[Uncrossmatched type O red blood cell transfusion and cell saver autologous blood transfusion effective for intraoperative massive bleeding].
We experienced rapid and massive bleeding in a 57-year-old woman undergoing resection of ovarian tumor metastasis. One hour after the start of operation, blood loss increased due to adhesion of the tumor. The blood hemoglobin level decreased from 11.7 to 4.6 g x dl(-1). Since available matched homologous blood had been consumed, we transfused type O uncrossmatched red blood cells followed by cell saver autologous blood. For the treatment of uncontrollable hyperkalemia and metabolic acidosis, continuous hemodiafiltration was started. A total of 66 U of red blood cells, 48 U of FFP, and 40 U of platelets were transfused intraoperatively. No neurological deficit, pulmonary edema, renal failure, or hemolysis was found postoperatively.
Department of Anesthesia, Osaka-Kousei-Nennkin Hospital, Osaka 553-0003.
Naotsugu
N
Ohashi
Keiji
K
Nakatani
Mika
M
Nakanishi
Mami
M
Yagi
Shinichi
S
Koyama
Satoshi
S
Kurita
Noboru
N
Nagata
Yoshirou
Y
Toyoda
D000017:ABO Blood-Group System; D001787:Blood Group Incompatibility; D016063:Blood Loss, Surgical; D001804:Blood Transfusion, Autologous; D017707:Erythrocyte Transfusion; D005260:Female; D017583:Hemodiafiltration; D006801:Humans; D006947:Hyperkalemia / Q000628:therapy; D007431:Intraoperative Complications / Q000628:therapy*; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000473:pathology; D010386:Pelvic Neoplasms / Q000556:secondary / Q000601:surgery; D016896:Treatment Outcome
D000017:ABO Blood-Group System