Journals / Eurasian Journal of Medical Investigation / 2019 / Cilt: 3 - Sayı: 4

Abnormal Flotation of Separator Gel in Blood Test Tubes in the Hemodialysis Patients

Pages
280–284
Publication Date
2022-10-12
DOI
—
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Our findings emphasize the importance ofvisual control of serum tubes to prevent abnormal flotation in blood samples.

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: Serum-separating tubes (SST) are used in medical clinical chemistry tests requiring blood serum.
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Key Findings & Data:Aim of this study to investigate, whether high proteincontent due to dehydration during hemodialysis can cause laboratory error with the abnormal flotation in blood tubes.Methods: After examining post hemodialysis (HD) blood samples of three cases with ESRD we investigated the effectof adding bovine albumin to the test tubes to determine whether an increment in protein concentration result in abnormalflotation of separator gel in blood samples obtained from healthy volunteers.Results: Serum total protein levels were markedly increased in blood samples of all 3 cases.
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Conclusion & Impact:Our findings emphasize the importance ofvisual control of serum tubes to prevent abnormal flotation in blood samples.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: Serum-separating tubes (SST) are used in medical clinical chemistry tests requiring blood serum. Blooddensity is mainly dependent on the total protein concentration. Aim of this study to investigate, whether high proteincontent due to dehydration during hemodialysis can cause laboratory error with the abnormal flotation in blood tubes.Methods: After examining post hemodialysis (HD) blood samples of three cases with ESRD we investigated the effectof adding bovine albumin to the test tubes to determine whether an increment in protein concentration result in abnormalflotation of separator gel in blood samples obtained from healthy volunteers.Results: Serum total protein levels were markedly increased in blood samples of all 3 cases. In tests using blood samplesfrom healthy volunteers supplemented with bovine albumin to increase the protein load, the test tubes havingan albumin concentration greater than 16 g/dl displayed an abnormal flotation of separator gel similar to those weobserved in post-HD samples from our cases.Conclusion: Increased protein load, probably caused by Intradialytic hypotension due to dehydration, induces theobserved abnormal flotation of separator gel in serum tubes in these cases. Our findings emphasize the importance ofvisual control of serum tubes to prevent abnormal flotation in blood samples.

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Cite This Article

SARIER, M., DEMİR, M., ÖZDEM, S. (2022). Abnormal Flotation of Separator Gel in Blood Test Tubes in the Hemodialysis Patients. Eurasian Journal of Medical Investigation, Cilt: 3 - Sayı: 4, 280–284. https://ajindex.com/articles/508755

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References (1)

  1. Ng WY, Yeo CP. Thrombin-accelerated quick clotting serum tubes: an evaluation with 22 common biochemical analytes. Adv Hematol 2013;2013:769479.[CrossRef ] 2. Bowen RA, Hortin GL, Csako G, Otanez OH, Remaley AT. Impact of blood collection devices on clinical chemistry assays. Clin Biochem 2010;43:4–25. [CrossRef ] 3. Daves M, Lippi G, Cosio G, Raffagnini A, Peer E, Dangella A, et al. An unusual case of a primary blood collection tube with floating separator gel. J Clin Lab Anal 2012;26:246–7. [CrossRef ] 4. van den Ouweland JM, Church S. High total protein impairs appropriate gel barrier formation in BD vacutainer blood collection tubes. Clin Chem 2007;53:364–5. [CrossRef ] 5. Tofaletti J, Blossner N, Kirvan K. Effects of storage temperature and time before centrifugation on ionized calcium in blood collected in plain vacutainer tubes and silicone-separator (SST) tubes. Clin Chem 1984;30:553–6. 6. Kaleta EJ, Jaffe AS, Baumann NA, Block DR. A case of floating gel. Clin Chem 2012;58:1604–5. [CrossRef ] 7. Lindley E, Keane D. Are haemodialysis patients at risk of excessive dehydration? Renal Sociaty of Australian Journal 2013: 9;110–1. 8. Booth J, Pinney J, Davenport A. Do changes in Relative Blood Volume Monitoring Correlate to Hemodialysis Associated Hypotension? Nephron Clin Pract 2011;117:179–83. [CrossRef ] 9. Donauer J, Kölblin D, Bek M, Krause A, Böhler J. Ultrafiltration profiling and measurement of relative blood volume as strategies to reduce hemodialysis-related side effects. Am J Kidney Dis 2000;36:115–23. [CrossRef ] 10. Palmer BF, Henrich WL. Recent advances in the prevention and management of intradialytic hypotension. JASN 2008;19:8–11. 11. Kooman J, Basci A, Pizzarelli F, et al. EBPG guideline on haemodynamic instability. Nephrol Dial Transplant 2007; 22 Suppl 2:ii22. [CrossRef ] 12. Hayes W, Hothi DK. Intradialytic hypotension. Pediatr Nephrol 2011;26:867–79. [CrossRef ] 13. P Jens, Büssemaker E, Gross P. Dialysis hypotension: Do we see light at the end of tunnel? Nephrol Dial Transplant 1998;13:3024–29. [CrossRef ] 14. Maeda K,Shinzato T,Nakai S, Takai I and Kobayaka H. Mechanism of dialysis-induced hypotension Nagoya J Med Sci 1992;54;1–10 15. Fatàs M, Franquelo P, Franquelo R. Anomalous flotation of separator gel: density or viscosity? Clin Chem 2008;54:771–2. 16. Faught RC, Marshall J, Bornhorst J. Solution densities and estimated total protein contents associated with inappropriate flotation of separator gel in different blood collec