In:
The Journal of ExtraCorporeal Technology, EDP Sciences, Vol. 25, No. 2 ( 1993-06), p. 67-70
Abstract:
This case report deals with the incidence of high levels of plasma free hemoglobin secondary to the infusion of erythrocytes washed with sterile water during an autotransfusion procedure. The danger of high levels of plasma free hemoglobin is acute renal failure due to precipitation of free hemoglobin in the form of acid hematin. Treatment attempts to prevent the precipitation by maintaining high urine output (75 - 100 ml/hr or 1-2 ml/kg/min) and alkalizing the urine (pH of8). Preventative treatment is outlined and includes: fluid and colloid replacement; diuretics and sodium bicarbonate. In this case, acute renal failure was prevented and the patient was discharged on post operative day five.
Type of Medium:
Online Resource
ISSN:
0022-1058
,
2969-8960
DOI:
10.1051/ject/1993252067
Language:
English
Publisher:
EDP Sciences
Publication Date:
1993
detail.hit.zdb_id:
2465229-5