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

PM Baby, P Kumar, R Kumar, SS Jacob… - Indian Journal of …, 2014 - thieme-connect.com
PM Baby, P Kumar, R Kumar, SS Jacob, D Rawat, VS Binu, KM Karun
Indian Journal of Plastic Surgery, 2014thieme-connect.com
Background: Blood volume measurement though important in management of critically ill-
patients is not routinely estimated in clinical practice owing to labour intensive, intricate and
time consuming nature of existing methods. Aims: The aim was to compare blood volume
estimations using trivalent chromium [51 Cr (III)] and standard Evans blue dye (EBD) method
in New Zealand white rabbit models and establish correction-factor (CF). Materials and
Methods: Blood volume estimation in 33 rabbits was carried out using EBD method and …
Background
Blood volume measurement though important in management of critically ill-patients is not routinely estimated in clinical practice owing to labour intensive, intricate and time consuming nature of existing methods.
Aims
The aim was to compare blood volume estimations using trivalent chromium [51 Cr(III)] and standard Evans blue dye (EBD) method in New Zealand white rabbit models and establish correction-factor (CF).
Materials and Methods
Blood volume estimation in 33 rabbits was carried out using EBD method and concentration determined using spectrophotometric assay followed by blood volume estimation using direct injection of 51Cr(III). Twenty out of 33 rabbits were used to find CF by dividing blood volume estimation using EBD with blood volume estimation using 51Cr(III). CF is validated in 13 rabbits by multiplying it with blood volume estimation values obtained using 51Cr(III).
Results
The mean circulating blood volume of 33 rabbits using EBD was 142.02 ± 22.77 ml or 65.76 ± 9.31 ml/kg and using 51Cr(III) was estimated to be 195.66 ± 47.30 ml or 89.81 ± 17.88 ml/kg. The CF was found to be 0.77. The mean blood volume of 13 rabbits measured using EBD was 139.54 ± 27.19 ml or 66.33 ± 8.26 ml/kg and using 51Cr(III) with CF was 152.73 ± 46.25 ml or 71.87 ± 13.81 ml/kg (P = 0.11).
Conclusions
The estimation of blood volume using 51Cr(III) was comparable to standard EBD method using CF. With further research in this direction, we envisage human blood volume estimation using 51Cr(III) to find its application in acute clinical settings.
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