0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Recipient Set for Removal of Potassium and Ammonium from Bank Blood

DAVID C. SCHECHTER, M.D.; THOMAS F. NEALON Jr., M.D.; JOHN H. GIBBON Jr., M.D.
AMA Arch Surg. 1958;77(6):944-946. doi:10.1001/archsurg.1958.01290050114021.
Text Size: A A A
Published online

This paper describes a simple device for removing excess potassium and ammonium ions from bank blood during transfusion.

A progressive rise in the concentration of potassium and ammonium occurs in whole blood during storage.1-3 This takes place regardless of the original method of collection.3 During most transfusions, excessive potassium and ammonium in bank blood are diluted by the patient's blood, and thus are well tolerated. However, when large volumes of blood are needed rapidly to combat oligemia, the effect from elevated levels of these electrolytes becomes increasingly hazardous.

Keith and Osterberg4 reported marked intolerance to exogenous potassium in patients with advanced renal insufficiency. During the Korean War, studies on renal failure following severe wounding revealed that the hyperkalemia resulting from extensive tissue destruction was greatly aggravated because of multiple transfusions with old bank blood.5 Some cardiac arrhythmias during massive blood replacement may be on the basis

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();