title: Normovolemic hemodilution using hydroxyethyl starch 130/0.4 (Voluven) in a Jehovah's Witness child requiring cardiopulmonary bypass for ventricular septal defect repair.
abstract: Surgical repair of congenital heart disease during cardiopulmonary bypass is common, and performing these complicated procedures in the absence of blood transfusions is especially challenging. A case of a Jehovah's Witness child who underwent surgical repair of a ventricular septal defect utilizing a new tetrastarch for autologous normovolemic hemodilution is reported. A successful operative repair was achieved without the need for non-autologous blood transfusion.
authors.affiliation: Division of Anesthesiology and Pain Medicine, Children's National Health System, Washington, DC 20010, USA. Electronic address: blaliber@childrensnational.org.
authors.forename: Bryan D
authors.initials: BD
authors.lastname: Laliberte
authors.affiliation: Division of Cardiovascular Surgery, Children's National Health System, Washington, DC 20010, USA.
authors.forename: Dilip S
authors.initials: DS
authors.lastname: Nath
authors.affiliation: Division of Anesthesiology and Pain Medicine, Children's National Health System, Washington, DC 20010, USA; Division of Cardiovascular Surgery, Children's National Health System, Washington, DC 20010, USA; The Sheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Health System, Washington, DC 20010, USA.
authors.forename: John P
authors.initials: JP
authors.lastname: Costello
authors.affiliation: Division of Cardiovascular Surgery, Perfusion Department, Children's National Health System, Washington, DC 20010, USA.
authors.forename: Mark
authors.initials: M
authors.lastname: Nuszkowski
authors.affiliation: Division of Anesthesiology and Pain Medicine, Children's National Health System, Washington, DC 20010, USA.
authors.forename: Richard F
authors.initials: RF
authors.lastname: Kaplan
mesh_terms: D002315:Cardiopulmonary Bypass / Q000379:methods*; D002675:Child, Preschool; D005260:Female; D006330:Heart Defects, Congenital / Q000601:surgery; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006438:Hemodilution / Q000379:methods; D006801:Humans; D006895:Hydroxyethyl Starch Derivatives / Q000008:administration & dosage*; D033221:Jehovah's Witnesses; D010952:Plasma Substitutes / Q000008:administration & dosage
chemical_list: C485123:HES 130-0.4; D006895:Hydroxyethyl Starch Derivatives; D010952:Plasma Substitutes
keywords: Autologous normovolemic hemodilution; Cardiopulmonary bypass; Hydroxyethyl starch: Voluven; Jehovah’s Witness patients; Pediatric cardiac surgery; Ventricular septal defect repair