Continuous hemoglobin monitoring during massive blood transfusion in a multivisceral pediatric transplant patient

Ankit Agrawal, Amy B. Beethe, James N. Sullivan, Benjamin M. Jones, Jennifer J. Adams, Amy L. Duhacheck-Stapleman

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

A 10 year old, 25 kg girl, who was formerly a conjoined twin at the heart, diaphragm, liver, duodenum, bile ducts, and intestine, was admitted for a repeat liver, small bowel, pancreas, and kidney multivisceral transplant after having intestinal and liver failure. Intraoperatively, the patient had excessive bleeding, coagulopathy, and acidosis. Pulse co-oximetry was used for continuous monitoring of hemoglobin (Hb) during the procedure. Although noninvasive Hb appeared to follow a trend that correlated with arterial Hb concentration, it did not show accurate agreement with measured values from intermittent blood gas analysis. It may not be reliable during cases with abnormal physiology, rapid blood loss, and massive transfusion.

Original languageEnglish (US)
Pages (from-to)578-581
Number of pages4
JournalJournal of Clinical Anesthesia
Volume25
Issue number7
DOIs
StatePublished - Nov 2013

Keywords

  • Blood transfusion
  • Kidney
  • Liver
  • Multi-organ transplantation
  • Pancreas
  • Pediatric transplantation, small bowel

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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