Transfusion-free anesthetic management for open heart surgery in a neonate: A case report.
10.4097/kjae.2010.59.S.S141
- Author:
Jung Min LEE
1
;
Hyo Jin BYON
;
Jin Tae KIM
;
Hee Soo KIM
;
Chong Sung KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea. kimjintae73@dreamwiz.com
- Publication Type:Case Report
- Keywords:
Bloodless cardiac surgery;
Infant cardiac surgery;
Jehovah's Witnesses
- MeSH:
Blood Transfusion;
Cardiopulmonary Bypass;
Erythropoietin;
Heart;
Hemoglobins;
Humans;
Infant;
Infant, Newborn;
Iron;
Jehovah's Witnesses;
Oxygen;
Parents;
Thoracic Surgery;
Ultrafiltration;
Wit and Humor as Topic
- From:Korean Journal of Anesthesiology
2010;59(Suppl):S141-S145
- CountryRepublic of Korea
- Language:English
-
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.
