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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 132 - 134 (3page)
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오류제보하기
Cardiac arrest associated with hyperkalemia during red blood cell transfusion is a rare but fatal complication. Herein, we report a case of transfusion-associated cardiac arrest following the initiation of extracorporeal membrane oxygenation support in a 9-month old infant. Her serum potassium level was increased to 9.0 mEq/L, soon after the newly primed circuit with pre-stored red blood cell (RBC) was started and followed by sudden cardiac arrest. Eventually, circulation was restored and the potassium level decreased to 5.1 mEq/L after 5 min. Extracorporeal membrane oxygenation (ECMO) priming is a relatively massive transfusion into a pediatric patient.
Thus, to prevent cardiac arrest during blood-primed ECMO in neonates and infants, freshly irradiated and washed RBCs should be used when priming the ECMO circuit, to minimize the potassium concentration. Also, physicians should be aware of all possible complications associated with transfusions during ECMO.
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참고문헌 (6)
참고문헌 신청
Brugnara C / 1992 / Effect of irradiation on red cell cation content and transport / Transfusion 32 : 246 ~ 252
Hye-Min Sohn / 2012 / Application of the continuous autotransfusion system (CATS) to prevent transfusion-related hyperkalemia following hyperkalemic cardiac arrest in an infa
Luban NL / 1991 / Jehovah’s Witnesses and transfusion:the pediatric perspective / Transfus Med Rev 5 : 253 ~ 258
Sloan SR / 2011 / Neonatal transfusion review / Paediatr Anaesth 21 : 25 ~ 30
Smith HM / 2008 / Cardiac arrests associated with hyperkalemia during red blood cell transfusion: a case series / Anesth Analg 106 : 1062 ~ 1069
Hye-Min Sohn / 2012 / Application of the continuous autotransfusion system (CATS) to prevent transfusion-related hyperkalemia following hyperkalemic cardiac arrest in an infa
Luban NL / 1991 / Jehovah’s Witnesses and transfusion:the pediatric perspective / Transfus Med Rev 5 : 253 ~ 258
Sloan SR / 2011 / Neonatal transfusion review / Paediatr Anaesth 21 : 25 ~ 30
Smith HM / 2008 / Cardiac arrests associated with hyperkalemia during red blood cell transfusion: a case series / Anesth Analg 106 : 1062 ~ 1069
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