Is there any lab measure or combination of lab measurements to determine blood volume?++Hematocrit seems the closest I can think but is it reliable? Perhaps a combination of measurements like albumin, etc.?++These don't really seem to get at what I'm looking for which is total blood volume.++The gold standard is probably a physical measurement but looking for lab.++Thanks!
-------------- ?????? ???????? KORNET -------------
Not a practical one, though a isotope was used some decades ago. Perhaps
nuclear med still does it, but we always considered one of those useless
test that was once trendy.
> Is there any lab measure or combination of lab measurements to determine blood volume?++Hematocrit seems the closest I can think but is it reliable?
Perhaps a combination of measurements like albumin, etc.?++These don't
really seem to get at what I'm looking for which is total blood volume.++The
gold standard is probably a physical measurement but looking for
lab.++Thanks!
> -------------- ?????? ???????? KORNET -------------
Manky Badger - 16 Aug 2003 08:10 GMT
> Not a practical one, though a isotope was used some decades ago. Perhaps
> nuclear med still does it, but we always considered one of those useless
> test that was once trendy.
Exactly - it was measured because it could be. The "why" never came into it.
MB
Mike & Heather Collins - 16 Aug 2003 10:15 GMT
> > Not a practical one, though a isotope was used some decades ago. Perhaps
> > nuclear med still does it, but we always considered one of those useless
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>
> MB
Dye dilution is the simplest method. As to why for adults I can't think of a
good reason but my wife worked a few years ago for a group looking at blood
volume in newborns with cerebral palsy.
--
Mike Collins
UK
Mikecheatherc@oakwellmount.freeserve.co.uk
wuzzy - 16 Aug 2003 15:45 GMT
Thanks for the notes everyone, one recommendation I will play with is
adjusting 1/hematocrit for either (red blood cell volume) OR (red
blood cell count) since hematocrit is the % RBV/total volume. I'll
have to look around for prevalidated info..
Anyway it is interesting since I've found one article that argued that
blood volume is *reduced* in hypertension: This is paradoxical
because cardiac output is high. I haven't finished the article yet,
anyway so my thinking is hypertension is mostly due to lack of
vascular distention (resistance=endothelial disfunction) - like the
mechanism for stress-induced hypertension is this. So now I'm left to
guess why CO + SV is raised in hypertension my only guess is
distribution of blood..
Anyway went way off topic, thx again..
Robert - 16 Aug 2003 19:15 GMT
> Thanks for the notes everyone, one recommendation I will play with is
> adjusting 1/hematocrit for either (red blood cell volume) OR (red
[quoted text clipped - 11 lines]
>
> Anyway went way off topic, thx again..
You do not measure total blood volume but rather total RBC mass by the radio
chromium methods. There are several instances where you can get fictitious
anemia such as a low hematocrit but in fact have a normal total RBC mass.
This happens when plasma volume is increased but the RBC mass remains the
same. Clinically this happens all the time during pregnancy. It is thought
to be protective for minimizing rbc loss during delivery. Blood volume is
lost but less RBC loss. This also happens with long distance runners and in
any increase in circulating plasma volume.
Wuzzy:
>Is there any lab measure or combination of lab >measurements to determine
blood volume?++
Is there a particular reason you are concerned with blood volume?

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