Definition:
A component derived from fresh whole blood that contains the most of the
original platelet content in a therapeutically effective form.
Properties:
Depending on the method of preparation, the platelet content per single
unit equivalent will vary from 45 to 85 x 109 in 50 to 60 ml suspension
medium. Leucocyte content will vary from 0.05 to 1 x 109 and red cells
from 0.2 to 1 x 109 per SUE.
Methods
of preparation:
1)
Preparation of Platelet rich plasma: where a unit of fresh whole blood
of not more than 24hrs, kept at +22 degrees celcius (+2 degrees celcius),
is cryofuged so that an optimal number of platelets remain in plasma while
the leucocytes and red cells are reduced to a minimum.
2)
Preparation of platelets from Platelet rich plasma: Platelets in PRP are
sedimented by hard spin centrifuge. The Platelet poor plasma (PPP)/supernatant
is removed leaving only 50-70mls of PPP with the platelets concentration.
The platelets are allowed to disaggregate and then resuspended.
3)
Preparation of platelets from buffy coat: Whole blood stored between +20
degrees celcius to +24 degrees celcius for up to 24 hours is centrifuged
so that platelets are sedimented in the buffy coat layer together with
the leucocytes. A pool of same blood grouped buffycoats are further processed
to seperate the platelets from the redcells and leucocytes, filtered and
suspended in an additive nutrient solution.
Storage
& Stability: Platelets must be stored in plastic bags intended
for platelet storage having the characteristic of being permeable to gases
for oxygen availability for platelets. During storage pH must remain between
6.8 to 7.4 and they must be continuously aggitated in an appropriate equipment,
with a temperature of between +20 degrees celcius to +24 degrees celcius
. Platelets can be stored for 5 days under the above parameters.
|