ABO-incompatible blood transfusion and invasive therapeutic approaches during pediatric cardiopulmonary bypass.
Human error has been identified as a major source of ABO-incompatible blood transfusion which most often results from blood being given to the wrong patient. We present a case of inadvertent administration of ABO-incompatible blood to a 6-mo-old child who underwent congenital heart surgery and discuss the use of invasive therapeutic approaches. Invasive techniques included total circulatory arrest and large-volume exchange transfusion, along with conventional ultrafiltration and plasmapheresis, which could all be performed rapidly and effectively. The combination of standard pharmacologic therapies and alternative invasive techniques after a massive ABO-incompatible blood transfusion led to a favorable outcome in our patient.
Aliç
Yasin
Y
Department of Anesthesiology, Başkent University Faculty of Medicine, 10.sok, No 45 Bahçelievler, 06490-Ankara, Turkey.
Akpek
Elif A
EA
Dönmez
Asli
A
Ozkan
Süleyman
S
Perfusionist
Güray Yener
GY
Aslamaci
Sait
S
D000017:ABO Blood-Group System; D001787:Blood Group Incompatibility / Q000628:therapy*; D002315:Cardiopulmonary Bypass; D005078:Exchange Transfusion, Whole Blood; D005260:Female; D006330:Heart Defects, Congenital / Q000601:surgery*; D006440:Hemofiltration; D006801:Humans; D007223:Infant; D019300:Medical Errors; D010956:Plasmapheresis; D065227:Transfusion Reaction
D000017:ABO Blood-Group System