Allogenic Cord Blood Transfusion in Preterm Infants.
Blood product
Cord blood
Fetal hemoglobin
Oxidative stress
Preterm neonates
Journal
Clinics in perinatology
ISSN: 1557-9840
Titre abrégé: Clin Perinatol
Pays: United States
ID NLM: 7501306
Informations de publication
Date de publication:
12 2023
12 2023
Historique:
medline:
1
11
2023
pubmed:
23
10
2023
entrez:
22
10
2023
Statut:
ppublish
Résumé
Repeated red blood cell (RBC) transfusions in preterm neonates cause the progressive displacement of fetal hemoglobin (HbF) by adult hemoglobin. The ensuing increase of oxygen delivery may result at the cellular level in a dangerous condition of hyperoxia, explaining the association between low-HbF levels and retinopathy of prematurity or bronchopulmonary dysplasia. Transfusing preterm neonates with RBC concentrates obtained from allogeneic umbilical blood is a strategy to increase hemoglobin concentration without depleting the physiologic HbF reservoir. This review summarizes the mechanisms underlying a plausible beneficial impact of this strategy and reports clinical experience gathered so far in this field.
Identifiants
pubmed: 37866854
pii: S0095-5108(23)00076-3
doi: 10.1016/j.clp.2023.07.005
pii:
doi:
Substances chimiques
Hemoglobins
0
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
881-893Informations de copyright
Copyright © 2023 Elsevier Inc. All rights reserved.