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Blood plasma is the liquid component of blood, in which the blood cells are suspended. It makes up about 55% of total blood volume. It is composed of mostly water (90% by volume), and contains dissolved proteins, glucose, clotting factors, mineral ions, hormones and carbon dioxide (plasma being the main medium for excretory product transportation). Blood plasma is prepared simply by spinning a tube of fresh blood in a centrifuge until the blood cells fall to the bottom of the tube. The blood plasma is then poured or drawn off. Blood serum is blood plasma without fibrinogen or the other clotting factors.[1]

"Fresh frozen plasma" (FFP) is prepared from a single unit of blood or by apheresis, drawn from a single person. It is frozen (-40 Degrees) after collection and can be stored for ten years from date of collection. The term "FFP" is sometimes used informally to mean any frozen transfusable plasma product, including products which do not meet the standards for FFP. FFP contains all of the coagulation factors and proteins present in the original unit of blood. It is used to treat coagulopathies from warfarin overdose, liver disease, or dilutional coagulopathy. Other transfusable plasma is identical except that the coagulation factors are no longer considered completely viable.[2] This is particularly important for Factor VIII and hemophilia, but these have been mostly replaced by more specific factor VIII concentrates in the developed world and true FFP is rarely used for that indication.

Plasma which has been used as a source of Cryoprecipitate (Plasma, Cryoprecipitate Reduced) cannot be used for treatment of some coagulation problems but is still acceptable for many uses.

"Dried plasma" was developed and first used in WWII. Prior to the United States' involvement in the war, liquid plasma and whole blood were used. The "Blood for Britain" program during the early 1940s was quite successful (and popular in the United States) based on Dr. Charles Drew's contribution. A large project was begun in August of the year 1940 to collect blood in New York City hospitals for the export of plasma to Britain. Dr. Drew was appointed medical supervisor of the "Plasma for Britain" project. His notable contribution at this time was to transform the test tube methods of many blood researchers, including himself, into the first successful mass production techniques.

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