhcm 757 6 and and CC cord-009417-458rrhcm 757 7 blood blood NN cord-009417-458rrhcm 757 8 transfusion transfusion NN cord-009417-458rrhcm 757 9 in in IN cord-009417-458rrhcm 757 10 the the DT cord-009417-458rrhcm 757 11 critically critically RB cord-009417-458rrhcm 757 12 ill ill JJ cord-009417-458rrhcm 757 13 - - HYPH cord-009417-458rrhcm 757 14 current current JJ cord-009417-458rrhcm 757 15 clinical clinical JJ cord-009417-458rrhcm 757 16 practice practice NN cord-009417-458rrhcm 757 17 in in IN cord-009417-458rrhcm 757 18 the the DT cord-009417-458rrhcm 757 19 United United NNP cord-009417-458rrhcm 757 20 States States NNP cord-009417-458rrhcm 757 21 Red Red NNP cord-009417-458rrhcm 757 22 cell cell NN cord-009417-458rrhcm 757 23 transfusion transfusion NN cord-009417-458rrhcm 757 24 practice practice NN cord-009417-458rrhcm 757 25 following follow VBG cord-009417-458rrhcm 757 26 the the DT cord-009417-458rrhcm 757 27 Transfusion Transfusion NNP cord-009417-458rrhcm 757 28 Requirements requirement NNS cord-009417-458rrhcm 757 29 in in IN cord-009417-458rrhcm 757 30 Critical Critical NNP cord-009417-458rrhcm 757 31 Care Care NNP cord-009417-458rrhcm 758 1 ( ( -LRB- cord-009417-458rrhcm 758 2 TRICC TRICC NNP cord-009417-458rrhcm 758 3 ) ) -RRB- cord-009417-458rrhcm 758 4 study study NN cord-009417-458rrhcm 758 5 : : : cord-009417-458rrhcm 759 1 Prospective prospective JJ cord-009417-458rrhcm 759 2 observational observational JJ cord-009417-458rrhcm 759 3 cohort cohort NN cord-009417-458rrhcm 759 4 study study NN cord-009417-458rrhcm 759 5 in in IN cord-009417-458rrhcm 759 6 a a DT cord-009417-458rrhcm 759 7 large large JJ cord-009417-458rrhcm 759 8 UK UK NNP cord-009417-458rrhcm 759 9 intensive intensive JJ cord-009417-458rrhcm 759 10 care care NN cord-009417-458rrhcm 759 11 unit unit NN cord-009417-458rrhcm 759 12 Appropriateness appropriateness NN cord-009417-458rrhcm 759 13 of of IN cord-009417-458rrhcm 759 14 red red JJ cord-009417-458rrhcm 759 15 blood blood NN cord-009417-458rrhcm 759 16 cell cell NN cord-009417-458rrhcm 759 17 transfusion transfusion NN cord-009417-458rrhcm 759 18 in in IN cord-009417-458rrhcm 759 19 Australasian australasian JJ cord-009417-458rrhcm 759 20 intensive intensive JJ cord-009417-458rrhcm 759 21 care care NN cord-009417-458rrhcm 759 22 practice practice NN cord-009417-458rrhcm 760 1 Silent silent JJ cord-009417-458rrhcm 760 2 myocardial myocardial JJ cord-009417-458rrhcm 760 3 ischaemia ischaemia NN cord-009417-458rrhcm 760 4 and and CC cord-009417-458rrhcm 760 5 haemoglobin haemoglobin NN cord-009417-458rrhcm 760 6 concentration concentration NN cord-009417-458rrhcm 760 7 : : : cord-009417-458rrhcm 761 1 A a DT cord-009417-458rrhcm 761 2 randomized randomized JJ cord-009417-458rrhcm 761 3 controlled control VBN cord-009417-458rrhcm 761 4 trial trial NN cord-009417-458rrhcm 761 5 of of IN cord-009417-458rrhcm 761 6 transfusion transfusion NN cord-009417-458rrhcm 761 7 strategy strategy NN cord-009417-458rrhcm 761 8 in in IN cord-009417-458rrhcm 761 9 lower low JJR cord-009417-458rrhcm 761 10 limb limb NN cord-009417-458rrhcm 761 11 arthroplasty arthroplasty NNP cord-009417-458rrhcm 762 1 Mathematical mathematical JJ cord-009417-458rrhcm 762 2 analysis analysis NN cord-009417-458rrhcm 762 3 of of IN cord-009417-458rrhcm 762 4 isovolemic isovolemic NNP cord-009417-458rrhcm 762 5 hemodilution hemodilution NNP cord-009417-458rrhcm 762 6 indicates indicate VBZ cord-009417-458rrhcm 762 7 that that IN cord-009417-458rrhcm 762 8 it -PRON- PRP cord-009417-458rrhcm 762 9 can can MD cord-009417-458rrhcm 762 10 decrease decrease VB cord-009417-458rrhcm 762 11 the the DT cord-009417-458rrhcm 762 12 need need NN cord-009417-458rrhcm 762 13 for for IN cord-009417-458rrhcm 762 14 allogeneic allogeneic VBG cord-009417-458rrhcm 762 15 blood blood NN cord-009417-458rrhcm 762 16 transfusion transfusion NN cord-009417-458rrhcm 762 17 Guidelines guideline NNS cord-009417-458rrhcm 762 18 for for IN cord-009417-458rrhcm 762 19 perioperative perioperative JJ cord-009417-458rrhcm 762 20 red red JJ cord-009417-458rrhcm 762 21 blood blood NN cord-009417-458rrhcm 762 22 cell cell NN cord-009417-458rrhcm 762 23 transfusions transfusion NNS cord-009417-458rrhcm 762 24 American American NNP cord-009417-458rrhcm 762 25 Society Society NNP cord-009417-458rrhcm 762 26 of of IN cord-009417-458rrhcm 762 27 Anesthesiologists Anesthesiologists NNP cord-009417-458rrhcm 762 28 Task Task NNP cord-009417-458rrhcm 762 29 Force Force NNP cord-009417-458rrhcm 762 30 : : : cord-009417-458rrhcm 762 31 Practice practice VB cord-009417-458rrhcm 762 32 guidelines guideline NNS cord-009417-458rrhcm 762 33 for for IN cord-009417-458rrhcm 762 34 blood blood NN cord-009417-458rrhcm 762 35 component component NN cord-009417-458rrhcm 762 36 therapy therapy NN cord-009417-458rrhcm 762 37 Prudent Prudent NNP cord-009417-458rrhcm 762 38 strategies strategy NNS cord-009417-458rrhcm 762 39 for for IN cord-009417-458rrhcm 762 40 elective elective JJ cord-009417-458rrhcm 762 41 red red JJ cord-009417-458rrhcm 762 42 blood blood NN cord-009417-458rrhcm 762 43 cell cell NN cord-009417-458rrhcm 762 44 transfusion transfusion NN cord-009417-458rrhcm 762 45 Platelet platelet NN cord-009417-458rrhcm 762 46 transfusion transfusion NN cord-009417-458rrhcm 762 47 therapy therapy NN cord-009417-458rrhcm 762 48 . . . cord-009417-458rrhcm 763 1 Onehour onehour JJ cord-009417-458rrhcm 763 2 posttransfusion posttransfusion NN cord-009417-458rrhcm 763 3 increments increment NNS cord-009417-458rrhcm 763 4 are be VBP cord-009417-458rrhcm 763 5 valuable valuable JJ cord-009417-458rrhcm 763 6 in in IN cord-009417-458rrhcm 763 7 predicting predict VBG cord-009417-458rrhcm 763 8 the the DT cord-009417-458rrhcm 763 9 need need NN cord-009417-458rrhcm 763 10 for for IN cord-009417-458rrhcm 763 11 HLA HLA NNP cord-009417-458rrhcm 763 12 - - HYPH cord-009417-458rrhcm 763 13 matched match VBN cord-009417-458rrhcm 763 14 preparations preparation NNS cord-009417-458rrhcm 763 15 Volunteer Volunteer NNP cord-009417-458rrhcm 763 16 donor donor NN cord-009417-458rrhcm 763 17 apheresis apheresis NN cord-009417-458rrhcm 763 18 National National NNP cord-009417-458rrhcm 763 19 Institutes Institutes NNPS cord-009417-458rrhcm 763 20 of of IN cord-009417-458rrhcm 763 21 Health Health NNP cord-009417-458rrhcm 763 22 Consensus Consensus NNP cord-009417-458rrhcm 763 23 Conference Conference NNP cord-009417-458rrhcm 763 24 : : : cord-009417-458rrhcm 763 25 Platelet platelet NN cord-009417-458rrhcm 763 26 transfusion transfusion NN cord-009417-458rrhcm 763 27 therapy therapy NN cord-009417-458rrhcm 764 1 The the DT cord-009417-458rrhcm 764 2 bleeding bleeding JJ cord-009417-458rrhcm 764 3 time time NN cord-009417-458rrhcm 764 4 as as IN cord-009417-458rrhcm 764 5 a a DT cord-009417-458rrhcm 764 6 screening screening NN cord-009417-458rrhcm 764 7 test test NN cord-009417-458rrhcm 764 8 for for IN cord-009417-458rrhcm 764 9 evaluation evaluation NN cord-009417-458rrhcm 764 10 of of IN cord-009417-458rrhcm 764 11 platelet platelet NN cord-009417-458rrhcm 764 12 function function NN cord-009417-458rrhcm 764 13 Changes change NNS cord-009417-458rrhcm 764 14 in in IN cord-009417-458rrhcm 764 15 blood blood NN cord-009417-458rrhcm 764 16 coagulation coagulation NN cord-009417-458rrhcm 764 17 during during IN cord-009417-458rrhcm 764 18 and and CC cord-009417-458rrhcm 764 19 following follow VBG cord-009417-458rrhcm 764 20 cardiopulmonary cardiopulmonary JJ cord-009417-458rrhcm 764 21 bypass bypass NN cord-009417-458rrhcm 765 1 : : : cord-009417-458rrhcm 765 2 Lack lack NN cord-009417-458rrhcm 765 3 of of IN cord-009417-458rrhcm 765 4 correlation correlation NN cord-009417-458rrhcm 765 5 with with IN cord-009417-458rrhcm 765 6 clinical clinical JJ cord-009417-458rrhcm 765 7 bleeding bleed VBG cord-009417-458rrhcm 765 8 Gamma Gamma NNP cord-009417-458rrhcm 765 9 globulin globulin NN cord-009417-458rrhcm 765 10 for for IN cord-009417-458rrhcm 765 11 idiopathic idiopathic JJ cord-009417-458rrhcm 765 12 thrombocytopenic thrombocytopenic JJ cord-009417-458rrhcm 765 13 purpura purpura NN cord-009417-458rrhcm 765 14 Intravenous Intravenous NNP cord-009417-458rrhcm 765 15 anti anti JJ cord-009417-458rrhcm 765 16 - - JJ cord-009417-458rrhcm 765 17 D d JJ cord-009417-458rrhcm 765 18 treatment treatment NN cord-009417-458rrhcm 765 19 of of IN cord-009417-458rrhcm 765 20 immune immune JJ cord-009417-458rrhcm 765 21 thrombocytopenic thrombocytopenic JJ cord-009417-458rrhcm 765 22 purpura purpura NN cord-009417-458rrhcm 765 23 : : : cord-009417-458rrhcm 765 24 Experience experience NN cord-009417-458rrhcm 765 25 in in IN cord-009417-458rrhcm 765 26 272 272 CD cord-009417-458rrhcm 765 27 patients patient NNS cord-009417-458rrhcm 765 28 Hazard Hazard NNP cord-009417-458rrhcm 765 29 of of IN cord-009417-458rrhcm 765 30 platelet platelet NN cord-009417-458rrhcm 765 31 transfusion transfusion NN cord-009417-458rrhcm 765 32 in in IN cord-009417-458rrhcm 765 33 thrombotic thrombotic JJ cord-009417-458rrhcm 765 34 thrombocytopenic thrombocytopenic JJ cord-009417-458rrhcm 765 35 purpura purpura NN cord-009417-458rrhcm 765 36 Mantel Mantel NNP cord-009417-458rrhcm 766 1 N n NN cord-009417-458rrhcm 