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 Citations (Scopus)

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 1 2013

Fingerprint

Blood Transfusion
Hemoglobins
Pediatrics
Transplants
Blood Physiological Phenomena
Conjoined Twins
Blood Gas Analysis
Oximetry
Liver
Liver Failure
Acidosis
Diaphragm
Bile Ducts
Duodenum
Intestines
Pancreas
Hemorrhage
Kidney

Keywords

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

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Continuous hemoglobin monitoring during massive blood transfusion in a multivisceral pediatric transplant patient. / Agrawal, Ankit; Beethe, Amy B.; Sullivan, James N; Jones, Benjamin M.; Adams, Jennifer J.; Duhacheck-Stapleman, Amy L.

In: Journal of Clinical Anesthesia, Vol. 25, No. 7, 01.11.2013, p. 578-581.

Research output: Contribution to journalArticle

Agrawal, Ankit ; Beethe, Amy B. ; Sullivan, James N ; Jones, Benjamin M. ; Adams, Jennifer J. ; Duhacheck-Stapleman, Amy L. / Continuous hemoglobin monitoring during massive blood transfusion in a multivisceral pediatric transplant patient. In: Journal of Clinical Anesthesia. 2013 ; Vol. 25, No. 7. pp. 578-581.
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