Optimization of Lyophilized Plasma for Use in Combat Casualties

Abstract

Purpose: Lyophilized plasma (LP) is a light weight powder that remains stable for a prolonged period of time and in a broad range of temperatures. The powder is rapidly reconstituted into a product that preserves coagulation factor activity and suppresses harmful inflammation. The purpose of this project was to demonstrate that LP could be optimized by minimizing the reconstitution fluid and improving the constituents. Scope: Specific aim 1 focused on determining the minimum amount of fluid required to reconstitute a safe and effective product. Specific aim 2 evaluate four fluid options for reconstitution. Specific aim 3 evaluated the concentration of ascorbic acid used to buffer the LP and potentially reduce the amount of inflammation due to injury. Finally, specific aim 4 involved development of a survival model that utilized the final optimized LP product. Findings: LP can be safely reconstituted with 50% of the original volume with sterile water being the best fluid for reconstitution. Ascorbic acid can safely be used to buffer the LP, and the concentration does not make a difference.

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Document Details

Document Type
Technical Report
Publication Date
Mar 01, 2016
Accession Number
AD1035684

Entities

People

  • Martin A. Schreiber
  • Samantha Underwood

Organizations

  • Oregon Health & Science University

Tags

DTIC Thesaurus Topics

  • Blood
  • Blood Cells
  • Blood Coagulation Factors
  • Blood Transfusions
  • Blood Volume
  • Cardiovascular Physiological Phenomena
  • Casualties
  • Chemistry
  • Health Services
  • Hemorrhage
  • Hemorrhagic Shock
  • Patient Care
  • Statistical Analysis
  • Veins
  • Vitamin C

Fields of Study

  • Medicine

Readers

  • Analytical Chemistry
  • Systems Analysis and Design
  • Trauma Surgery or Emergency Medicine.