766 2 : : : cord-009417-458rrhcm 767 1 The the DT cord-009417-458rrhcm 767 2 quantitative quantitative JJ cord-009417-458rrhcm 767 3 relation relation NN cord-009417-458rrhcm 767 4 between between IN cord-009417-458rrhcm 767 5 platelet platelet NN cord-009417-458rrhcm 767 6 count count NN cord-009417-458rrhcm 767 7 and and CC cord-009417-458rrhcm 767 8 hemorrhage hemorrhage NN cord-009417-458rrhcm 767 9 in in IN cord-009417-458rrhcm 767 10 patients patient NNS cord-009417-458rrhcm 767 11 with with IN cord-009417-458rrhcm 767 12 acute acute JJ cord-009417-458rrhcm 767 13 leukemia leukemia NN cord-009417-458rrhcm 767 14 Controversies controversy NNS cord-009417-458rrhcm 767 15 in in IN cord-009417-458rrhcm 767 16 platelet platelet NN cord-009417-458rrhcm 767 17 transfusion transfusion NN cord-009417-458rrhcm 767 18 therapy therapy NN cord-009417-458rrhcm 767 19 Safety Safety NNP cord-009417-458rrhcm 767 20 of of IN cord-009417-458rrhcm 767 21 stringent stringent JJ cord-009417-458rrhcm 767 22 prophylactic prophylactic JJ cord-009417-458rrhcm 767 23 platelet platelet NN cord-009417-458rrhcm 767 24 transfusion transfusion NN cord-009417-458rrhcm 767 25 policy policy NN cord-009417-458rrhcm 767 26 for for IN cord-009417-458rrhcm 767 27 patients patient NNS cord-009417-458rrhcm 767 28 with with IN cord-009417-458rrhcm 767 29 acute acute JJ cord-009417-458rrhcm 767 30 leukemia leukemia NN cord-009417-458rrhcm 768 1 The the DT cord-009417-458rrhcm 768 2 natural natural JJ cord-009417-458rrhcm 768 3 history history NN cord-009417-458rrhcm 768 4 of of IN cord-009417-458rrhcm 768 5 alloimmunization alloimmunization NN cord-009417-458rrhcm 768 6 to to IN cord-009417-458rrhcm 768 7 platelets platelet NNS cord-009417-458rrhcm 768 8 Clinical clinical JJ cord-009417-458rrhcm 768 9 factors factor NNS cord-009417-458rrhcm 768 10 infl infl XX cord-009417-458rrhcm 768 11 uencing uence VBG cord-009417-458rrhcm 768 12 the the DT cord-009417-458rrhcm 768 13 effi effi NNP cord-009417-458rrhcm 768 14 cacy cacy NNP cord-009417-458rrhcm 768 15 of of IN cord-009417-458rrhcm 768 16 pooled pool VBN cord-009417-458rrhcm 768 17 platelet platelet NN cord-009417-458rrhcm 768 18 transfusions transfusion NNS cord-009417-458rrhcm 768 19 Optimizing optimize VBG cord-009417-458rrhcm 768 20 platelet platelet NN cord-009417-458rrhcm 768 21 transfusion transfusion NN cord-009417-458rrhcm 768 22 therapy therapy NN cord-009417-458rrhcm 768 23 Current current JJ cord-009417-458rrhcm 768 24 status status NN cord-009417-458rrhcm 768 25 of of IN cord-009417-458rrhcm 768 26 solvent solvent NN cord-009417-458rrhcm 768 27 / / SYM cord-009417-458rrhcm 768 28 detergenttreated detergenttreate VBN cord-009417-458rrhcm 768 29 frozen frozen JJ cord-009417-458rrhcm 768 30 plasma plasma NN cord-009417-458rrhcm 768 31 Update update NN cord-009417-458rrhcm 768 32 on on IN cord-009417-458rrhcm 768 33 pathogen pathogen NN cord-009417-458rrhcm 768 34 reduction reduction NN cord-009417-458rrhcm 768 35 technology technology NN cord-009417-458rrhcm 768 36 for for IN cord-009417-458rrhcm 768 37 therapeutic therapeutic JJ cord-009417-458rrhcm 768 38 plasma plasma NN cord-009417-458rrhcm 768 39 : : : cord-009417-458rrhcm 769 1 An an DT cord-009417-458rrhcm 769 2 overview overview NN cord-009417-458rrhcm 769 3 National National NNP cord-009417-458rrhcm 769 4 Institutes Institutes NNPS cord-009417-458rrhcm 769 5 of of IN cord-009417-458rrhcm 769 6 Health Health NNP cord-009417-458rrhcm 769 7 Consensus Consensus NNP cord-009417-458rrhcm 769 8 Conference Conference NNP cord-009417-458rrhcm 769 9 : : : cord-009417-458rrhcm 769 10 Fresh fresh JJ cord-009417-458rrhcm 769 11 frozen frozen JJ cord-009417-458rrhcm 769 12 plasma plasma NN cord-009417-458rrhcm 769 13 : : : cord-009417-458rrhcm 770 1 Indications indication NNS cord-009417-458rrhcm 770 2 and and CC cord-009417-458rrhcm 770 3 risks risk NNS cord-009417-458rrhcm 770 4 The the DT cord-009417-458rrhcm 770 5 role role NN cord-009417-458rrhcm 770 6 of of IN cord-009417-458rrhcm 770 7 prophylactic prophylactic JJ cord-009417-458rrhcm 770 8 fresh fresh JJ cord-009417-458rrhcm 770 9 frozen frozen JJ cord-009417-458rrhcm 770 10 plasma plasma NN cord-009417-458rrhcm 770 11 in in IN cord-009417-458rrhcm 770 12 decreasing decrease VBG cord-009417-458rrhcm 770 13 blood blood NN cord-009417-458rrhcm 770 14 loss loss NN cord-009417-458rrhcm 770 15 and and CC cord-009417-458rrhcm 770 16 correcting correct VBG cord-009417-458rrhcm 770 17 coagulopathy coagulopathy NN cord-009417-458rrhcm 770 18 in in IN cord-009417-458rrhcm 770 19 cardiac cardiac JJ cord-009417-458rrhcm 770 20 surgery surgery NN cord-009417-458rrhcm 770 21 : : : cord-009417-458rrhcm 770 22 A a DT cord-009417-458rrhcm 770 23 systematic systematic JJ cord-009417-458rrhcm 770 24 review review NN cord-009417-458rrhcm 771 1 Hemostasis Hemostasis NNP cord-009417-458rrhcm 771 2 testing testing NN cord-009417-458rrhcm 771 3 during during IN cord-009417-458rrhcm 771 4 massive massive JJ cord-009417-458rrhcm 771 5 blood blood NN cord-009417-458rrhcm 771 6 replacement replacement NN cord-009417-458rrhcm 771 7 : : : cord-009417-458rrhcm 771 8 A a DT cord-009417-458rrhcm 771 9 study study NN cord-009417-458rrhcm 771 10 of of IN cord-009417-458rrhcm 771 11 172 172 CD cord-009417-458rrhcm 771 12 cases case NNS cord-009417-458rrhcm 771 13 Should Should MD cord-009417-458rrhcm 771 14 plasma plasma NN cord-009417-458rrhcm 771 15 be be VB cord-009417-458rrhcm 771 16 transfused transfuse VBN cord-009417-458rrhcm 771 17 prophylactically prophylactically RB cord-009417-458rrhcm 771 18 before before IN cord-009417-458rrhcm 771 19 invasive invasive JJ cord-009417-458rrhcm 771 20 procedures procedure NNS cord-009417-458rrhcm 771 21 ? ? . cord-009417-458rrhcm 772 1 Screening screen VBG cord-009417-458rrhcm 772 2 for for IN cord-009417-458rrhcm 772 3 the the DT cord-009417-458rrhcm 772 4 risk risk NN cord-009417-458rrhcm 772 5 for for IN cord-009417-458rrhcm 772 6 bleeding bleed VBG cord-009417-458rrhcm 772 7 or or CC cord-009417-458rrhcm 772 8 thrombosis thrombosis NN cord-009417-458rrhcm 772 9 Lack lack NN cord-009417-458rrhcm 772 10 of of IN cord-009417-458rrhcm 772 11 increased increase VBN cord-009417-458rrhcm 772 12 bleeding bleed VBG cord-009417-458rrhcm 772 13 after after IN cord-009417-458rrhcm 772 14 liver liver NN cord-009417-458rrhcm 772 15 biopsy biopsy NN cord-009417-458rrhcm 772 16 in in IN cord-009417-458rrhcm 772 17 patients patient NNS cord-009417-458rrhcm 772 18 with with IN cord-009417-458rrhcm 772 19 mild mild JJ cord-009417-458rrhcm 772 20 hemostatic hemostatic JJ cord-009417-458rrhcm 772 21 abnormalities abnormality NNS cord-009417-458rrhcm 773 1 Why why WRB cord-009417-458rrhcm 773 2 is be VBZ cord-009417-458rrhcm 773 3 fresh fresh RB cord-009417-458rrhcm 773 4 - - HYPH cord-009417-458rrhcm 773 5 frozen frozen JJ cord-009417-458rrhcm 773 6 plasma plasma NN cord-009417-458rrhcm 773 7 transfused transfuse VBN cord-009417-458rrhcm 773 8 ? ? . cord-009417-458rrhcm 774 1 Effect effect NN cord-009417-458rrhcm 774 2 of of IN cord-009417-458rrhcm 774 3 plasma plasma NN cord-009417-458rrhcm 774 4 transfusions transfusion NNS cord-009417-458rrhcm 774 5 on on IN cord-009417-458rrhcm 774 6 the the DT cord-009417-458rrhcm 774 7 prothrombin prothrombin NN cord-009417-458rrhcm 774 8 time time NN cord-009417-458rrhcm 774 9 and and CC cord-009417-458rrhcm 774 10 clotting clotting NN cord-009417-458rrhcm 774 11 factors factor NNS cord-009417-458rrhcm 774 12 in in IN cord-009417-458rrhcm 774 13 liver liver NN cord-009417-458rrhcm 774 14 disease disease NN cord-009417-458rrhcm 774 15 Clotting clotting NN cord-009417-458rrhcm 774 16 factor factor NN cord-009417-458rrhcm 774 17 levels level NNS cord-009417-458rrhcm 774 18 and and CC cord-009417-458rrhcm 774 19 the the DT cord-009417-458rrhcm 774 20 risk risk NN cord-009417-458rrhcm 774 21 of of IN cord-009417-458rrhcm 774 22 diffuse diffuse JJ cord-009417-458rrhcm 774 23 microvascular microvascular JJ cord-009417-458rrhcm 774 24 bleeding bleeding NN cord-009417-458rrhcm 774 25 in in IN cord-009417-458rrhcm 774 26 the the DT cord-009417-458rrhcm 774 27 massively massively RB cord-009417-458rrhcm 774 28 transfused transfused JJ cord-009417-458rrhcm 774 29 patient patient NN cord-009417-458rrhcm 774 30 Fresh Fresh NNP cord-009417-458rrhcm 774 31 frozen frozen JJ cord-009417-458rrhcm 774 32 plasma plasma NN cord-009417-458rrhcm 774 33 and and CC cord-009417-458rrhcm 774 34 platelet platelet NN cord-009417-458rrhcm 774 35 transfusion transfusion NN cord-009417-458rrhcm 774 36 for for IN cord-009417-458rrhcm 774 37 nonbleeding nonbleede VBG cord-009417-458rrhcm 774 38 patients patient NNS cord-009417-458rrhcm 774 39 in in IN cord-009417-458rrhcm 774 40 the the DT cord-009417-458rrhcm 774 41 intensive intensive JJ cord-009417-458rrhcm 774 42 care care NN cord-009417-458rrhcm 774 43 unit unit NN cord-009417-458rrhcm 774 44 : : : cord-009417-458rrhcm 774 45 Benefi Benefi NNP cord-009417-458rrhcm 774 46 t t NN cord-009417-458rrhcm 774 47 or or CC cord-009417-458rrhcm 774 48 harm harm NN cord-009417-458rrhcm 774 49 ? ? . cord-009417-458rrhcm 775 1 Treatment treatment NN cord-009417-458rrhcm 775 2 of of IN cord-009417-458rrhcm 775 3 