���ϳԹ���Դ

1. Introduction and Definitions:

Use the following table to ascertain the most appropriate site for blood collection based on the volume required.

The following are “good practice” guidelines recommended for blood collection volumes, sites and needle gauges. As a general principle, sample volumes and number of samples should be kept to
a minimum. As a general guide, up to 7.5% of the total blood volume can be taken on a single occasion from a normal, healthy animal on an adequate plane of nutrition with minimal adverse effects; 10% once every two weeks and 15% once every four weeks. For repeat bleeds at shorter intervals, a maximum of 1.0% of an animal's total blood volume can be removed every 24 hours. The acceptable quantity and frequency of blood sampling is dependent on the circulating blood volume of the animal and the red blood cell (RBC) turnover rate (RBC life span of the rat: 42-65 days ). The following must be taken into consideration:

• Weight of the animal to be sampled
• Age and health of the animal to be sampled
• Effects of handling stress
• Collection site
• Frequency of sampling necessary
• Training and experience of the personnel performing the collection
• Suitability of sedation and/or anesthesia
• The minimum volume required for analysis. The maximum permitted blood volume includes blood lost during collection. As a general rule, 20 drops = 1 mL (i.e. 5 drops = 250 uL)

When collecting blood it is very important that the handler is able to recognize signs of shock and anemia. The combined effect of sample volume and sample frequency without appropriate fluid replacement can cause an animal to go into hypovolaemic shock or become anemic. Packed cell volume, haemoglobin level, red blood cell and reticulocyte counts should be monitored throughout a series of bleeds using the results from the first sample from each animal as the baseline for the animal.

• Signs of hypovolemic shock include a fast and thready pulse, pale dry mucous membranes, cold skin and extremities, restlessness, hyperventilation, and a sub-normal body temperature.
• Signs of anemia include pale mucous membranes of the conjunctiva or inside the mouth, pale tongue, gums, ears or footpads (non-pigmented animals), intolerance to exercise and with severe anemia, increased respiratory rate when at rest.
  If>10% blood volume is required, it is recommended to replace collected blood volume by 3–4 times the volume of blood collected with isotonic fluids (i.e. fluids with same tonicity as blood, such as 0.9% salineor Lactated Ringer’s solution).

The following are “good practice” guidelines recommended for blood collection volumes Collection sites and needle gauges.

• The Circulating Blood Volume (CBV) of an adult rat is ~64mL/kg (0.064mL/g).
• 1% (maximum) of the CBV can be collected every 24 hours.
• 7.5% (maximum) of the CBV can be collected in a single collection, once a week.
• 10% (maximum) of the CBV can be collected in a single collection every 2 weeks.
• 15% (maximum) of the CBV can be collected in a single collection every 4 weeks. 

To calculate blood collection volumes:

• Body weight x Circulating Blood Volume = Total Blood Volume (TBV)
• TBV x % blood sample required = acceptable volume to be collected
  (i.e. 100g x 0.064mL/g = 6.4mL/g then 6.4 x 0.075 = 0.5mL is the max accepted volume)

When collecting blood it is very important that the handler is able to recognize signs of shock and anemia. The combined effect of sample volume and sample frequency without appropriate fluid replacement can cause an animal to go into hypovolaemic shock or anemia.

• Signs of hypovolemic shock include a fast and thready pulse, pale dry mucous membranes, cold skin and extremities, restlessness, hyperventilation, and a sub-normal body temperature.
• Signs of anemia include pale mucous membranes of the conjunctiva or inside the mouth, pale tongue, gums, ears or footpads (non-pigmented animals), intolerance to exercise and increased respiratory rate at rest with severe anemia.
• Packed cell volume, haemoglobin level, red blood cell and reticulocyte counts should be monitored throughout the series of bleeds using the results from the first sample from each animal as the baseline for the animal.
• If volumes larger than 10% are collected, replace volumes by 3-4 times the blood volume collected with warmed (30-39 degrees) isotonic fluids.

2. Materials:

• Restrainers as required
• Sterile needles (multiple sizes ranging from 23-30g)
• Sterile gauze
• Alcohol swabs
• Petroleum jelly
• Collection tubes
• Topical Anethetic Cream (Lidocaine Prilocaine 2.5%)
• Hair clippers
• Warmed isotonic fluids such as Lactated Ringers or 0.9% NaCl
• Anesthetics

3. Procedures:

• The minimum volume required should be collected at all times.
• All collections should be performed by trained and competent individuals.
• The smallest needle size that complements collection location without causing hemolysis should be used.
• Each animal requires a new sterile syringe and a new sterile needle/lancett.
• If after two attempts there is no success in blood collection, allow another (trained and competent) person to the sample. Only 3 attempts per animal.
• Apply pressure with gauze until hemostasis occurs.

Saphenous Vein

• Each animal requires a new sterile syringe and a new sterile needle/lancet for each attempt.
• Prepare your sample tubes and have them readily available.
• If used, apply topical anesthetic cream to the puncture site and wait 15 minutes for it to take effect.
• The saphenous vein lies dorsal then laterally over the tarsal joint and is immediately visible under the skin.
• Remove the animal from the cage and restrain with isoflurane anesthesia (as per SOP 10.6) or by securely wrapping them in a towel.
• Grasp the cranial aspect of the thigh and extend the back leg ensuring the leg is not hyper extended (Figure 1). If extended too far, it can impede blood flow. Confirm the animal can breathe comfortably.
• Remove hair with clippers and swab the site with alcohol.
• Apply petroleum jelly over the vein. This aids in the formation of a large bead of blood.
• Using the appropriate gauge needle, puncture the vein at a 45° angle dorsally (bevel up). Inserting needle in the caudal direction may damage the sciatic nerve. Allow a bead of blood to form and collect. All blood loss must be included in calculated volumes.
• Apply pressure to the site with gauze until hemostasis occurs.
• Administer supplemental SQ fluids if necessary, depending on the blood volume collected. If volumes larger than 10% are collected, replace volumes by 3-4 times the blood volume collected with warmed (30-39 degrees) isotonic fluids.
• Return the animal to its cage and monitor for any signs of distress.