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Transfusion-related Intraoperative Bradyarrhythmia In A Child In A Prone Position Undergoing An Emergency Craniotomy: A Case Report

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

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