the the DT cord-009417-458rrhcm 775 4 bleeding bleeding NN cord-009417-458rrhcm 775 5 tendency tendency NN cord-009417-458rrhcm 775 6 in in IN cord-009417-458rrhcm 775 7 uremia uremia NN cord-009417-458rrhcm 775 8 with with IN cord-009417-458rrhcm 775 9 cryoprecipitate cryoprecipitate NNP cord-009417-458rrhcm 775 10 Desmopressin Desmopressin NNP cord-009417-458rrhcm 775 11 : : : cord-009417-458rrhcm 776 1 A a DT cord-009417-458rrhcm 776 2 nontransfusional nontransfusional JJ cord-009417-458rrhcm 776 3 form form NN cord-009417-458rrhcm 776 4 of of IN cord-009417-458rrhcm 776 5 treatment treatment NN cord-009417-458rrhcm 776 6 for for IN cord-009417-458rrhcm 776 7 congenital congenital JJ cord-009417-458rrhcm 776 8 and and CC cord-009417-458rrhcm 776 9 acquired acquire VBN cord-009417-458rrhcm 776 10 bleeding bleeding NN cord-009417-458rrhcm 776 11 disorders disorder NNS cord-009417-458rrhcm 777 1 Clinical clinical JJ cord-009417-458rrhcm 777 2 uses use NNS cord-009417-458rrhcm 777 3 of of IN cord-009417-458rrhcm 777 4 intravenous intravenous JJ cord-009417-458rrhcm 777 5 immunoglobulin immunoglobulin NN cord-009417-458rrhcm 777 6 American American NNP cord-009417-458rrhcm 777 7 College College NNP cord-009417-458rrhcm 777 8 of of IN cord-009417-458rrhcm 777 9 Obstetricians Obstetricians NNPS cord-009417-458rrhcm 777 10 and and CC cord-009417-458rrhcm 777 11 Gynecologists Gynecologists NNPS cord-009417-458rrhcm 777 12 : : : cord-009417-458rrhcm 777 13 Prevention Prevention NNP cord-009417-458rrhcm 777 14 of of IN cord-009417-458rrhcm 777 15 D D NNP cord-009417-458rrhcm 777 16 Isoimmunization Isoimmunization NNP cord-009417-458rrhcm 777 17 , , , cord-009417-458rrhcm 777 18 Technical Technical NNP cord-009417-458rrhcm 777 19 Bulletin Bulletin NNP cord-009417-458rrhcm 778 1 No no DT cord-009417-458rrhcm 778 2 147 147 CD cord-009417-458rrhcm 778 3 Human human JJ cord-009417-458rrhcm 778 4 albumin albumin NN cord-009417-458rrhcm 778 5 solution solution NN cord-009417-458rrhcm 778 6 for for IN cord-009417-458rrhcm 778 7 resuscitation resuscitation NN cord-009417-458rrhcm 778 8 and and CC cord-009417-458rrhcm 778 9 volume volume NN cord-009417-458rrhcm 778 10 expansion expansion NN cord-009417-458rrhcm 778 11 in in IN cord-009417-458rrhcm 778 12 critically critically RB cord-009417-458rrhcm 778 13 ill ill JJ cord-009417-458rrhcm 778 14 patients patient NNS cord-009417-458rrhcm 779 1 Hypotension hypotension NN cord-009417-458rrhcm 779 2 associated associate VBN cord-009417-458rrhcm 779 3 with with IN cord-009417-458rrhcm 779 4 prekallikrein prekallikrein NNP cord-009417-458rrhcm 779 5 activator activator NN cord-009417-458rrhcm 779 6 ( ( -LRB- cord-009417-458rrhcm 779 7 Hageman Hageman NNP cord-009417-458rrhcm 779 8 - - HYPH cord-009417-458rrhcm 779 9 factor factor NN cord-009417-458rrhcm 779 10 fragments fragment NNS cord-009417-458rrhcm 779 11 ) ) -RRB- cord-009417-458rrhcm 779 12 in in IN cord-009417-458rrhcm 779 13 plasma plasma NN cord-009417-458rrhcm 779 14 protein protein NN cord-009417-458rrhcm 779 15 fraction fraction NN cord-009417-458rrhcm 779 16 Granulocyte Granulocyte NNP cord-009417-458rrhcm 779 17 transfusions transfusion NNS cord-009417-458rrhcm 779 18 for for IN cord-009417-458rrhcm 779 19 treating treat VBG cord-009417-458rrhcm 779 20 infections infection NNS cord-009417-458rrhcm 779 21 in in IN cord-009417-458rrhcm 779 22 patients patient NNS cord-009417-458rrhcm 779 23 with with IN cord-009417-458rrhcm 779 24 neutropenia neutropenia NN cord-009417-458rrhcm 779 25 or or CC cord-009417-458rrhcm 779 26 neutrophil neutrophil NN cord-009417-458rrhcm 779 27 dysfunction dysfunction NN cord-009417-458rrhcm 780 1 Special special JJ cord-009417-458rrhcm 780 2 report report NN cord-009417-458rrhcm 780 3 : : : cord-009417-458rrhcm 781 1 Transfusion transfusion NN cord-009417-458rrhcm 781 2 risks risk VBZ cord-009417-458rrhcm 781 3 Transfusion transfusion NN cord-009417-458rrhcm 781 4 errors error NNS cord-009417-458rrhcm 781 5 : : : cord-009417-458rrhcm 782 1 Scope scope NN cord-009417-458rrhcm 782 2 of of IN cord-009417-458rrhcm 782 3 the the DT cord-009417-458rrhcm 782 4 problem problem NN cord-009417-458rrhcm 782 5 , , , cord-009417-458rrhcm 782 6 consequences consequence NNS cord-009417-458rrhcm 782 7 , , , cord-009417-458rrhcm 782 8 and and CC cord-009417-458rrhcm 782 9 solutions solution NNS cord-009417-458rrhcm 782 10 Transfusion Transfusion NNP cord-009417-458rrhcm 782 11 errors error NNS cord-009417-458rrhcm 782 12 in in IN cord-009417-458rrhcm 782 13 New New NNP cord-009417-458rrhcm 782 14 York York NNP cord-009417-458rrhcm 782 15 State State NNP cord-009417-458rrhcm 782 16 : : : cord-009417-458rrhcm 782 17 An an DT cord-009417-458rrhcm 782 18 analysis analysis NN cord-009417-458rrhcm 782 19 of of IN cord-009417-458rrhcm 782 20 10 10 CD cord-009417-458rrhcm 782 21 years year NNS cord-009417-458rrhcm 782 22 ' ' POS cord-009417-458rrhcm 782 23 experience experience NN cord-009417-458rrhcm 782 24 JCAHO JCAHO NNP cord-009417-458rrhcm 782 25 : : : cord-009417-458rrhcm 782 26 Blood blood NN cord-009417-458rrhcm 782 27 transfusion transfusion NN cord-009417-458rrhcm 782 28 errors error NNS cord-009417-458rrhcm 783 1 : : : cord-009417-458rrhcm 783 2 Preventing prevent VBG cord-009417-458rrhcm 783 3 future future JJ cord-009417-458rrhcm 783 4 occurrences occurrence NNS cord-009417-458rrhcm 783 5 : : : cord-009417-458rrhcm 783 6 Available available JJ cord-009417-458rrhcm 783 7 at at IN cord-009417-458rrhcm 783 8 Hemolytic hemolytic JJ cord-009417-458rrhcm 783 9 transfusion transfusion NN cord-009417-458rrhcm 783 10 reaction reaction NN cord-009417-458rrhcm 783 11 Transfusion transfusion NN cord-009417-458rrhcm 783 12 reactions reaction NNS cord-009417-458rrhcm 783 13 associated associate VBN cord-009417-458rrhcm 783 14 with with IN cord-009417-458rrhcm 783 15 anti anti JJ cord-009417-458rrhcm 783 16 - - JJ cord-009417-458rrhcm 783 17 IgA iga JJ cord-009417-458rrhcm 783 18 antibodies antibody NNS cord-009417-458rrhcm 783 19 : : : cord-009417-458rrhcm 783 20 Report report VB cord-009417-458rrhcm 783 21 of of IN cord-009417-458rrhcm 783 22 four four CD cord-009417-458rrhcm 783 23 cases case NNS cord-009417-458rrhcm 783 24 and and CC cord-009417-458rrhcm 783 25 review review NN cord-009417-458rrhcm 783 26 of of IN cord-009417-458rrhcm 783 27 the the DT cord-009417-458rrhcm 783 28 literature literature NN cord-009417-458rrhcm 783 29 Febrile febrile JJ cord-009417-458rrhcm 783 30 transfusion transfusion NN cord-009417-458rrhcm 783 31 reaction reaction NN cord-009417-458rrhcm 783 32 : : : cord-009417-458rrhcm 783 33 What what WDT cord-009417-458rrhcm 783 34 blood blood NN cord-009417-458rrhcm 783 35 component component NN cord-009417-458rrhcm 783 36 should should MD cord-009417-458rrhcm 783 37 be be VB cord-009417-458rrhcm 783 38 given give VBN cord-009417-458rrhcm 783 39 next next RB cord-009417-458rrhcm 783 40 ? ? . cord-009417-458rrhcm 784 1 Clinical clinical JJ cord-009417-458rrhcm 784 2 outcomes outcome NNS cord-009417-458rrhcm 784 3 following follow VBG cord-009417-458rrhcm 784 4 institution institution NN cord-009417-458rrhcm 784 5 of of IN cord-009417-458rrhcm 784 6 the the DT cord-009417-458rrhcm 784 7 Canadian canadian JJ cord-009417-458rrhcm 784 8 universal universal JJ cord-009417-458rrhcm 784 9 leukoreduction leukoreduction NN cord-009417-458rrhcm 784 10 program program NN cord-009417-458rrhcm 784 11 for for IN cord-009417-458rrhcm 784 12 red red JJ cord-009417-458rrhcm 784 13 blood blood NN cord-009417-458rrhcm 784 14 cell cell NN cord-009417-458rrhcm 784 15 transfusions transfusion NNS cord-009417-458rrhcm 785 1 Delayed delayed JJ cord-009417-458rrhcm 785 2 hemolytic hemolytic JJ cord-009417-458rrhcm 785 3 transfusion transfusion NN cord-009417-458rrhcm 785 4 reaction reaction NN cord-009417-458rrhcm 785 5 : : : cord-009417-458rrhcm 785 6 An an DT cord-009417-458rrhcm 785 7 immunologic immunologic JJ cord-009417-458rrhcm 785 8 hazard hazard NN cord-009417-458rrhcm 785 9 of of IN cord-009417-458rrhcm 785 10 blood blood NN cord-009417-458rrhcm 785 11 transfusion transfusion NN cord-009417-458rrhcm 785 12 Transfusion transfusion NN cord-009417-458rrhcm 785 13 - - HYPH cord-009417-458rrhcm 785 14 related relate VBN cord-009417-458rrhcm 785 15 acute acute JJ cord-009417-458rrhcm 785 16 lung lung NN cord-009417-458rrhcm 785 17 injury injury NN cord-009417-458rrhcm 785 18 and and CC cord-009417-458rrhcm 785 19 pulmonary pulmonary JJ cord-009417-458rrhcm 785 20 edema edema NN cord-009417-458rrhcm 785 21 in in IN cord-009417-458rrhcm 785 22 critically critically RB cord-009417-458rrhcm 785 23 ill ill JJ cord-009417-458rrhcm 785 24 patients patient NNS cord-009417-458rrhcm 785 25 : : : cord-009417-458rrhcm 785 26 A a DT cord-009417-458rrhcm 785 27 retrospective retrospective JJ cord-009417-458rrhcm 785 28 study study NN cord-009417-458rrhcm 785 29 for for IN cord-009417-458rrhcm 785 30 the the DT cord-009417-458rrhcm 785 31 NHLBI NHLBI NNP cord-009417-458rrhcm 785 32 Working Working NNP cord-009417-458rrhcm 785 33 Group Group NNP cord-009417-458rrhcm 785 34 on on IN cord-009417-458rrhcm 785 35 TRALI TRALI NNP cord-009417-458rrhcm 785 36 : : : cord-009417-458rrhcm 785 37 Transfusion transfusion