Repeated cardiac arrests caused by transfusion-related hyperkalemia and massive bleeding : A case report
Anesthesia and Pain Medicine
;
: 179-182, 2009.
Artigo
em Inglês
| WPRIM
| ID: wpr-155032
ABSTRACT
Transfusion-related hyperkalemic cardiac arrest (TRHCA) is a serious complication of administration of packed red blood cell (P-RBC). We present a case of repeated TRHCAs in a 13 month-old girl, who was undergoing intra-abdominal huge mass excision. There were three consecutive TRHCAs during the operation. The first (11.7 mM of K+) and the second (9.5 mM of K+) cardiac arrests were successfully resuscitated. However, the last cardiac arrest (8.9 mM of K+) was failed to be recovered with conventional treatment. Risk factors of TRHCA such as hypocalcemia, hypoxemia, acidosis, hyperglycemia, hyperlactatemia, and low cardiac out state were combined. The transfused P-RBCs were all irradiated. In this situation, processing of P-RBC using an autotransfusion device before the transfusion should be considered to prevent hyperkalemia in addition to conventional treatment of TRHCA.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Acidose
/
Transfusão de Sangue Autóloga
/
Fatores de Risco
/
Eritrócitos
/
Parada Cardíaca
/
Hemorragia
/
Hiperglicemia
/
Hiperpotassemia
/
Hipocalcemia
/
Hipóxia
Tipo de estudo:
Estudo de etiologia
/
Fatores de risco
Idioma:
Inglês
Revista:
Anesthesia and Pain Medicine
Ano de publicação:
2009
Tipo de documento:
Artigo
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