Transfusion Associated Hyperkalemia and Cardiac Arrest in an Infant after Extracorporeal Membrane Oxygenation / 대한구급학회지
The Korean Journal of Critical Care Medicine
; : 132-134, 2015.
Article
ي En
| WPRIM
| ID: wpr-770859
المكتبة المسؤولة:
WPRO
ABSTRACT
Cardiac arrest associated with hyperkalemia during red blood cell transfusion is a rare but fatal complication. Herein, we report a case of transfusion-associated cardiac arrest following the initiation of extracorporeal membrane oxygenation support in a 9-month old infant. Her serum potassium level was increased to 9.0 mEq/L, soon after the newly primed circuit with pre-stored red blood cell (RBC) was started and followed by sudden cardiac arrest. Eventually, circulation was restored and the potassium level decreased to 5.1 mEq/L after 5 min. Extracorporeal membrane oxygenation (ECMO) priming is a relatively massive transfusion into a pediatric patient. Thus, to prevent cardiac arrest during blood-primed ECMO in neonates and infants, freshly irradiated and washed RBCs should be used when priming the ECMO circuit, to minimize the potassium concentration. Also, physicians should be aware of all possible complications associated with transfusions during ECMO.
Key words
النص الكامل:
1
الفهرس:
WPRIM
الموضوع الرئيسي:
Potassium
/
Blood Transfusion
/
Extracorporeal Membrane Oxygenation
/
Death, Sudden, Cardiac
/
Erythrocyte Transfusion
/
Erythrocytes
/
Heart Arrest
/
Hyperkalemia
المحددات:
Humans
/
Infant
/
Newborn
اللغة:
En
مجلة:
The Korean Journal of Critical Care Medicine
السنة:
2015
نوع:
Article