NN cord-009417-458rrhcm 785 38 - - HYPH cord-009417-458rrhcm 785 39 related relate VBN cord-009417-458rrhcm 785 40 acute acute JJ cord-009417-458rrhcm 785 41 lung lung NN cord-009417-458rrhcm 785 42 injury injury NN cord-009417-458rrhcm 785 43 : : : cord-009417-458rrhcm 786 1 Defi Defi NNP cord-009417-458rrhcm 786 2 nition nition NN cord-009417-458rrhcm 786 3 and and CC cord-009417-458rrhcm 786 4 review review VB cord-009417-458rrhcm 786 5 Transfusion Transfusion NNP cord-009417-458rrhcm 786 6 - - HYPH cord-009417-458rrhcm 786 7 associated associate VBN cord-009417-458rrhcm 786 8 acute acute JJ cord-009417-458rrhcm 786 9 lung lung NN cord-009417-458rrhcm 786 10 injury injury NN cord-009417-458rrhcm 786 11 ( ( -LRB- cord-009417-458rrhcm 786 12 TRALI TRALI NNP cord-009417-458rrhcm 786 13 ) ) -RRB- cord-009417-458rrhcm 786 14 : : : cord-009417-458rrhcm 786 15 Clinical clinical JJ cord-009417-458rrhcm 786 16 presentation presentation NN cord-009417-458rrhcm 786 17 , , , cord-009417-458rrhcm 786 18 treatment treatment NN cord-009417-458rrhcm 786 19 and and CC cord-009417-458rrhcm 786 20 prognosis prognosis NN cord-009417-458rrhcm 786 21 Transfusion transfusion NN cord-009417-458rrhcm 786 22 - - HYPH cord-009417-458rrhcm 786 23 related relate VBN cord-009417-458rrhcm 786 24 acute acute JJ cord-009417-458rrhcm 786 25 lung lung NN cord-009417-458rrhcm 786 26 injury injury NN cord-009417-458rrhcm 786 27 caused cause VBN cord-009417-458rrhcm 786 28 by by IN cord-009417-458rrhcm 786 29 two two CD cord-009417-458rrhcm 786 30 donors donor NNS cord-009417-458rrhcm 786 31 with with IN cord-009417-458rrhcm 786 32 antihuman antihuman JJ cord-009417-458rrhcm 786 33 leucocyte leucocyte NNP cord-009417-458rrhcm 786 34 antigen antigen NNP cord-009417-458rrhcm 786 35 class class NN cord-009417-458rrhcm 786 36 II II NNP cord-009417-458rrhcm 786 37 antibodies antibody NNS cord-009417-458rrhcm 786 38 : : : cord-009417-458rrhcm 786 39 A a DT cord-009417-458rrhcm 786 40 look look VB cord-009417-458rrhcm 786 41 - - HYPH cord-009417-458rrhcm 786 42 back back RP cord-009417-458rrhcm 786 43 investigation investigation NN cord-009417-458rrhcm 786 44 for for IN cord-009417-458rrhcm 786 45 the the DT cord-009417-458rrhcm 786 46 TRALI TRALI NNP cord-009417-458rrhcm 786 47 Consensus Consensus NNP cord-009417-458rrhcm 786 48 Panel Panel NNP cord-009417-458rrhcm 786 49 : : : cord-009417-458rrhcm 786 50 Proceedings proceeding NNS cord-009417-458rrhcm 786 51 of of IN cord-009417-458rrhcm 786 52 a a DT cord-009417-458rrhcm 786 53 consensus consensus NN cord-009417-458rrhcm 786 54 conference conference NN cord-009417-458rrhcm 786 55 : : : cord-009417-458rrhcm 787 1 Towards towards IN cord-009417-458rrhcm 787 2 an an DT cord-009417-458rrhcm 787 3 understanding understanding NN cord-009417-458rrhcm 787 4 of of IN cord-009417-458rrhcm 787 5 TRALI TRALI NNP cord-009417-458rrhcm 787 6 Graft graft NN cord-009417-458rrhcm 787 7 - - HYPH cord-009417-458rrhcm 787 8 versushost versushost NN cord-009417-458rrhcm 787 9 disease disease NN cord-009417-458rrhcm 787 10 : : : cord-009417-458rrhcm 787 11 New new JJ cord-009417-458rrhcm 787 12 directions direction NNS cord-009417-458rrhcm 787 13 for for IN cord-009417-458rrhcm 787 14 a a DT cord-009417-458rrhcm 787 15 persistent persistent JJ cord-009417-458rrhcm 787 16 problem problem NN cord-009417-458rrhcm 787 17 Survey Survey NNP cord-009417-458rrhcm 787 18 of of IN cord-009417-458rrhcm 787 19 transfusion transfusion NN cord-009417-458rrhcm 787 20 - - HYPH cord-009417-458rrhcm 787 21 associated associate VBN cord-009417-458rrhcm 787 22 graft graft NN cord-009417-458rrhcm 787 23 - - HYPH cord-009417-458rrhcm 787 24 versus versus IN cord-009417-458rrhcm 787 25 - - HYPH cord-009417-458rrhcm 787 26 host host NN cord-009417-458rrhcm 787 27 disease disease NN cord-009417-458rrhcm 787 28 in in IN cord-009417-458rrhcm 787 29 immunocompetent immunocompetent JJ cord-009417-458rrhcm 787 30 recipients recipient NNS cord-009417-458rrhcm 788 1 The the DT cord-009417-458rrhcm 788 2 effect effect NN cord-009417-458rrhcm 788 3 of of IN cord-009417-458rrhcm 788 4 prestorage prestorage NN cord-009417-458rrhcm 788 5 irradiation irradiation NN cord-009417-458rrhcm 788 6 on on IN cord-009417-458rrhcm 788 7 post post JJ cord-009417-458rrhcm 788 8 - - JJ cord-009417-458rrhcm 788 9 transfusion transfusion JJ cord-009417-458rrhcm 788 10 red red JJ cord-009417-458rrhcm 788 11 cell cell NN cord-009417-458rrhcm 788 12 survival survival NN cord-009417-458rrhcm 788 13 Improvement improvement NN cord-009417-458rrhcm 788 14 of of IN cord-009417-458rrhcm 788 15 kidney kidney NN cord-009417-458rrhcm 788 16 - - HYPH cord-009417-458rrhcm 788 17 graft graft NN cord-009417-458rrhcm 788 18 survival survival NN cord-009417-458rrhcm 788 19 with with IN cord-009417-458rrhcm 788 20 increased increase VBN cord-009417-458rrhcm 788 21 numbers number NNS cord-009417-458rrhcm 788 22 of of IN cord-009417-458rrhcm 788 23 blood blood NN cord-009417-458rrhcm 788 24 transfusion transfusion NN cord-009417-458rrhcm 788 25 Blood blood NN cord-009417-458rrhcm 788 26 transfusion transfusion NN cord-009417-458rrhcm 788 27 - - HYPH cord-009417-458rrhcm 788 28 modulated modulate VBN cord-009417-458rrhcm 788 29 tumor tumor NN cord-009417-458rrhcm 788 30 recurrence recurrence NN cord-009417-458rrhcm 788 31 : : : cord-009417-458rrhcm 788 32 First first JJ cord-009417-458rrhcm 788 33 results result NNS cord-009417-458rrhcm 788 34 of of IN cord-009417-458rrhcm 788 35 a a DT cord-009417-458rrhcm 788 36 randomized randomized JJ cord-009417-458rrhcm 788 37 study study NN cord-009417-458rrhcm 788 38 of of IN cord-009417-458rrhcm 788 39 autologous autologous JJ cord-009417-458rrhcm 788 40 versus versus IN cord-009417-458rrhcm 788 41 allogeneic allogeneic IN cord-009417-458rrhcm 788 42 blood blood NN cord-009417-458rrhcm 788 43 transfusion transfusion NN cord-009417-458rrhcm 788 44 in in IN cord-009417-458rrhcm 788 45 colorectal colorectal JJ cord-009417-458rrhcm 788 46 cancer cancer NN cord-009417-458rrhcm 788 47 surgery surgery NN cord-009417-458rrhcm 788 48 Transfusion Transfusion NNP cord-009417-458rrhcm 788 49 - - HYPH cord-009417-458rrhcm 788 50 associated associate VBN cord-009417-458rrhcm 788 51 cancer cancer NN cord-009417-458rrhcm 788 52 recurrence recurrence NN cord-009417-458rrhcm 788 53 and and CC cord-009417-458rrhcm 788 54 postoperative postoperative JJ cord-009417-458rrhcm 788 55 infection infection NN cord-009417-458rrhcm 788 56 : : : cord-009417-458rrhcm 788 57 Meta Meta NNP cord-009417-458rrhcm 788 58 - - HYPH cord-009417-458rrhcm 788 59 analysis analysis NN cord-009417-458rrhcm 788 60 of of IN cord-009417-458rrhcm 788 61 randomized randomized JJ cord-009417-458rrhcm 788 62 , , , cord-009417-458rrhcm 788 63 controlled control VBN cord-009417-458rrhcm 788 64 clinical clinical JJ cord-009417-458rrhcm 788 65 trials trial NNS cord-009417-458rrhcm 788 66 Transfusion Transfusion NNP cord-009417-458rrhcm 788 67 practice practice NN cord-009417-458rrhcm 788 68 and and CC cord-009417-458rrhcm 788 69 nosocomial nosocomial JJ cord-009417-458rrhcm 788 70 infection infection NN cord-009417-458rrhcm 788 71 : : : cord-009417-458rrhcm 788 72 Assessing assess VBG cord-009417-458rrhcm 788 73 the the DT cord-009417-458rrhcm 788 74 evidence evidence NN cord-009417-458rrhcm 788 75 Transfusion Transfusion NNP cord-009417-458rrhcm 788 76 increases increase VBZ cord-009417-458rrhcm 788 77 the the DT cord-009417-458rrhcm 788 78 risk risk NN cord-009417-458rrhcm 788 79 of of IN cord-009417-458rrhcm 788 80 postoperative postoperative JJ cord-009417-458rrhcm 788 81 infection infection NN cord-009417-458rrhcm 788 82 after after IN cord-009417-458rrhcm 788 83 cardiovascular cardiovascular JJ cord-009417-458rrhcm 788 84 surgery surgery NN cord-009417-458rrhcm 788 85 Immunosuppressive immunosuppressive JJ cord-009417-458rrhcm 788 86 effects effect NNS cord-009417-458rrhcm 788 87 of of IN cord-009417-458rrhcm 788 88 blood blood NN cord-009417-458rrhcm 788 89 transfusion transfusion NN cord-009417-458rrhcm 788 90 Transfusion Transfusion NNP cord-009417-458rrhcm 788 91 of of IN cord-009417-458rrhcm 788 92 leukoreduced leukoreduce VBN cord-009417-458rrhcm 788 93 red red JJ cord-009417-458rrhcm 788 94 blood blood NN cord-009417-458rrhcm 788 95 cells cell NNS cord-009417-458rrhcm 788 96 may may MD cord-009417-458rrhcm 788 97 decrease decrease VB cord-009417-458rrhcm 788 98 postoperative postoperative JJ cord-009417-458rrhcm 788 99 infections infection NNS cord-009417-458rrhcm 788 100 : : : cord-009417-458rrhcm 789 1 Two two CD cord-009417-458rrhcm 789 2 meta meta JJ cord-009417-458rrhcm 789 3 - - HYPH cord-009417-458rrhcm 789 4 analyses analysis NNS cord-009417-458rrhcm 789 5 of of IN cord-009417-458rrhcm 789 6 randomized randomized JJ cord-009417-458rrhcm 789 7 controlled control VBN cord-009417-458rrhcm 789 8 trials trial NNS cord-009417-458rrhcm 789 9 Transfusion Transfusion NNP cord-009417-458rrhcm 789 10 immunomodulation immunomodulation NN cord-009417-458rrhcm 789 11 or or CC cord-009417-458rrhcm 789 12 TRIM trim NN cord-009417-458rrhcm 789 13 : : : cord-009417-458rrhcm 790 1 What what WP cord-009417-458rrhcm 790 2 does do VBZ cord-009417-458rrhcm 790 3 it -PRON- PRP cord-009417-458rrhcm 