TY - JOUR
T1 - The value of institutional protocols and focused cardiac ultrasound during a case of ultramassive transfusion
AU - Janjua, Muhammad Salman Tahir
AU - Agarwal, Shvetank
AU - Castresana, Manuel R
N1 - Publisher Copyright:
© 2018 Annals of Cardiac Anaesthesia | Published by Wolters Kluwer-Medknow.
PY - 2018/10/1
Y1 - 2018/10/1
N2 - A 53-year-old female was admitted to the emergency department with an exsanguinating bleed from the rectum which was of unclear origin. In what could be considered an ultramassive transfusion, 60 units packed red blood cells, 23 units fresh frozen plasma, 20 units platelets, 6 units cryoprecipitate, 30 L of crystalloids, 2 L of colloids, and 4 g of tranexamic acid were transfused over the course of 7 h. An arterio-enteric fistula was diagnosed and treated by an interventional radiologist. The patient recovered rapidly thereafter without any major neurologic, pulmonary, cardiac, or hematologic complications.
AB - A 53-year-old female was admitted to the emergency department with an exsanguinating bleed from the rectum which was of unclear origin. In what could be considered an ultramassive transfusion, 60 units packed red blood cells, 23 units fresh frozen plasma, 20 units platelets, 6 units cryoprecipitate, 30 L of crystalloids, 2 L of colloids, and 4 g of tranexamic acid were transfused over the course of 7 h. An arterio-enteric fistula was diagnosed and treated by an interventional radiologist. The patient recovered rapidly thereafter without any major neurologic, pulmonary, cardiac, or hematologic complications.
KW - Blood components
KW - focused cardiac ultrasound
KW - massive transfusion
UR - http://www.scopus.com/inward/record.url?scp=85055190231&partnerID=8YFLogxK
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U2 - 10.4103/aca.ACA_49_18
DO - 10.4103/aca.ACA_49_18
M3 - Article
C2 - 30333342
AN - SCOPUS:85055190231
SN - 0971-9784
VL - 21
SP - 433
EP - 436
JO - Annals of Cardiac Anaesthesia
JF - Annals of Cardiac Anaesthesia
IS - 4
ER -