Application of the continuous autotransfusion system (CATS) to prevent transfusion-related hyperkalemia following hyperkalemic cardiac arrest in an infant: A case report.
10.4097/kjae.2012.62.3.281
- Author:
Hye Min SOHN
1
;
Yong Hee PARK
;
Hyo Jin BYON
;
Jin Tae KIM
;
Hee Soo KIM
;
Chong Sung KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, College of Medicine, Seoul National University, Seoul, Korea. kimjintae73@dreamwiz.com
- Publication Type:Case Report
- Keywords:
Autologous;
Blood transfusion;
Cardiac arrest;
Hyperkalemia;
Massive transfusion
- MeSH:
Animals;
Blood Transfusion;
Blood Transfusion, Autologous;
Cats;
Electrocardiography;
Erythrocytes;
Heart Arrest;
Humans;
Hyperkalemia;
Potassium
- From:Korean Journal of Anesthesiology
2012;62(3):281-284
- CountryRepublic of Korea
- Language:English
-
Abstract:
Transfusion-induced hyperkalemia can lead to cardiac arrest, especially when the patient rapidly receives a large amount of red blood cells (RBCs), previously stored for a long period of time, irradiated or both. We report on a case of application of the Continuous AutoTransfusion System (CATS) to wash RBCs, in order to lower the high potassium (K+) level in the packed RBCs unit, during massive transfusion following transfusion-induced hyperkalemic cardiac arrest. After the washing process using CATS, there was no more electrocardiographic abnormality or cardiac arrest due to hyperkalemia. This case emphasizes the potential risk to develop transfusion-related hyperkalemic cardiac arrest, during massive transfusion of irradiated, pre-stored RBCs. CATS can be effectively used to lower the K+ concentration in the packed RBCs unit, especially when the risk of transfusion-induced hyperkalemia is high.