790 4 mean mean VB cord-009417-458rrhcm 790 5 clinically clinically RB cord-009417-458rrhcm 790 6 ? ? . cord-009417-458rrhcm 791 1 Risks risk NNS cord-009417-458rrhcm 791 2 of of IN cord-009417-458rrhcm 791 3 blood blood NN cord-009417-458rrhcm 791 4 transfusion transfusion NN cord-009417-458rrhcm 791 5 Transfusiontransmitted transfusiontransmitte VBD cord-009417-458rrhcm 791 6 cytomegalovirus cytomegalovirus NNP cord-009417-458rrhcm 791 7 and and CC cord-009417-458rrhcm 791 8 Epstein Epstein NNP cord-009417-458rrhcm 791 9 - - HYPH cord-009417-458rrhcm 791 10 Barr Barr NNP cord-009417-458rrhcm 791 11 virus virus NN cord-009417-458rrhcm 791 12 diseases disease VBZ cord-009417-458rrhcm 791 13 Current current JJ cord-009417-458rrhcm 791 14 status status NN cord-009417-458rrhcm 791 15 of of IN cord-009417-458rrhcm 791 16 microbial microbial JJ cord-009417-458rrhcm 791 17 contamination contamination NN cord-009417-458rrhcm 791 18 of of IN cord-009417-458rrhcm 791 19 blood blood NN cord-009417-458rrhcm 791 20 components component NNS cord-009417-458rrhcm 791 21 : : : cord-009417-458rrhcm 791 22 Summary summary NN cord-009417-458rrhcm 791 23 of of IN cord-009417-458rrhcm 791 24 a a DT cord-009417-458rrhcm 791 25 conference conference NN cord-009417-458rrhcm 791 26 Septic septic JJ cord-009417-458rrhcm 791 27 reactions reaction NNS cord-009417-458rrhcm 791 28 to to IN cord-009417-458rrhcm 791 29 platelet platelet NN cord-009417-458rrhcm 791 30 transfusions transfusion NNS cord-009417-458rrhcm 791 31 : : : cord-009417-458rrhcm 792 1 A a DT cord-009417-458rrhcm 792 2 persistent persistent JJ cord-009417-458rrhcm 792 3 problem problem NN cord-009417-458rrhcm 792 4 Red red JJ cord-009417-458rrhcm 792 5 blood blood NN cord-009417-458rrhcm 792 6 cell cell NN cord-009417-458rrhcm 792 7 transfusions transfusion NNS cord-009417-458rrhcm 792 8 contaminated contaminate VBN cord-009417-458rrhcm 792 9 with with IN cord-009417-458rrhcm 792 10 Yersinia Yersinia NNP cord-009417-458rrhcm 792 11 enterocolitica enterocolitica NNP cord-009417-458rrhcm 792 12 - - HYPH cord-009417-458rrhcm 792 13 United United NNP cord-009417-458rrhcm 792 14 States States NNP cord-009417-458rrhcm 792 15 , , , cord-009417-458rrhcm 792 16 1991 1991 CD cord-009417-458rrhcm 792 17 - - SYM cord-009417-458rrhcm 792 18 1997 1997 CD cord-009417-458rrhcm 792 19 , , , cord-009417-458rrhcm 792 20 and and CC cord-009417-458rrhcm 792 21 initiation initiation NN cord-009417-458rrhcm 792 22 of of IN cord-009417-458rrhcm 792 23 a a DT cord-009417-458rrhcm 792 24 national national JJ cord-009417-458rrhcm 792 25 study study NN cord-009417-458rrhcm 792 26 to to TO cord-009417-458rrhcm 792 27 detect detect VB cord-009417-458rrhcm 792 28 bacteria bacteria NNS cord-009417-458rrhcm 792 29 - - HYPH cord-009417-458rrhcm 792 30 associated associate VBN cord-009417-458rrhcm 792 31 transfusion transfusion NN cord-009417-458rrhcm 792 32 reactions reaction NNS cord-009417-458rrhcm 792 33 Routes route NNS cord-009417-458rrhcm 792 34 of of IN cord-009417-458rrhcm 792 35 infection infection NN cord-009417-458rrhcm 792 36 , , , cord-009417-458rrhcm 792 37 viremia viremia NN cord-009417-458rrhcm 792 38 , , , cord-009417-458rrhcm 792 39 and and CC cord-009417-458rrhcm 792 40 liver liver NN cord-009417-458rrhcm 792 41 disease disease NN cord-009417-458rrhcm 792 42 in in IN cord-009417-458rrhcm 792 43 blood blood NN cord-009417-458rrhcm 792 44 donors donor NNS cord-009417-458rrhcm 792 45 found find VBN cord-009417-458rrhcm 792 46 to to TO cord-009417-458rrhcm 792 47 have have VB cord-009417-458rrhcm 792 48 hepatitis hepatitis NN cord-009417-458rrhcm 792 49 C C NNP cord-009417-458rrhcm 792 50 infection infection NN cord-009417-458rrhcm 792 51 Clinical clinical JJ cord-009417-458rrhcm 792 52 outcomes outcome NNS cord-009417-458rrhcm 792 53 after after IN cord-009417-458rrhcm 792 54 transfusionassociated transfusionassociate VBN cord-009417-458rrhcm 792 55 hepatitis hepatitis NN cord-009417-458rrhcm 792 56 C C NNP cord-009417-458rrhcm 792 57 Adverse adverse JJ cord-009417-458rrhcm 792 58 consequences consequence NNS cord-009417-458rrhcm 792 59 of of IN cord-009417-458rrhcm 792 60 blood blood NN cord-009417-458rrhcm 792 61 transfusion transfusion NN cord-009417-458rrhcm 793 1 : : : cord-009417-458rrhcm 793 2 Quantitative quantitative JJ cord-009417-458rrhcm 793 3 risk risk NN cord-009417-458rrhcm 793 4 estimates estimate VBZ cord-009417-458rrhcm 793 5 Stramer Stramer NNP cord-009417-458rrhcm 793 6 SL SL NNP cord-009417-458rrhcm 793 7 : : : cord-009417-458rrhcm 793 8 Current current JJ cord-009417-458rrhcm 793 9 prevalence prevalence NN cord-009417-458rrhcm 793 10 and and CC cord-009417-458rrhcm 793 11 incidence incidence NN cord-009417-458rrhcm 793 12 of of IN cord-009417-458rrhcm 793 13 infectious infectious JJ cord-009417-458rrhcm 793 14 disease disease NN cord-009417-458rrhcm 793 15 markers marker NNS cord-009417-458rrhcm 793 16 and and CC cord-009417-458rrhcm 793 17 estimated estimate VBN cord-009417-458rrhcm 793 18 window window NN cord-009417-458rrhcm 793 19 - - HYPH cord-009417-458rrhcm 793 20 period period NN cord-009417-458rrhcm 793 21 risk risk NN cord-009417-458rrhcm 793 22 in in IN cord-009417-458rrhcm 793 23 the the DT cord-009417-458rrhcm 793 24 American American NNP cord-009417-458rrhcm 793 25 Red Red NNP cord-009417-458rrhcm 793 26 Cross Cross NNP cord-009417-458rrhcm 793 27 blood blood NN cord-009417-458rrhcm 793 28 donor donor NN cord-009417-458rrhcm 793 29 population population NN cord-009417-458rrhcm 794 1 Possible possible JJ cord-009417-458rrhcm 794 2 transfusionassociated transfusionassociated NNP cord-009417-458rrhcm 794 3 acquired acquire VBD cord-009417-458rrhcm 794 4 immune immune NNP cord-009417-458rrhcm 794 5 defi defi NNP cord-009417-458rrhcm 794 6 ciency ciency NNP cord-009417-458rrhcm 794 7 syndrome syndrome NN cord-009417-458rrhcm 794 8 ( ( -LRB- cord-009417-458rrhcm 794 9 AIDS AIDS NNP cord-009417-458rrhcm 794 10 ) ) -RRB- cord-009417-458rrhcm 795 1 : : : cord-009417-458rrhcm 795 2 California California NNP cord-009417-458rrhcm 795 3 Impact Impact NNP cord-009417-458rrhcm 795 4 of of IN cord-009417-458rrhcm 795 5 explicit explicit JJ cord-009417-458rrhcm 795 6 questions question NNS cord-009417-458rrhcm 795 7 about about IN cord-009417-458rrhcm 795 8 high high JJ cord-009417-458rrhcm 795 9 - - HYPH cord-009417-458rrhcm 795 10 risk risk NN cord-009417-458rrhcm 795 11 activities activity NNS cord-009417-458rrhcm 795 12 on on IN cord-009417-458rrhcm 795 13 donor donor NN cord-009417-458rrhcm 795 14 attitudes attitude NNS cord-009417-458rrhcm 795 15 and and CC cord-009417-458rrhcm 795 16 donor donor NN cord-009417-458rrhcm 795 17 referral referral NN cord-009417-458rrhcm 795 18 patterns pattern NNS cord-009417-458rrhcm 795 19 . . . cord-009417-458rrhcm 796 1 Results result NNS cord-009417-458rrhcm 796 2 in in IN cord-009417-458rrhcm 796 3 two two CD cord-009417-458rrhcm 796 4 community community NN cord-009417-458rrhcm 796 5 blood blood NN cord-009417-458rrhcm 796 6 centers center NNS cord-009417-458rrhcm 797 1 The the DT cord-009417-458rrhcm 797 2 effectiveness effectiveness NN cord-009417-458rrhcm 797 3 of of IN cord-009417-458rrhcm 797 4 the the DT cord-009417-458rrhcm 797 5 confi confi NNP cord-009417-458rrhcm 797 6 dential dential NNP cord-009417-458rrhcm 797 7 unit unit NN cord-009417-458rrhcm 797 8 exclusion exclusion NN cord-009417-458rrhcm 797 9 option option NN cord-009417-458rrhcm 797 10 Human Human NNP cord-009417-458rrhcm 797 11 immunodefi immunodefi NNP cord-009417-458rrhcm 797 12 ciency ciency NNP cord-009417-458rrhcm 797 13 virus virus NN cord-009417-458rrhcm 797 14 type type NN cord-009417-458rrhcm 797 15 2 2 CD cord-009417-458rrhcm 797 16 infection infection NN cord-009417-458rrhcm 797 17 in in IN cord-009417-458rrhcm 797 18 the the DT cord-009417-458rrhcm 797 19 United United NNP cord-009417-458rrhcm 797 20 States States NNP cord-009417-458rrhcm 797 21 : : : cord-009417-458rrhcm 797 22 Epidemiology epidemiology NN cord-009417-458rrhcm 797 23 , , , cord-009417-458rrhcm 797 24 diagnosis diagnosis NN cord-009417-458rrhcm 797 25 , , , cord-009417-458rrhcm 797 26 and and CC cord-009417-458rrhcm 797 27 public public JJ cord-009417-458rrhcm 797 28 health health NN cord-009417-458rrhcm 797 29 implications implication NNS cord-009417-458rrhcm 798 1 Update update NN cord-009417-458rrhcm 798 2 : : : cord-009417-458rrhcm 799 1 HIV-2 hiv-2 VB cord-009417-458rrhcm 799 2 infection infection NN cord-009417-458rrhcm 799 3 among among IN cord-009417-458rrhcm 799 4 blood blood NN cord-009417-458rrhcm 799 5 and and CC cord-009417-458rrhcm 799 6 plasma plasma NN cord-009417-458rrhcm 799 7 donors donor NNS cord-009417-458rrhcm 799 8 - - : cord-009417-458rrhcm 799 9 United United NNP cord-009417-458rrhcm 799 10 States States NNP cord-009417-458rrhcm 799 11 Transmission Transmission NNP cord-009417-458rrhcm 799 12 of of IN cord-009417-458rrhcm 799 13 human human JJ cord-009417-458rrhcm 799 14 Tlymphotropic Tlymphotropic NNP cord-009417-458rrhcm 799 15 virus virus NN cord-009417-458rrhcm 799 16 types type NNS cord-009417-458rrhcm 799 17 I -PRON- PRP cord-009417-458rrhcm 799 18 and and CC cord-009417-458rrhcm 799 19 II II NNP cord-009417-458rrhcm 