Background.Donated blood is routinely preserved for about six weeks. After that, a considerable amount of unused blood is discarded for safety. We carried out sequential measurements of the ultrasonic parameters (Velocity of propagation of ultrasound, its attenuation, and relative nonlinearity coefficient B/A) for red blood cells (RBCs) bags in their physiological preserving conditions in the blood bank, in a given experimental setup, to investigate the gradual deteriorations in the biomechanical properties of RBCs.Materials and Methods. We discuss our primary findings, which indicate the applicability of ultrasound techniques as a quantitative quick, non-invasive routine check for the validity of sealed blood bags. The technique can be applied during and beyond the regular preservation period, thus enabling deciding for each bag to either further preserve or withdraw.Results and Discussion. Considerable increases in the velocity of propagation (ΔV = 966 m s-1) and ultrasound attenuation (Δα= 0.81 dB C-1m-1) were detected to take place during the preservation time. Likewise, the relative nonlinearity coefficient showed a generally rising trend during the preservation period (Δ(B/A) = 0.0129). At the same time, a distinctive feature characteristic of a specific blood group type is realized in all cases. Due to the complex stress-strain relations and their reflection on the hydrodynamics and flow rate of non-Newtonian fluids, the increased viscosity of long-preserved blood may justify the known post-transfusion flow complications.
Keywords: biomechanical properties; blood bags; blood bank; ultrasound.
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