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n - PATh :.: Process and Product Applied Thermodynamics research ...

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General Introduction<br />

the numerous applications that highly fluorinated compounds are finding in different areas<br />

including biomedical, industrial <strong>and</strong> environmental.<br />

I.3.1. Biomedical Purposes<br />

In 1966, Clark <strong>and</strong> Gollan showed that mice immersed in oxygenated silicone oil or<br />

liquid fluorocarbon could breathe (Clark <strong>and</strong> Gollan, 1966). Nowadays, the application of<br />

perfluoroalkanes for biomedical purposes is mainly being carried out using them as pure<br />

liquids for liquid ventilation or in the emulsified form, if they are to be injected. A neat<br />

fluorocarbon, C8F17Br or perflubron, is currently investigated in Phase II for treatment of<br />

acute respiratory failure by liquid ventilation (Kraft, 2001) <strong>and</strong> other liquid <strong>and</strong> gaseous<br />

perfluoroalkanes are being used as high-density intraoperative fluids for eye surgery<br />

(Miller et al., 1997). In the late 1970s, the first commercial perfluoroalkane emulsion,<br />

Fluosol-DA 20% was tested in humans. Presently at least five companies are developing a<br />

red blood cell substitute based on perfluorochemicals: Allience (Oxygent), HemoGen<br />

(Oxyfluor), Sanguine (PHERO 2), Synthetic Blood International (Oxycyte) <strong>and</strong> the<br />

Russian OJSC SPC Perftoran (Perftoran). Perfluoroalkane in water emulsions constitute<br />

safe <strong>and</strong> cost-effective vehicles for in vivo oxygen delivery. The release <strong>and</strong> uptake of<br />

gases by perfluoroalkane emulsions is facilitated once gases are dissolved in liquid<br />

perfluoroalkane <strong>and</strong> are not covalently bound to the perfluoroalkane molecules as in the<br />

case of hemoglobin. Furthermore, the perfluorochemical microdroplets that carry oxygen<br />

are 1/70 th of the size of red blood cells. They can, therefore, reach areas of the body<br />

virtually inaccessible to red blood cells <strong>and</strong> they can be easily eliminated from the<br />

organism. Phase III clinical trials conducted on such emulsions have shown that they can<br />

help in preventing the risk of oxygen deficiency in tissues, <strong>and</strong> reducing the need for donor<br />

blood transfusion during surgery. Cardiovascular, oncological <strong>and</strong> organ-preservation<br />

indications are under investigation. Potential applications of red cell blood substitute<br />

include all the situations of surgical anemia, some haemolytic anemias, ischemic disease,<br />

angioplasty, extracorporeal organ perfusion, cardioplegia (Cohn, 2000), radiotherapy of<br />

tumours (Rowinsky, 1999) <strong>and</strong> as an ultrasound contrast agent to detect myocardial<br />

perfusion abnormalities (Porter et al., 1995).<br />

The specific physicochemical properties of fluoroalkanes mentioned previously<br />

have triggered numerous applications of these compounds in the field of oxygen delivery.<br />

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