799 20 by by IN cord-009417-458rrhcm 799 21 blood blood NN cord-009417-458rrhcm 799 22 transfusion transfusion NN cord-009417-458rrhcm 800 1 A a DT cord-009417-458rrhcm 800 2 prospective prospective JJ cord-009417-458rrhcm 800 3 study study NN cord-009417-458rrhcm 800 4 of of IN cord-009417-458rrhcm 800 5 transmission transmission NN cord-009417-458rrhcm 800 6 by by IN cord-009417-458rrhcm 800 7 transfusion transfusion NN cord-009417-458rrhcm 800 8 of of IN cord-009417-458rrhcm 800 9 HTLV HTLV NNP cord-009417-458rrhcm 800 10 - - HYPH cord-009417-458rrhcm 800 11 I i NN cord-009417-458rrhcm 800 12 and and CC cord-009417-458rrhcm 800 13 risk risk NN cord-009417-458rrhcm 800 14 factors factor NNS cord-009417-458rrhcm 800 15 associated associate VBN cord-009417-458rrhcm 800 16 with with IN cord-009417-458rrhcm 800 17 seroconversion seroconversion NN cord-009417-458rrhcm 800 18 Post post JJ cord-009417-458rrhcm 800 19 - - JJ cord-009417-458rrhcm 800 20 transfusion transfusion NN cord-009417-458rrhcm 800 21 cytomegalovirus cytomegalovirus NN cord-009417-458rrhcm 800 22 infections infection NNS cord-009417-458rrhcm 800 23 Reducing reduce VBG cord-009417-458rrhcm 800 24 the the DT cord-009417-458rrhcm 800 25 risk risk NN cord-009417-458rrhcm 800 26 for for IN cord-009417-458rrhcm 800 27 transfusion transfusion NN cord-009417-458rrhcm 800 28 - - HYPH cord-009417-458rrhcm 800 29 transmitted transmit VBN cord-009417-458rrhcm 800 30 cytomegalovirus cytomegalovirus JJ cord-009417-458rrhcm 800 31 infection infection NN cord-009417-458rrhcm 800 32 Is be VBZ cord-009417-458rrhcm 800 33 white white JJ cord-009417-458rrhcm 800 34 blood blood NN cord-009417-458rrhcm 800 35 cell cell NN cord-009417-458rrhcm 800 36 reduction reduction NN cord-009417-458rrhcm 800 37 equivalent equivalent JJ cord-009417-458rrhcm 800 38 to to IN cord-009417-458rrhcm 800 39 antibody antibody NN cord-009417-458rrhcm 800 40 screening screening NN cord-009417-458rrhcm 800 41 in in IN cord-009417-458rrhcm 800 42 preventing prevent VBG cord-009417-458rrhcm 800 43 transmission transmission NN cord-009417-458rrhcm 800 44 of of IN cord-009417-458rrhcm 800 45 cytomegalovirus cytomegalovirus NN cord-009417-458rrhcm 800 46 by by IN cord-009417-458rrhcm 800 47 transfusion transfusion NN cord-009417-458rrhcm 800 48 ? ? . cord-009417-458rrhcm 801 1 A a DT cord-009417-458rrhcm 801 2 review review NN cord-009417-458rrhcm 801 3 of of IN cord-009417-458rrhcm 801 4 the the DT cord-009417-458rrhcm 801 5 literature literature NN cord-009417-458rrhcm 801 6 and and CC cord-009417-458rrhcm 801 7 meta meta NNP cord-009417-458rrhcm 801 8 - - HYPH cord-009417-458rrhcm 801 9 analysis analysis NN cord-009417-458rrhcm 801 10 Transmission transmission NN cord-009417-458rrhcm 801 11 of of IN cord-009417-458rrhcm 801 12 parasitic parasitic JJ cord-009417-458rrhcm 801 13 infections infection NNS cord-009417-458rrhcm 801 14 by by IN cord-009417-458rrhcm 801 15 blood blood NN cord-009417-458rrhcm 801 16 transfusion transfusion NN cord-009417-458rrhcm 801 17 Hemostasis Hemostasis NNP cord-009417-458rrhcm 801 18 in in IN cord-009417-458rrhcm 801 19 massively massively RB cord-009417-458rrhcm 801 20 transfused transfuse VBN cord-009417-458rrhcm 801 21 trauma trauma NN cord-009417-458rrhcm 801 22 patients patient NNS cord-009417-458rrhcm 802 1 Laboratory laboratory NN cord-009417-458rrhcm 802 2 hemostatic hemostatic JJ cord-009417-458rrhcm 802 3 abnormalities abnormality NNS cord-009417-458rrhcm 802 4 in in IN cord-009417-458rrhcm 802 5 massively massively RB cord-009417-458rrhcm 802 6 transfused transfuse VBN cord-009417-458rrhcm 802 7 patients patient NNS cord-009417-458rrhcm 802 8 given give VBN cord-009417-458rrhcm 802 9 red red JJ cord-009417-458rrhcm 802 10 blood blood NN cord-009417-458rrhcm 802 11 cells cell NNS cord-009417-458rrhcm 802 12 and and CC cord-009417-458rrhcm 802 13 crystalloid crystalloid NN cord-009417-458rrhcm 802 14 Serial serial JJ cord-009417-458rrhcm 802 15 changes change NNS cord-009417-458rrhcm 802 16 in in IN cord-009417-458rrhcm 802 17 primary primary JJ cord-009417-458rrhcm 802 18 hemostasis hemostasis NN cord-009417-458rrhcm 802 19 after after IN cord-009417-458rrhcm 802 20 massive massive JJ cord-009417-458rrhcm 802 21 transfusion transfusion NN cord-009417-458rrhcm 802 22 Prophylactic Prophylactic NNP cord-009417-458rrhcm 802 23 platelet platelet NN cord-009417-458rrhcm 802 24 administration administration NN cord-009417-458rrhcm 802 25 during during IN cord-009417-458rrhcm 802 26 massive massive JJ cord-009417-458rrhcm 802 27 transfusion transfusion NN cord-009417-458rrhcm 802 28 Clotting clotting NN cord-009417-458rrhcm 802 29 factor factor NN cord-009417-458rrhcm 802 30 levels level NNS cord-009417-458rrhcm 802 31 and and CC cord-009417-458rrhcm 802 32 the the DT cord-009417-458rrhcm 802 33 risk risk NN cord-009417-458rrhcm 802 34 of of IN cord-009417-458rrhcm 802 35 diffuse diffuse JJ cord-009417-458rrhcm 802 36 rnicrovascular rnicrovascular JJ cord-009417-458rrhcm 802 37 bleeding bleed VBG cord-009417-458rrhcm 802 38 in in IN cord-009417-458rrhcm 802 39 the the DT cord-009417-458rrhcm 802 40 massively massively RB cord-009417-458rrhcm 802 41 transfused transfuse VBN cord-009417-458rrhcm 802 42 patient patient NN cord-009417-458rrhcm 802 43 Potential potential JJ cord-009417-458rrhcm 802 44 role role NN cord-009417-458rrhcm 802 45 of of IN cord-009417-458rrhcm 802 46 recombinant recombinant JJ cord-009417-458rrhcm 802 47 factor factor NN cord-009417-458rrhcm 802 48 VIIa VIIa NNS cord-009417-458rrhcm 802 49 as as IN cord-009417-458rrhcm 802 50 a a DT cord-009417-458rrhcm 802 51 hemostatic hemostatic JJ cord-009417-458rrhcm 802 52 agent agent NN cord-009417-458rrhcm 802 53 Recombinant recombinant JJ cord-009417-458rrhcm 802 54 factor factor NN cord-009417-458rrhcm 802 55 VIIa VIIa NNS cord-009417-458rrhcm 802 56 : : : cord-009417-458rrhcm 802 57 Unregulated unregulated JJ cord-009417-458rrhcm 802 58 continuous continuous JJ cord-009417-458rrhcm 802 59 use use NN cord-009417-458rrhcm 802 60 in in IN cord-009417-458rrhcm 802 61 patients patient NNS cord-009417-458rrhcm 802 62 with with IN cord-009417-458rrhcm 802 63 bleeding bleeding NN cord-009417-458rrhcm 802 64 and and CC cord-009417-458rrhcm 802 65 coagulopathy coagulopathy NN cord-009417-458rrhcm 802 66 dues due NNS cord-009417-458rrhcm 802 67 not not RB cord-009417-458rrhcm 802 68 alter alter VB cord-009417-458rrhcm 802 69 mortality mortality NN cord-009417-458rrhcm 802 70 and and CC cord-009417-458rrhcm 802 71 outcome outcome VB cord-009417-458rrhcm 802 72 Massive massive JJ cord-009417-458rrhcm 802 73 blood blood NN cord-009417-458rrhcm 802 74 replacement replacement NN cord-009417-458rrhcm 802 75 : : : cord-009417-458rrhcm 802 76 Correlation correlation NN cord-009417-458rrhcm 802 77 of of IN cord-009417-458rrhcm 802 78 ionized ionized JJ cord-009417-458rrhcm 802 79 calcium calcium NN cord-009417-458rrhcm 802 80 , , , cord-009417-458rrhcm 802 81 citrate citrate NN cord-009417-458rrhcm 802 82 , , , cord-009417-458rrhcm 802 83 and and CC cord-009417-458rrhcm 802 84 hydrogen hydrogen NN cord-009417-458rrhcm 802 85 ion ion NN cord-009417-458rrhcm 802 86 concentration concentration NN cord-009417-458rrhcm 802 87 Potassium potassium NN cord-009417-458rrhcm 802 88 levels level NNS cord-009417-458rrhcm 802 89 , , , cord-009417-458rrhcm 802 90 acid acid NN cord-009417-458rrhcm 802 91 - - HYPH cord-009417-458rrhcm 802 92 base base NN cord-009417-458rrhcm 802 93 balance balance NN cord-009417-458rrhcm 802 94 and and CC cord-009417-458rrhcm 802 95 massive massive JJ cord-009417-458rrhcm 802 96 blood blood NN cord-009417-458rrhcm 802 97 replacement replacement NN cord-009417-458rrhcm 802 98 Acid acid NN cord-009417-458rrhcm 802 99 - - HYPH cord-009417-458rrhcm 802 100 base base NN cord-009417-458rrhcm 802 101 status status NN cord-009417-458rrhcm 802 102 of of IN cord-009417-458rrhcm 802 103 seriously seriously RB cord-009417-458rrhcm 802 104 wounded wound VBN cord-009417-458rrhcm 802 105 combat combat NN cord-009417-458rrhcm 802 106 casualties casualty NNS cord-009417-458rrhcm 802 107 : : : cord-009417-458rrhcm 802 108 Resuscitation resuscitation NN cord-009417-458rrhcm 802 109 with with IN cord-009417-458rrhcm 802 110 stored store VBN cord-009417-458rrhcm 802 111 blood blood NN cord-009417-458rrhcm 802 112 Blood blood NN cord-009417-458rrhcm 802 113 temperature temperature NN cord-009417-458rrhcm 802 114 : : : cord-009417-458rrhcm 802 115 A a DT cord-009417-458rrhcm 802 116 critical critical JJ cord-009417-458rrhcm 802 117 factor factor NN cord-009417-458rrhcm 802 118 in in IN cord-009417-458rrhcm 802 119 massive massive JJ cord-009417-458rrhcm 802 120 transfusion transfusion NN cord-009417-458rrhcm 803 1 An an DT cord-009417-458rrhcm 803 2 in in IN cord-009417-458rrhcm 803 3 vivo vivo NN cord-009417-458rrhcm 803 4 evaluation evaluation NN cord-009417-458rrhcm 803 5 of of IN cord-009417-458rrhcm 803 6 microaggregate microaggregate NNP cord-009417-458rrhcm 803 7 blood blood NN cord-009417-458rrhcm 803 8 fi fi IN cord-009417-458rrhcm 803 9 ltration ltration NN cord-009417-458rrhcm 803 10 during during IN cord-009417-458rrhcm 803 11 total total JJ cord-009417-458rrhcm 803 12 hip hip NN