Publication Type : Case Reports
Publisher : Elsevier BV
Source : Perioperative Care and Operating Room Management
Url : https://doi.org/10.1016/j.pcorm.2021.100190
Keywords : Blood transfusion, Bradyarrhythmia, Hyperkalemia, Prone position
Campus : Faridabad
School : School of Medicine
Department : Anaesthesiology
Year : 2021
Abstract : Bradyarrhythmia in children is a real challenge for an anesthesiologist. Blood transfusion-related cardiac arrest may be due to hyperkalemia, citrate toxicity, and severe acidosis. We came across such an emergent situation of unanticipated bradyarrhythmia after packed red blood transfusion in a two-year child having a posterior fossa tumor (medulloblastoma) with features of hydrocephalus. Emergency craniotomy and tumor excision was planned in the prone position. Suggestions to reduce the risk of transfusion-associated hyperkalemic cardiac arrest include the use of fresher RBCs, minimizing the time between irradiation and transfusion, washing older irradiated RBC products, and use a peripheral intravenous catheter to decrease the rate of transfusion.
Cite this Research Publication : Amarjeet Kumar, Arun SK, Abhyuday Kumar, Ajeet Kumar, Neeraj Kumar, Transfusion-related intraoperative bradyarrhythmia in a child in a prone position undergoing an emergency craniotomy: A case report, Perioperative Care and Operating Room Management, Elsevier BV, 2021, https://doi.org/10.1016/j.pcorm.2021.100190