Transfusion-free anesthetic management for open heart surgery in a neonate -A case report-
Open Access
- 1 January 2010
- journal article
- Published by The Korean Society of Anesthesiologists in Korean Journal of Anesthesiology
- Vol. 59 (uppl), S141-5
- https://doi.org/10.4097/kjae.2010.59.s.s141
Abstract
In small infants or neonates, open heart surgery without transfusion can have many risks regarding inadequate oxygen delivery and coagulopathy. However, if parents refuse blood transfusion, cardiac surgery without transfusion should be considered. We report a case of bloodless cardiac surgery in a 2.89 kg neonate with Jehovah's Witness parents. Blood conserving strategies were used. Preoperatively, erythropoietin and iron were supplemented to increase the hemoglobin level. Intraoperatively, techniques for minimizing blood loss were used, such as reducing priming volume for cardiopulmonary bypass, a blood salvage system, and modified ultrafiltration. Postoperatively, pharmacologic agents were administered and blood sampling was minimized.Keywords
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