Factores de crecimiento_HARVEST
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H O S P I T A L N A C I O N A L G U I L L E R MO A L ME N A R A I R I G O Y E NH O S P I T A L N A C I O N A L G U I L L E R MO A L ME N A R A I R I G O Y E NE S S A L U DE S S A L U D
D E P A R T A ME N T O D E O R T O P E D I A , T R A U MA T O L O G Í A YD E P A R T A ME N T O D E O R T O P E D I A , T R A U MA T O L O G Í A YC I R U G Í A D E MA N O Y MI E MB R O S U P E R I O RC I R U G Í A D E MA N O Y MI E MB R O S U P E R I O R
UNIDAD DE VIDEO ARTROSCOPÍAUNIDAD DE VIDEO ARTROSCOPÍADr. GASTON BARNECHEA Dr. GASTON BARNECHEA Dr. GUILLERMO OCHOADr. GUILLERMO OCHOADr. OSCAR SOSADr. OSCAR SOSADr. SIXTO MEZADr. SIXTO MEZA
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UNI DAD DE VI DEO ARTROSCOPI A UNI DAD DE VI DEO ARTROSCOPI A HOSPI TAL NACI ONAL GUI LLERMO ALMENARA I RI GOYEN HOSPI TAL NACI ONAL GUI LLERMO ALMENARA I RI GOYEN
Es SALUDEs SALUD LIMA PERU LIMA PERU
Dr. Sosa
Dr. Meza
Dr. OchoaDr. Barnechea
Dr. NoriegaAnestesiólogoBloqueos
Lic. María Rivera Lic. Semiramis Rojas
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Concent raci ón Pl aquet ari a en sangre
200,000 Plaquetas 1 µL
60 cc12000`ooo,ooo plaq
10 cc2000`ooo,ooo plaq
10 cc
10 cc
10 cc
6 cc
1‘000,000 a 1 ‘200,000
plaq/µL300,000plaq/µL
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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
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POR QUE CONCENTRAR?
6%
94%
0%
Platelets
Red Blood Cells
White Blood Cells
94%
5% 1%
Platelets
Red Blood Cells
White Blood Cells
PLAQUETAS EN SANGRE PERIFERICA PLAQUETAS EN CONCENTRADO
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Dat a f rom CBR I nst i t ut e Bi omedi cal Research, Bost on, MAPresent ed at AMSECT 2004COMPARACI ON DE LOS PRODUCTOS PARA CONCENTRACI ON DE PLAQUETAS EN EL MERCADO
Anticoagulated Blood Processed
(ml)
Baseline Platelet
count
X103/µl
Platelet Concentrate
Vol-ml
Platelet Concentrate Count X103/µl
Platelet Yield % CV %Platelet Increase
over Baseline
SmartPReP® 260 ml
n=23
228 ± 29 10 ± 0.16 1033 ± 164 75.9 ± 4.9 6.4 4.5 ± 0.2
SmartPReP® 260 ml
n=4
221 ± 21 7 ± 0.3 1675 ± 88 86.8 ± 3.4 4.07.6 ± 0.3
(in7ml)
Biomet GPSTM
60 ml
n=6
192 ± 48 5.5 ± 0.2 809 ± 396 42.6 ± 9.0 214.1 ± 0.8
(in5.5ml)
MAGELLANTM
60 ml
n=14
224 ± 26.4 10 ± 0.1 818 ± 168 60.9 ± 5.5 9.0 3.5 ± 0.3
CASCADE10 ML
n=6
232± 41.4 5.0± 1.0 246 ± 51.3 57.9 ± 11.9 20.5 1.06 ± 0.1
FDA APRUEBA COMO EFICIENTE LA CONCENTRACION DE ≥400% SOBRE LA BASE DE LA CONCENTRACION EN SANGRE PERIFERICA
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ANESTESIAANESTESIA
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UNIDAD DE VIDEO ARTROSCOPIAUNIDAD DE VIDEO ARTROSCOPIAHOSPITAL NACIONAL GUILLERMO HOSPITAL NACIONAL GUILLERMO ALMENARA IRIGOYENALMENARA IRIGOYENEsSALUDEsSALUDLIMA PERULIMA PERU