The developmental patterns of ABO saline isoagglutinins were determined in 272 children between birth and 16 years of age. The frequency of saline isoagglutinins was significantly higher in group O‐O maternal‐cord pairs compared to group A‐O paired sera. The anti‐A and anti‐B titers increased gradually from 3 to 12 months: 30 per cent of group O and B children attained adult median titers of isoagglutinin, whereas only 4 per cent of group A children acquired adult anti‐B titers. This slow development of anti‐B in group A children persisted through the second year. Maternal isoagglutinins may exert a suppressive influence on the development of specific isoagglutinins in the first year of life.

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Prolonged veno arterial extracorporeal bypass (50-80% of cardiac output) was evaluated in normal, unanesthetized sheep. The evaluation protocol included serial measurements of hemodynamics, pulmonary and renal function, serum enzymes to detect organ damage, and detailed studies of coagulation and platelets. Blood exposure surfaces were primarily polyvinyl chloride and silicone rubber. Gas interfaces were carefully excluded with the exception of four experiments utilizing bubble oxygenators. Heparin dose was titrated to maintain activated clotting to two to three times baseline. Characteristics of 48 hour uncomplicated extracorporeal circulation in 8 sheep included normal hemodynamics, mild respiratory alkolosis negligable hemolysis, slight gradual increase in heart, liver, and muscle enzymes. The most significant changes occurred in coagulation and platelets characterized by an initial reduction in coagulation factors with a continued reduction in platelet count and return to normal clotting factors during extracorporeal circulation. This is followed by a two times normal increase in platelets and fibrinogen following extracorporeal circulation.

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