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ARTIFICIAL BLOOD
• Artificial blood or blood surrogate is a substance used to mimic and
fulfil some functions of biological blood, usually in the oxygen carrying sense.
• Main aim is to provide an alternative to blood transfusion, which is
transferring blood or blood-based products from one person to another.
• It does not contain plasma, RBCs or WBCs.
The History of Artificial Blood
• Milk was one of the first substances used as a blood
substitute in order to treat patients with Asiatic
cholera.
• After several patients died by receiving milk
transfusions, Other substances were discovered
as potential
• Salt or saline solutions: used primarily as a plasma
volume expander, rather than as artificial blood
• Hemoglobin isolated from red blood cells
• Animal plasma could be used as a substitute for
human blood, However, since many of the
materials in animal plasma are toxic to humans, this
poses a problem to use it as a substitute
Ideal Characteristics of Artificial Blood
• Safe to use
• Compatible in the human body
• Able to transport and release oxygen where needed
• Storable and durable for longer time periods free of
pathogens and toxins
• Viscosity similar to blood
• Low cost
Perfluorocarbons
• These are chemically and biologically inert, water-insoluble,
synthetic aromatic or aliphatic compounds with F substituted for all H
atoms of hydrocarbon, water-insoluble: so they are used as an
emulsion with Puronic-68, egg yolk phospholipids, and triglycerides
as emulsifying agents.
• They achieve 02 delivery by using organic chemicals with high gas
solubility.
• The 02 carrying capacity of PFCs is linearly related to P02 and obeys
Henry's law.
Potential clinical applications
1. Therapeutic
• (a) Blood substitutes hemorrhagic shock; hemorrhage (war, e surgery);
anemia,
• (b) Whole-body rinse out: acute drug intoxication; acute hepatic failure.
• (c) Local isChemia: acute MI; evolving MI; cardiac failure; brain infarction;
acute arterial thrombosis and embolism; PTCA of coronary artery
• (d) General ischemia: CO intoxication.
• (e) Aid for organ recovery: acute renal failure; acute hepatic failure; acute
pancreatitis.
• (f) Adjuvant therapy radiotherapy; chemotherapy
2. Perfusional protection of organs during surgery — cardiopulmonary bypass
3. Preservation of donor organs,
4. Drug carrier - drug-conjugated hemoglobin and perfluorochemicals.
5. Contrast agent - (Perfluoro-octylbromide)
Conclusion
• Artificial blood is a good tool for the survival of patients at
the time of surgery when blood loss is higher.
• It carries oxygen to tissues and can support life temporarily
until patients can either regenerate their own red cells or can
be transfUsed with banked blood.
• It can be sterilised against infectious diseases.
• In short term,the prospective benefits of artificial blood
overshadow the shortcomings.
Questions

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ARTIFICIAL BLOOD presentation to to.pptx

  • 2. • Artificial blood or blood surrogate is a substance used to mimic and fulfil some functions of biological blood, usually in the oxygen carrying sense. • Main aim is to provide an alternative to blood transfusion, which is transferring blood or blood-based products from one person to another. • It does not contain plasma, RBCs or WBCs.
  • 3. The History of Artificial Blood • Milk was one of the first substances used as a blood substitute in order to treat patients with Asiatic cholera. • After several patients died by receiving milk transfusions, Other substances were discovered as potential • Salt or saline solutions: used primarily as a plasma volume expander, rather than as artificial blood • Hemoglobin isolated from red blood cells • Animal plasma could be used as a substitute for human blood, However, since many of the materials in animal plasma are toxic to humans, this poses a problem to use it as a substitute
  • 4. Ideal Characteristics of Artificial Blood • Safe to use • Compatible in the human body • Able to transport and release oxygen where needed • Storable and durable for longer time periods free of pathogens and toxins • Viscosity similar to blood • Low cost
  • 5. Perfluorocarbons • These are chemically and biologically inert, water-insoluble, synthetic aromatic or aliphatic compounds with F substituted for all H atoms of hydrocarbon, water-insoluble: so they are used as an emulsion with Puronic-68, egg yolk phospholipids, and triglycerides as emulsifying agents. • They achieve 02 delivery by using organic chemicals with high gas solubility. • The 02 carrying capacity of PFCs is linearly related to P02 and obeys Henry's law.
  • 6.
  • 7.
  • 8. Potential clinical applications 1. Therapeutic • (a) Blood substitutes hemorrhagic shock; hemorrhage (war, e surgery); anemia, • (b) Whole-body rinse out: acute drug intoxication; acute hepatic failure. • (c) Local isChemia: acute MI; evolving MI; cardiac failure; brain infarction; acute arterial thrombosis and embolism; PTCA of coronary artery • (d) General ischemia: CO intoxication. • (e) Aid for organ recovery: acute renal failure; acute hepatic failure; acute pancreatitis. • (f) Adjuvant therapy radiotherapy; chemotherapy 2. Perfusional protection of organs during surgery — cardiopulmonary bypass 3. Preservation of donor organs, 4. Drug carrier - drug-conjugated hemoglobin and perfluorochemicals. 5. Contrast agent - (Perfluoro-octylbromide)
  • 9. Conclusion • Artificial blood is a good tool for the survival of patients at the time of surgery when blood loss is higher. • It carries oxygen to tissues and can support life temporarily until patients can either regenerate their own red cells or can be transfUsed with banked blood. • It can be sterilised against infectious diseases. • In short term,the prospective benefits of artificial blood overshadow the shortcomings.