cord-009417-458rrhcm 803 13 replacement replacement NN cord-009417-458rrhcm 803 14 Massive massive JJ cord-009417-458rrhcm 803 15 transfusion transfusion NN cord-009417-458rrhcm 803 16 as as IN cord-009417-458rrhcm 803 17 a a DT cord-009417-458rrhcm 803 18 risk risk NN cord-009417-458rrhcm 803 19 factor factor NN cord-009417-458rrhcm 803 20 for for IN cord-009417-458rrhcm 803 21 acute acute JJ cord-009417-458rrhcm 803 22 lung lung NN cord-009417-458rrhcm 803 23 injury injury NN cord-009417-458rrhcm 803 24 : : : cord-009417-458rrhcm 803 25 Association association NN cord-009417-458rrhcm 803 26 or or CC cord-009417-458rrhcm 803 27 causation causation NN cord-009417-458rrhcm 803 28 ? ? . cord-009417-458rrhcm 804 1 Guidelines guideline NNS cord-009417-458rrhcm 804 2 on on IN cord-009417-458rrhcm 804 3 the the DT cord-009417-458rrhcm 804 4 management management NN cord-009417-458rrhcm 804 5 of of IN cord-009417-458rrhcm 804 6 massive massive JJ cord-009417-458rrhcm 804 7 blood blood NN cord-009417-458rrhcm 804 8 loss loss NN cord-009417-458rrhcm 804 9 Autoimmune autoimmune JJ cord-009417-458rrhcm 804 10 hemolytic hemolytic JJ cord-009417-458rrhcm 804 11 anemia anemia NN cord-009417-458rrhcm 804 12 Approaches approach VBZ cord-009417-458rrhcm 804 13 to to TO cord-009417-458rrhcm 804 14 selecting select VBG cord-009417-458rrhcm 804 15 blood blood NN cord-009417-458rrhcm 804 16 for for IN cord-009417-458rrhcm 804 17 transfusion transfusion NN cord-009417-458rrhcm 804 18 to to IN cord-009417-458rrhcm 804 19 patients patient NNS cord-009417-458rrhcm 804 20 with with IN cord-009417-458rrhcm 804 21 autoimmune autoimmune JJ cord-009417-458rrhcm 804 22 hemolytic hemolytic JJ cord-009417-458rrhcm 804 23 anemia anemia NN cord-009417-458rrhcm 805 1 The the DT cord-009417-458rrhcm 805 2 clinical clinical JJ cord-009417-458rrhcm 805 3 implications implication NNS cord-009417-458rrhcm 805 4 of of IN cord-009417-458rrhcm 805 5 platelet platelet NN cord-009417-458rrhcm 805 6 transfusions transfusion NNS cord-009417-458rrhcm 805 7 associated associate VBN cord-009417-458rrhcm 805 8 with with IN cord-009417-458rrhcm 805 9 ABO ABO NNP cord-009417-458rrhcm 805 10 or or CC cord-009417-458rrhcm 805 11 Rh(D Rh(D NNP cord-009417-458rrhcm 805 12 ) ) -RRB- cord-009417-458rrhcm 805 13 incompatibility incompatibility NN cord-009417-458rrhcm 805 14 Survival survival NN cord-009417-458rrhcm 805 15 curves curve NNS cord-009417-458rrhcm 805 16 of of IN cord-009417-458rrhcm 805 17 incompatible incompatible JJ cord-009417-458rrhcm 805 18 red red JJ cord-009417-458rrhcm 805 19 cells cell NNS cord-009417-458rrhcm 805 20 : : : cord-009417-458rrhcm 805 21 An an DT cord-009417-458rrhcm 805 22 analytical analytical JJ cord-009417-458rrhcm 805 23 review review NN cord-009417-458rrhcm 805 24 Isotype Isotype NNP cord-009417-458rrhcm 805 25 - - HYPH cord-009417-458rrhcm 805 26 specifi specifi NNP cord-009417-458rrhcm 805 27 c c NN cord-009417-458rrhcm 805 28 detection detection NN cord-009417-458rrhcm 805 29 of of IN cord-009417-458rrhcm 805 30 ABO ABO NNP cord-009417-458rrhcm 805 31 blood blood NN cord-009417-458rrhcm 805 32 group group NN cord-009417-458rrhcm 805 33 antibodies antibody NNS cord-009417-458rrhcm 805 34 using use VBG cord-009417-458rrhcm 805 35 a a DT cord-009417-458rrhcm 805 36 novel novel JJ cord-009417-458rrhcm 805 37 fl fl NNP cord-009417-458rrhcm 805 38 ow ow NNP cord-009417-458rrhcm 805 39 cytometric cytometric NN cord-009417-458rrhcm 805 40 method method NN cord-009417-458rrhcm 805 41 Use Use NNP cord-009417-458rrhcm 805 42 of of IN cord-009417-458rrhcm 805 43 Rh Rh NNP cord-009417-458rrhcm 805 44 positive positive JJ cord-009417-458rrhcm 805 45 blood blood NN cord-009417-458rrhcm 805 46 in in IN cord-009417-458rrhcm 805 47 emergency emergency NN cord-009417-458rrhcm 805 48 situations situation NNS cord-009417-458rrhcm 805 49 Pharmacologic Pharmacologic NNP cord-009417-458rrhcm 805 50 agents agent NNS cord-009417-458rrhcm 805 51 in in IN cord-009417-458rrhcm 805 52 the the DT cord-009417-458rrhcm 805 53 management management NN cord-009417-458rrhcm 805 54 of of IN cord-009417-458rrhcm 805 55 bleeding bleed VBG cord-009417-458rrhcm 805 56 disorders disorder NNS cord-009417-458rrhcm 805 57 Disseminated disseminate VBD cord-009417-458rrhcm 805 58 intravascular intravascular JJ cord-009417-458rrhcm 805 59 coagulation coagulation NN cord-009417-458rrhcm 805 60 . . . cord-009417-458rrhcm 806 1 Approach approach VB cord-009417-458rrhcm 806 2 to to IN cord-009417-458rrhcm 806 3 treatment treatment NN cord-009417-458rrhcm 806 4 The the DT cord-009417-458rrhcm 806 5 pathogenesis pathogenesis NN cord-009417-458rrhcm 806 6 and and CC cord-009417-458rrhcm 806 7 management management NN cord-009417-458rrhcm 806 8 of of IN cord-009417-458rrhcm 806 9 disseminated disseminate VBN cord-009417-458rrhcm 806 10 intravascular intravascular JJ cord-009417-458rrhcm 806 11 coagulation coagulation NN cord-009417-458rrhcm 806 12 Coagulation coagulation NN cord-009417-458rrhcm 806 13 disorders disorder NNS cord-009417-458rrhcm 806 14 in in IN cord-009417-458rrhcm 806 15 liver liver NN cord-009417-458rrhcm 806 16 disease disease NN cord-009417-458rrhcm 806 17 New new JJ cord-009417-458rrhcm 806 18 insights insight NNS cord-009417-458rrhcm 806 19 into into IN cord-009417-458rrhcm 806 20 haemostasis haemostasis NN cord-009417-458rrhcm 806 21 in in IN cord-009417-458rrhcm 806 22 liver liver NN cord-009417-458rrhcm 806 23 failure failure NN cord-009417-458rrhcm 807 1 Plasma plasma NN cord-009417-458rrhcm 807 2 and and CC cord-009417-458rrhcm 807 3 platelet platelet NN cord-009417-458rrhcm 807 4 von von NNP cord-009417-458rrhcm 807 5 Willebrand Willebrand NNP cord-009417-458rrhcm 807 6 factor factor NN cord-009417-458rrhcm 807 7 defects defect NNS cord-009417-458rrhcm 807 8 in in IN cord-009417-458rrhcm 807 9 uremia uremia NN cord-009417-458rrhcm 807 10 Deamino-8-D deamino-8-d NN cord-009417-458rrhcm 807 11 - - HYPH cord-009417-458rrhcm 807 12 arginine arginine NN cord-009417-458rrhcm 807 13 vasopressin vasopressin NN cord-009417-458rrhcm 807 14 shortens shorten VBZ cord-009417-458rrhcm 807 15 the the DT cord-009417-458rrhcm 807 16 bleeding bleeding JJ cord-009417-458rrhcm 807 17 time time NN cord-009417-458rrhcm 807 18 in in IN cord-009417-458rrhcm 807 19 uremia uremia NN cord-009417-458rrhcm 807 20 Donor donor NN cord-009417-458rrhcm 807 21 - - HYPH cord-009417-458rrhcm 807 22 derived derive VBN cord-009417-458rrhcm 807 23 red red JJ cord-009417-458rrhcm 807 24 blood blood NN cord-009417-458rrhcm 807 25 cell cell NN cord-009417-458rrhcm 807 26 antibodies antibody NNS cord-009417-458rrhcm 807 27 and and CC cord-009417-458rrhcm 807 28 immune immune JJ cord-009417-458rrhcm 807 29 hemolysis hemolysis NN cord-009417-458rrhcm 807 30 after after IN cord-009417-458rrhcm 807 31 allogeneic allogeneic NN cord-009417-458rrhcm 807 32 bone bone NN cord-009417-458rrhcm 807 33 marrow marrow NN cord-009417-458rrhcm 807 34 transplantation transplantation NN cord-009417-458rrhcm 807 35 Fluosol Fluosol NNP cord-009417-458rrhcm 807 36 - - HYPH cord-009417-458rrhcm 807 37 DA DA NNP cord-009417-458rrhcm 807 38 as as IN cord-009417-458rrhcm 807 39 a a DT cord-009417-458rrhcm 807 40 red red JJ cord-009417-458rrhcm 807 41 - - HYPH cord-009417-458rrhcm 807 42 cell cell NN cord-009417-458rrhcm 807 43 substitute substitute NN cord-009417-458rrhcm 807 44 in in IN cord-009417-458rrhcm 807 45 acute acute JJ cord-009417-458rrhcm 807 46 anemia anemia NN cord-009417-458rrhcm 808 1 The the DT cord-009417-458rrhcm 808 2 prospect prospect NN cord-009417-458rrhcm 808 3 for for IN cord-009417-458rrhcm 808 4 red red JJ cord-009417-458rrhcm 808 5 cell cell NN cord-009417-458rrhcm 808 6 substitutes substitute NNS cord-009417-458rrhcm 808 7 Low low JJ cord-009417-458rrhcm 808 8 - - HYPH cord-009417-458rrhcm 808 9 dose dose NN cord-009417-458rrhcm 808 10 perfl perfl NN cord-009417-458rrhcm 808 11 uorocarbon uorocarbon NN cord-009417-458rrhcm 808 12 : : : cord-009417-458rrhcm 809 1 A a DT cord-009417-458rrhcm 809 2 revival revival NN cord-009417-458rrhcm 809 3 for for IN cord-009417-458rrhcm 809 4 partial partial JJ cord-009417-458rrhcm 809 5 liquid liquid JJ cord-009417-458rrhcm 809 6 ventilation ventilation NN cord-009417-458rrhcm 809 7 ? ? . cord-009417-458rrhcm 810 1 Response response NN cord-009417-458rrhcm 810 2 of of IN cord-009417-458rrhcm 810 3 factor factor NN cord-009417-458rrhcm 810 4 VIII VIII NNP cord-009417-458rrhcm 810 5 / / SYM cord-009417-458rrhcm 810 6 von von NNP cord-009417-458rrhcm 810 7 Willebrand Willebrand NNP cord-009417-458rrhcm 810 8 factor factor NN cord-009417-458rrhcm 810 9 to to IN cord-009417-458rrhcm 810 10 DDAVP DDAVP NNP cord-009417-458rrhcm 810 11 in in IN cord-009417-458rrhcm 810 12 healthy healthy JJ cord-009417-458rrhcm 810 13 subjects subject NNS cord-009417-458rrhcm 810 14 and and CC cord-009417-458rrhcm 810 15 patients patient NNS cord-009417-458rrhcm 810 16 with with IN cord-009417-458rrhcm 810 17 haemophilia haemophilia NN cord-009417-458rrhcm 810 18 A A NNP cord-009417-458rrhcm 810 19 and and CC cord-009417-458rrhcm 810 20 von von NNP cord-009417-458rrhcm 810 21 Willebrand Willebrand NNP cord-009417-458rrhcm 810 22 's 's POS cord-009417-458rrhcm 810 