Issue |
J Extra Corpor Technol
Volume 39, Number 4, December 2007
|
|
---|---|---|
Page(s) | 257 - 259 | |
DOI | https://doi.org/10.1051/ject/200739257 | |
Published online | 15 December 2007 |
Case Report
An Innovative Simple Technique of Blood Conservation in Adult Patients with Tetralogy of Fallot and Severely Raised Hemoglobin
Address correspondence to: Praveen Kumar Neema, MD, B-9, New Faculty Hostel, Sree Chitra Residential Complex, Poonthi Road, Kumarapuram, Trivandrum 695011, Kerala, India. E-mail: neema@sctimst.ac.in and praveenneema@yahoo.co.in.
The adult patients of tetralogy of Fallot often present with high hemoglobin levels. High hemoglobin and hematocrit on cardiopulmonary bypass (CPB) are associated with increased hemolysis, plasma free hemoglobin, renal dysfunction or failure, postoperative bleeding, exploration for bleeding, and increased requirement of allogeneic blood and blood products. Despite the presence of high hemoglobin and its association with adverse outcome, blood conservation is rarely practiced in these patients because of the fear of possible hemodynamic instability, and hypoxemic spell. We describe an innovative, simple technique of blood conservation for adult patients of tetralogy of Fallot with severely raised hemoglobin. With this technique, hemoglobin can be normalized on CPB; moreover, there is no fear of hypoxemic spell or hemodynamic instability. Furthermore, the blood conserved is readily available for transfusion in the perioperative period, if needed.
Key words: cardiopulmonary bypass / adult tetralogy of Fallot / blood conservation / cyanotic heart disease
© 2007 AMSECT
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