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HOSPITAL NACIONAL GUILLERMO ALMENARA IRIGOYEN ESSALUD DEPARTAMENTO DE ORTOPEDIA, TRAUMATOLOGÍA Y CIRUGÍA DE MANO Y MIEMBRO SUPERIOR UNIDAD DE VIDEO ARTROSCOPÍA Dr. GASTON BARNECHEA  Dr. GUILLERMO OCHOA Dr. OSCAR SOSA Dr. SIXTO MEZA
UNIDAD DE VIDEO ARTROSCOPIA HOSPITAL NACIONAL GUILLERMO ALMENARA IRIGOYEN EsSALUD LIMA PERU Dr. Sosa Dr. Meza Dr. Ochoa Dr. Barnechea Dr. Noriega Anestesiólogo Bloqueos Lic. María Rivera Lic. Semiramis Rojas
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Concentración Plaquetaria en sangre 200,000 Plaquetas  1 µL  60 cc 12000`ooo,ooo plaq 10 cc 2000`ooo,ooo plaq 10  cc 10  cc 10  cc 6  cc 1‘000,000 a  1 ‘200,000  plaq/µL 300,000plaq/µL
 
 
 
 
 
 
 
S. V. Kevy, MD; M. S. Jacobson, PhD;  R. J. Mandle*, PhD Children’s Hospital, Harvard Medical School,  The CBR Institute for Biomedical Research * Bioscience Research Associates, Boston, MA
POR QUE CONCENTRAR? PLAQUETAS EN SANGRE PERIFERICA PLAQUETAS  EN CONCENTRADO
Data from CBR  Institute Biomedical Research, Boston, MA Presented at AMSECT 2004 COMPARACION DE LOS PRODUCTOS PARA CONCENTRACION DE PLAQUETAS EN EL MERCADO FDA  APRUEBA  COMO EFICIENTE  LA CONCENTRACION  DE ≥400% SOBRE LA BASE DE LA CONCENTRACION EN SANGRE PERIFERICA Anticoagulated Blood Processed (ml) Baseline Platelet  count X10 3 /µl Platelet Concentrate Vol-ml Platelet Concentrate Count X10 3 /µl Platelet Yield % CV % Platelet Increase over Baseline SmartPReP ®  2 60 ml n=23 228 ± 29 10 ± 0.16 1033 ± 164 75.9 ± 4.9 6.4 4.5 ± 0.2 SmartPReP ®  2 60 ml n=4 221 ± 21  7 ± 0.3 1675 ± 88 86.8 ± 3.4 4.0 7.6 ± 0.3 (in7ml) Biomet GPS TM  60 ml n=6 192 ± 48 5.5 ± 0.2 809 ± 396 42.6 ± 9.0 21 4.1 ± 0.8 (in5.5ml) MAGELLAN TM 60 ml n=14 224 ± 26.4 10 ± 0.1 818 ± 168 60.9 ± 5.5 9.0 3.5 ± 0.3 CASCADE 10 ML n=6 232± 41.4 5.0± 1.0 246 ± 51.3 57.9 ± 11.9 20.5 1.06 ± 0.1
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ANESTESIA
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
UNIDAD DE VIDEO ARTROSCOPIA HOSPITAL NACIONAL GUILLERMO ALMENARA IRIGOYEN EsSALUD LIMA PERU

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Factores de crecimiento_HARVEST

  • 1. HOSPITAL NACIONAL GUILLERMO ALMENARA IRIGOYEN ESSALUD DEPARTAMENTO DE ORTOPEDIA, TRAUMATOLOGÍA Y CIRUGÍA DE MANO Y MIEMBRO SUPERIOR UNIDAD DE VIDEO ARTROSCOPÍA Dr. GASTON BARNECHEA Dr. GUILLERMO OCHOA Dr. OSCAR SOSA Dr. SIXTO MEZA
  • 2. UNIDAD DE VIDEO ARTROSCOPIA HOSPITAL NACIONAL GUILLERMO ALMENARA IRIGOYEN EsSALUD LIMA PERU Dr. Sosa Dr. Meza Dr. Ochoa Dr. Barnechea Dr. Noriega Anestesiólogo Bloqueos Lic. María Rivera Lic. Semiramis Rojas
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  • 18. Concentración Plaquetaria en sangre 200,000 Plaquetas 1 µL 60 cc 12000`ooo,ooo plaq 10 cc 2000`ooo,ooo plaq 10 cc 10 cc 10 cc 6 cc 1‘000,000 a 1 ‘200,000 plaq/µL 300,000plaq/µL
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  • 26. S. V. Kevy, MD; M. S. Jacobson, PhD; R. J. Mandle*, PhD Children’s Hospital, Harvard Medical School, The CBR Institute for Biomedical Research * Bioscience Research Associates, Boston, MA
  • 27. POR QUE CONCENTRAR? PLAQUETAS EN SANGRE PERIFERICA PLAQUETAS EN CONCENTRADO
  • 28. Data from CBR Institute Biomedical Research, Boston, MA Presented at AMSECT 2004 COMPARACION DE LOS PRODUCTOS PARA CONCENTRACION DE PLAQUETAS EN EL MERCADO FDA APRUEBA COMO EFICIENTE LA CONCENTRACION DE ≥400% SOBRE LA BASE DE LA CONCENTRACION EN SANGRE PERIFERICA Anticoagulated Blood Processed (ml) Baseline Platelet count X10 3 /µl Platelet Concentrate Vol-ml Platelet Concentrate Count X10 3 /µl Platelet Yield % CV % Platelet Increase over Baseline SmartPReP ® 2 60 ml n=23 228 ± 29 10 ± 0.16 1033 ± 164 75.9 ± 4.9 6.4 4.5 ± 0.2 SmartPReP ® 2 60 ml n=4 221 ± 21 7 ± 0.3 1675 ± 88 86.8 ± 3.4 4.0 7.6 ± 0.3 (in7ml) Biomet GPS TM 60 ml n=6 192 ± 48 5.5 ± 0.2 809 ± 396 42.6 ± 9.0 21 4.1 ± 0.8 (in5.5ml) MAGELLAN TM 60 ml n=14 224 ± 26.4 10 ± 0.1 818 ± 168 60.9 ± 5.5 9.0 3.5 ± 0.3 CASCADE 10 ML n=6 232± 41.4 5.0± 1.0 246 ± 51.3 57.9 ± 11.9 20.5 1.06 ± 0.1
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  • 95. UNIDAD DE VIDEO ARTROSCOPIA HOSPITAL NACIONAL GUILLERMO ALMENARA IRIGOYEN EsSALUD LIMA PERU