23 disease disease NN cord-009417-458rrhcm 810 24 Management management NN cord-009417-458rrhcm 810 25 of of IN cord-009417-458rrhcm 810 26 oral oral JJ cord-009417-458rrhcm 810 27 bleeding bleeding NN cord-009417-458rrhcm 810 28 in in IN cord-009417-458rrhcm 810 29 haemophiliac haemophiliac NN cord-009417-458rrhcm 810 30 patients patient NNS cord-009417-458rrhcm 810 31 Amelioration Amelioration NNP cord-009417-458rrhcm 810 32 of of IN cord-009417-458rrhcm 810 33 the the DT cord-009417-458rrhcm 810 34 bleeding bleeding JJ cord-009417-458rrhcm 810 35 tendency tendency NN cord-009417-458rrhcm 810 36 of of IN cord-009417-458rrhcm 810 37 preoperative preoperative JJ cord-009417-458rrhcm 810 38 aspirin aspirin NN cord-009417-458rrhcm 810 39 after after IN cord-009417-458rrhcm 810 40 aortocoronary aortocoronary JJ cord-009417-458rrhcm 810 41 bypass bypass NN cord-009417-458rrhcm 810 42 grafting grafting NN cord-009417-458rrhcm 810 43 for for IN cord-009417-458rrhcm 810 44 Investigators investigator NNS cord-009417-458rrhcm 810 45 of of IN cord-009417-458rrhcm 810 46 the the DT cord-009417-458rrhcm 810 47 Multicenter Multicenter NNP cord-009417-458rrhcm 810 48 Study Study NNP cord-009417-458rrhcm 810 49 of of IN cord-009417-458rrhcm 810 50 Perioperative Perioperative NNP cord-009417-458rrhcm 810 51 Ischemia Ischemia NNP cord-009417-458rrhcm 810 52 Research Research NNP cord-009417-458rrhcm 810 53 Group Group NNP cord-009417-458rrhcm 810 54 : : : cord-009417-458rrhcm 810 55 Mortality mortality NN cord-009417-458rrhcm 810 56 associated associate VBN cord-009417-458rrhcm 810 57 with with IN cord-009417-458rrhcm 810 58 aprotinin aprotinin NNS cord-009417-458rrhcm 810 59 during during IN cord-009417-458rrhcm 810 60 5 5 CD cord-009417-458rrhcm 810 61 years year NNS cord-009417-458rrhcm 810 62 following follow VBG cord-009417-458rrhcm 810 63 coronary coronary JJ cord-009417-458rrhcm 810 64 artery artery NN cord-009417-458rrhcm 810 65 bypass bypass NN cord-009417-458rrhcm 810 66 graft graft NN cord-009417-458rrhcm 810 67 surgery surgery NN cord-009417-458rrhcm 811 1 Does do VBZ cord-009417-458rrhcm 811 2 the the DT cord-009417-458rrhcm 811 3 use use NN cord-009417-458rrhcm 811 4 of of IN cord-009417-458rrhcm 811 5 erythropoietin erythropoietin NN cord-009417-458rrhcm 811 6 reduce reduce VB cord-009417-458rrhcm 811 7 the the DT cord-009417-458rrhcm 811 8 risk risk NN cord-009417-458rrhcm 811 9 of of IN cord-009417-458rrhcm 811 10 exposure exposure NN cord-009417-458rrhcm 811 11 to to IN cord-009417-458rrhcm 811 12 allogeneic allogeneic IN cord-009417-458rrhcm 811 13 blood blood NN cord-009417-458rrhcm 811 14 transfusion transfusion NN cord-009417-458rrhcm 811 15 in in IN cord-009417-458rrhcm 811 16 cardiac cardiac JJ cord-009417-458rrhcm 811 17 surgery surgery NN cord-009417-458rrhcm 811 18 ? ? . cord-009417-458rrhcm 812 1 A a DT cord-009417-458rrhcm 812 2 systematic systematic JJ cord-009417-458rrhcm 812 3 review review NN cord-009417-458rrhcm 812 4 and and CC cord-009417-458rrhcm 812 5 meta meta NNP cord-009417-458rrhcm 812 6 - - HYPH cord-009417-458rrhcm 812 7 analysis analysis NN cord-009417-458rrhcm 812 8 Cell cell NN cord-009417-458rrhcm 812 9 salvage salvage NN cord-009417-458rrhcm 812 10 for for IN cord-009417-458rrhcm 812 11 minimizing minimize VBG cord-009417-458rrhcm 812 12 perioperative perioperative JJ cord-009417-458rrhcm 812 13 allogeneic allogeneic IN cord-009417-458rrhcm 812 14 blood blood NN cord-009417-458rrhcm 812 15 transfusion transfusion NN cord-009417-458rrhcm 812 16 Cost cost NN cord-009417-458rrhcm 812 17 - - HYPH cord-009417-458rrhcm 812 18 effectiveness effectiveness NN cord-009417-458rrhcm 812 19 of of IN cord-009417-458rrhcm 812 20 cell cell NN cord-009417-458rrhcm 812 21 salvage salvage NN cord-009417-458rrhcm 812 22 and and CC cord-009417-458rrhcm 812 23 alternative alternative JJ cord-009417-458rrhcm 812 24 methods method NNS cord-009417-458rrhcm 812 25 of of IN cord-009417-458rrhcm 812 26 minimizing minimize VBG cord-009417-458rrhcm 812 27 perioperative perioperative JJ cord-009417-458rrhcm 812 28 allogeneic allogeneic IN cord-009417-458rrhcm 812 29 blood blood NN cord-009417-458rrhcm 812 30 transfusion transfusion NN cord-009417-458rrhcm 812 31 : : : cord-009417-458rrhcm 812 32 A a DT cord-009417-458rrhcm 812 33 systematic systematic JJ cord-009417-458rrhcm 812 34 review review NN cord-009417-458rrhcm 812 35 and and CC cord-009417-458rrhcm 812 36 economic economic JJ cord-009417-458rrhcm 812 37 model model NN cord-009417-458rrhcm 812 38 Plasmapheresis Plasmapheresis NNP cord-009417-458rrhcm 812 39 in in IN cord-009417-458rrhcm 812 40 nephrology nephrology NN cord-009417-458rrhcm 812 41 : : : cord-009417-458rrhcm 813 1 An an DT cord-009417-458rrhcm 813 2 update update NN cord-009417-458rrhcm 813 3 National National NNP cord-009417-458rrhcm 813 4 Institutes Institutes NNPS cord-009417-458rrhcm 813 5 of of IN cord-009417-458rrhcm 813 6 Health Health NNP cord-009417-458rrhcm 813 7 Consensus Consensus NNP cord-009417-458rrhcm 813 8 Conference Conference NNP cord-009417-458rrhcm 813 9 : : : cord-009417-458rrhcm 813 10 The the DT cord-009417-458rrhcm 813 11 utility utility NN cord-009417-458rrhcm 813 12 of of IN cord-009417-458rrhcm 813 13 therapeutic therapeutic JJ cord-009417-458rrhcm 813 14 plasmapheresis plasmapheresis NN cord-009417-458rrhcm 813 15 for for IN cord-009417-458rrhcm 813 16 neurological neurological JJ cord-009417-458rrhcm 813 17 disorders disorder NNS cord-009417-458rrhcm 813 18 Correction correction NN cord-009417-458rrhcm 813 19 of of IN cord-009417-458rrhcm 813 20 hyperviscosity hyperviscosity NN cord-009417-458rrhcm 813 21 by by IN cord-009417-458rrhcm 813 22 apheresis apheresis NN cord-009417-458rrhcm 813 23 Improved improve VBN cord-009417-458rrhcm 813 24 survival survival NN cord-009417-458rrhcm 813 25 in in IN cord-009417-458rrhcm 813 26 thrombotic thrombotic JJ cord-009417-458rrhcm 813 27 thrombocytopenic thrombocytopenic JJ cord-009417-458rrhcm 813 28 purpura purpura NN cord-009417-458rrhcm 813 29 - - HYPH cord-009417-458rrhcm 813 30 hemolytic hemolytic JJ cord-009417-458rrhcm 813 31 uremic uremic JJ cord-009417-458rrhcm 813 32 syndrome syndrome NN cord-009417-458rrhcm 813 33 Therapeutic Therapeutic NNP cord-009417-458rrhcm 813 34 plasma plasma NN cord-009417-458rrhcm 813 35 exchange exchange NN cord-009417-458rrhcm 813 36 as as IN cord-009417-458rrhcm 813 37 a a DT cord-009417-458rrhcm 813 38 nephrological nephrological JJ cord-009417-458rrhcm 813 39 procedure procedure NN cord-009417-458rrhcm 813 40 : : : cord-009417-458rrhcm 813 41 A a DT cord-009417-458rrhcm 813 42 singlecenter singlecenter JJ cord-009417-458rrhcm 813 43 experience experience NN cord-009417-458rrhcm 813 44 A a DT cord-009417-458rrhcm 813 45 review review NN cord-009417-458rrhcm 813 46 of of IN cord-009417-458rrhcm 813 47 transfusion transfusion NN cord-009417-458rrhcm 813 48 - - HYPH cord-009417-458rrhcm 813 49 associated associate VBN cord-009417-458rrhcm 813 50 AIDS AIDS NNP cord-009417-458rrhcm 813 51 litigation litigation NN cord-009417-458rrhcm 813 52 : : : cord-009417-458rrhcm 813 53 1984 1984 CD cord-009417-458rrhcm 813 54 through through IN cord-009417-458rrhcm 813 55 1993 1993 CD cord-009417-458rrhcm 813 56 Legal Legal NNP cord-009417-458rrhcm 813 57 , , , cord-009417-458rrhcm 813 58 fi fi NNP cord-009417-458rrhcm 813 59 nancial nancial NNP cord-009417-458rrhcm 813 60 , , , cord-009417-458rrhcm 813 61 and and CC cord-009417-458rrhcm 813 62 public public JJ cord-009417-458rrhcm 813 63 health health NN cord-009417-458rrhcm 813 64 consequences consequence NNS cord-009417-458rrhcm 813 65 of of IN cord-009417-458rrhcm 813 66 HIV HIV NNP cord-009417-458rrhcm 813 67 contamination contamination NN cord-009417-458rrhcm 813 68 of of IN cord-009417-458rrhcm 813 69 blood blood NN cord-009417-458rrhcm 813 70 and and CC cord-009417-458rrhcm 813 71 blood blood NN cord-009417-458rrhcm 813 72 products product NNS cord-009417-458rrhcm 813 73 in in IN cord-009417-458rrhcm 813 74 the the DT cord-009417-458rrhcm 813 75 1980s 1980 NNS cord-009417-458rrhcm 813 76 and and CC cord-009417-458rrhcm 813 77 1990s 1990s CD cord-009417-458rrhcm 813 78 Legal legal JJ cord-009417-458rrhcm 813 79 aspects aspect NNS cord-009417-458rrhcm 813 80 of of IN cord-009417-458rrhcm 813 81 transfusion transfusion NN cord-009417-458rrhcm 813 82 of of IN cord-009417-458rrhcm 813 83 Jehovah Jehovah NNP cord-009417-458rrhcm 813 84 's 's POS cord-009417-458rrhcm 813 85 Witnesses Witnesses NNPS cord-009417-458rrhcm 813 86 Joint Joint NNP cord-009417-458rrhcm 813 87 Commission Commission NNP cord-009417-458rrhcm 813 88 on on IN cord-009417-458rrhcm 813 89 Accreditation Accreditation NNP cord-009417-458rrhcm 813 90 of of IN cord-009417-458rrhcm 813 91 Hospitals Hospitals NNPS cord-009417-458rrhcm 813 92 and and CC cord-009417-458rrhcm 813 93 Healthcare Healthcare NNP cord-009417-458rrhcm 813 94 Organizations Organizations NNPS cord-009417-458rrhcm 813 95 : : : cord-009417-458rrhcm 813 96 Sentinel sentinel JJ cord-009417-458rrhcm 813 97 event event NN cord-009417-458rrhcm 813 98 statistics statistic NNS cord-009417-458rrhcm 813 99 : : : cord-009417-458rrhcm 814 1 Available available JJ cord-009417-458rrhcm 814 2 at at IN