Korean J Anesthesiol.  2010 Dec;59(Suppl):S141-S145. 10.4097/kjae.2010.59.S.S141.

Transfusion-free anesthetic management for open heart surgery in a neonate: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea. kimjintae73@dreamwiz.com

Abstract

In small infants or neonates, open heart surgery without transfusion can have many risks regarding inadequate oxygen delivery and coagulopathy. However, if parents refuse blood transfusion, cardiac surgery without transfusion should be considered. We report a case of bloodless cardiac surgery in a 2.89 kg neonate with Jehovah's Witness parents. Blood conserving strategies were used. Preoperatively, erythropoietin and iron were supplemented to increase the hemoglobin level. Intraoperatively, techniques for minimizing blood loss were used, such as reducing priming volume for cardiopulmonary bypass, a blood salvage system, and modified ultrafiltration. Postoperatively, pharmacologic agents were administered and blood sampling was minimized.

Keyword

Bloodless cardiac surgery; Infant cardiac surgery; Jehovah's Witnesses

MeSH Terms

Blood Transfusion
Cardiopulmonary Bypass
Erythropoietin
Heart
Hemoglobins
Humans
Infant
Infant, Newborn
Iron
Jehovah's Witnesses
Oxygen
Parents
Thoracic Surgery
Ultrafiltration
Wit and Humor as Topic
Erythropoietin
Hemoglobins
Iron
Oxygen
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