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2015 ; 4
(10
): 132-6
Nephropedia Template TP
gab.com Text
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English Wikipedia
Recovery from Extreme Hemodilution (Hemoglobin Level of 0 6 g/dL) in Cadaveric
Liver Transplantation
#MMPMID25974417
Kariya T
; Ito N
; Kitamura T
; Yamada Y
A A Case Rep
2015[May]; 4
(10
): 132-6
PMID25974417
show ga
Decompensated hepatic failure occurred in a patient with a rare blood type. The
patient had extreme hemodilution due to massive bleeding during liver
transplantation. A shortage of matched and universal donor blood prompted us to
transfuse albumin and fresh frozen plasma for intravascular volume resuscitation.
The lowest hemoglobin was 0.6 g/dL, accompanied by ST depression and a serum
lactate of 100 mg/dL. The accuracy of the measured value of 0.6 g/dL was
confirmed. However, the patient recovered from this critical situation after
transfusion, and he was eventually discharged from the hospital without
significant sequelae. Maintaining normovolemia, administering pure oxygen,
ensuring appropriate anesthetic depth, and maintaining minimal inotropic support
were essential for this patient's survival during massive bleeding.
|Blood Grouping and Crossmatching/classification
[MESH]