Application of the continuous autotransfusion system (CATS) to prevent transfusion-related hyperkalemia following hyperkalemic cardiac arrest in an infant -A case report-
Transfusion-induced hyperkalemia can lead to cardiac arrest, especially when the patient rapidly receives a large amount of red blood cells (RBCs), previously stored for a long period of time, irradiated or both. We report on a case of application of the Continuous AutoTransfusion System (CATS) to w...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2012-03-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kjae-62-281.pdf |
| _version_ | 1819225280433094656 |
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| author | Hye-Min Sohn Yong-Hee Park Hyo-Jin Byon Jin-Tae Kim Hee-Soo Kim Chong Sung Kim |
| author_facet | Hye-Min Sohn Yong-Hee Park Hyo-Jin Byon Jin-Tae Kim Hee-Soo Kim Chong Sung Kim |
| author_sort | Hye-Min Sohn |
| collection | DOAJ |
| description | Transfusion-induced hyperkalemia can lead to cardiac arrest, especially when the patient rapidly receives a large amount of red blood cells (RBCs), previously stored for a long period of time, irradiated or both. We report on a case of application of the Continuous AutoTransfusion System (CATS) to wash RBCs, in order to lower the high potassium (K+) level in the packed RBCs unit, during massive transfusion following transfusion-induced hyperkalemic cardiac arrest. After the washing process using CATS, there was no more electrocardiographic abnormality or cardiac arrest due to hyperkalemia. This case emphasizes the potential risk to develop transfusion-related hyperkalemic cardiac arrest, during massive transfusion of irradiated, pre-stored RBCs. CATS can be effectively used to lower the K+ concentration in the packed RBCs unit, especially when the risk of transfusion-induced hyperkalemia is high. |
| first_indexed | 2024-12-23T10:07:05Z |
| format | Article |
| id | doaj.art-3fff09abdea243009852485b64bd943e |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-23T10:07:05Z |
| publishDate | 2012-03-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-3fff09abdea243009852485b64bd943e2022-12-21T17:51:03ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632012-03-0162328128410.4097/kjae.2012.62.3.2817304Application of the continuous autotransfusion system (CATS) to prevent transfusion-related hyperkalemia following hyperkalemic cardiac arrest in an infant -A case report-Hye-Min Sohn0Yong-Hee Park1Hyo-Jin Byon2Jin-Tae Kim3Hee-Soo Kim4Chong Sung Kim5Department of Anesthesiology and Pain Medicine, College of Medicine, Seoul National University, Seoul, Korea.Department of Anesthesiology and Pain Medicine, College of Medicine, Seoul National University, Seoul, Korea.Department of Anesthesiology and Pain Medicine, College of Medicine, Seoul National University, Seoul, Korea.Department of Anesthesiology and Pain Medicine, College of Medicine, Seoul National University, Seoul, Korea.Department of Anesthesiology and Pain Medicine, College of Medicine, Seoul National University, Seoul, Korea.Department of Anesthesiology and Pain Medicine, College of Medicine, Seoul National University, Seoul, Korea.Transfusion-induced hyperkalemia can lead to cardiac arrest, especially when the patient rapidly receives a large amount of red blood cells (RBCs), previously stored for a long period of time, irradiated or both. We report on a case of application of the Continuous AutoTransfusion System (CATS) to wash RBCs, in order to lower the high potassium (K+) level in the packed RBCs unit, during massive transfusion following transfusion-induced hyperkalemic cardiac arrest. After the washing process using CATS, there was no more electrocardiographic abnormality or cardiac arrest due to hyperkalemia. This case emphasizes the potential risk to develop transfusion-related hyperkalemic cardiac arrest, during massive transfusion of irradiated, pre-stored RBCs. CATS can be effectively used to lower the K+ concentration in the packed RBCs unit, especially when the risk of transfusion-induced hyperkalemia is high.http://ekja.org/upload/pdf/kjae-62-281.pdfautologousblood transfusioncardiac arresthyperkalemiamassive transfusion |
| spellingShingle | Hye-Min Sohn Yong-Hee Park Hyo-Jin Byon Jin-Tae Kim Hee-Soo Kim Chong Sung Kim Application of the continuous autotransfusion system (CATS) to prevent transfusion-related hyperkalemia following hyperkalemic cardiac arrest in an infant -A case report- Korean Journal of Anesthesiology autologous blood transfusion cardiac arrest hyperkalemia massive transfusion |
| title | Application of the continuous autotransfusion system (CATS) to prevent transfusion-related hyperkalemia following hyperkalemic cardiac arrest in an infant -A case report- |
| title_full | Application of the continuous autotransfusion system (CATS) to prevent transfusion-related hyperkalemia following hyperkalemic cardiac arrest in an infant -A case report- |
| title_fullStr | Application of the continuous autotransfusion system (CATS) to prevent transfusion-related hyperkalemia following hyperkalemic cardiac arrest in an infant -A case report- |
| title_full_unstemmed | Application of the continuous autotransfusion system (CATS) to prevent transfusion-related hyperkalemia following hyperkalemic cardiac arrest in an infant -A case report- |
| title_short | Application of the continuous autotransfusion system (CATS) to prevent transfusion-related hyperkalemia following hyperkalemic cardiac arrest in an infant -A case report- |
| title_sort | application of the continuous autotransfusion system cats to prevent transfusion related hyperkalemia following hyperkalemic cardiac arrest in an infant a case report |
| topic | autologous blood transfusion cardiac arrest hyperkalemia massive transfusion |
| url | http://ekja.org/upload/pdf/kjae-62-281.pdf |
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