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Anesth Analg 2008; 107:1185-1187
© 2008 International Anesthesia Research Society
doi: 10.1213/ane.0b013e31817f733e
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PEDIATRIC ANESTHESIOLOGY

ABO-Incompatible Blood Transfusion and Invasive Therapeutic Approaches During Pediatric Cardiopulmonary Bypass

Yasin Aliç, MD*, Elif A. Akpek, MD*, Asli Dönmez, MD*, Süleyman Özkan, MD{dagger}, Güray Yener Perfusionist{dagger}, and Sait Aslamaci, MD{dagger}

From the Departments of *Anesthesiology, and {dagger}Cardiovascular Surgery, Baskent University Faculty of Medicine, Ankara, Turkey.

Address correspondence and reprint requests to Elif A. Akpek, MD, Department of Anesthesiology, Baskent University Faculty of Medicine, 10.sok, No 45 Bahçelievler, 06490–Ankara, Turkey. Address e-mail to elifakpek{at}baskent-ank.edu.tr.

Abstract

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.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2008 by the International Anesthesia Research Society.