Healthy Skepticism Library item: 4935

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

Publication type: Journal Article

Roche AM, James MF, Grocott MP, Mythen MG.
Just scratching the surface: varied coagulation effects of polymer containers on TEG variables.
Eur J Anaesthesiol 2006 Jan 01; 23:(1):45-9
http://www.ncbi.nlm.nih.gov/entrez/utils/lofref.fcgi?PrId=3288&uid=16390565&db=PubMed&url=http://journals.cambridge.org/abstract_S0265021505001754

Abstract:

BACKGROUND AND OBJECTIVE: Different types of polymer surfaces affect the activation of platelets and coagulation pathway containers depending on their surface qualities. Importantly, this could produce variability of coagulation results obtained with thrombelastographical analysis. We assessed the effects of blood storage on thrombelastograph, TEG, variables using polypropylene and polycarbonate containers. METHODS: An in vitro experiment was performed, with eight volunteers in each limb. Fresh whole blood was stored in polypropylene or polycarbonate tubes prior to TEGanalysis, to assess the role of these plastics in the TEG results obtained. RESULTS: The polycarbonate tubes displayed slower onset of coagulation and greater variability of data for all four basic TEG variables (r-time, k-time, alpha-angle and maximum amplitude, P < 0.05). Polycarbonate results fell outside manufacturer reference ranges. CONCLUSIONS: It is likely that this is due to the altered surface properties and charge effects of the containers affecting proteins and platelets differently. Caution should be used in choosing which containers are used for storage of fresh blood prior to coagulation assessment, as variable results will follow where different types of plastic containers are employed.

Keywords:
Blood Coagulation/drug effects* Drug Packaging* Humans In Vitro Platelet Activation/drug effects Polycarboxylate Cement/chemistry Polycarboxylate Cement/pharmacology Polymers/chemistry Polymers/pharmacology* Polypropylenes/chemistry Polypropylenes/pharmacology Specimen Handling Surface Properties Thrombelastography*