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Plasma potassium, sodium and chloride levels during and after exchange transfusion

The effect of exchange transfusion with ACD blood on electrolyte levels was studied in 60 exchanges performed on 57 infants. The blood levels of potassium, sodium and chloride in donor blood were markedly different from those in the infants. The effect of the exchange procedure on the electrolyte levels in the infants was, however, relatively small and rapidly reversed after the exchange. ACD blood not exceeding 5 days old seems to have little effect on the infants' electrolyte levels during exchange transfusion.