SHAKING RED CAP-BLOOD COLLECTION TUBE WITHOUT ADDITIVE SUBSTANCES IS RECOMMENDED TO ACCELERATE THE BLOOD CLOTTING PROCESS
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Abstract
Many blood collection tube manufacturers do not recommend shaking the red tube. Shaking the red tube to avoid the intensity of the changed of blood that interacts with the glass surface of the tube will trigger the contact path in the coagulation cascade. Generally, the blood takes 30-60 minutes to clots at room temperature without shaking. The aim of this study was to determine the effectiveness of shaking the red-cap blood collection tube in producing serum volume. The method of this study was experimental As much as 5 mL of blood was taken and put into 3 tubes with a volume of 1mL each tube. The first and the second tube were shaken 8 times. The first tube was incubated for 10 minutes while the second tube was incubated for 25 minutes. Meanwhile, the third tube (as a control) was not shaken but was incubated for 40 minutes. The tube were centrifuged at 3000 g for 10 minutes. The serum volume was measured using micropipette and collected into Eppendorf tube. The results showed that there were a difference in the number of serums formed after tube shaking by time variation (P = 0.002), the results of the Post Hoc Test using Bonferroni test while showed that the second tube did not have a difference in serum volume with control (P = 0.751). It can be concluded that the red-cap blood collection tube, which was shaken 8 times and incubated for 25 minutes long could accelerate the coagulation process.
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References
CLSI. Procedures for the Collection of Diagnostic Blood Specimens by Venipuncture ; Approved Standard-Fifth Edition. Vol. 23, Clinical and Laboratory Standards Institute. 2003. 1-52 p.
Bowen RAR, Sattayapiwat A, Gounden V, Remaley AT. Blood Collection Tube-related Alteration in Analyte Concentrations in Quality Control Material and Serum Specimens. Clinical Biochemistry. 2015;47(3):150-157.
Simão F, Feener EP. The Effects of the Contact Activation System on Hemorrhage. Front Med [Internet]. 2017;4(July):1–10. Available from: http://journal.frontiersin.org/article/10.3389/fmed.2017.00121/full
Wu Y. Contact pathway of coagulation and inflammation. Thromb J. 2015;13(1).
Zhu S, Diamond SL. Contact activation of blood coagulation on a defined kaolin/ collagen surface in a microfluidic assay Shu. Trombos Res. 2014;134(6):1335–1343.
Yin P, Lehmann R, Xu G. Effects of pre-analytical processes on blood samples used in metabolomics studies. Anal Bioanal Chem. 2015;407(17):4879-4892.
Nugraha G. Panduan Pemeriksaan Laboratorium Hematologi Dasar. Ke-2. Jakarta: Trans Info Media; 2017.
Li Z, Li X, McCracken B, Shao Y, Ward K, Fu J. A miniaturized hemoretractometer for blood clot retraction testing. Small. 2016;12(29):3926–34.