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J Clin Anesth. 2014 Aug;26(5):402-6. doi: 10.1016/j.jclinane.2014.03.001. Epub 2014 Aug 11.

Normovolemic hemodilution using hydroxyethyl starch 130/0.4 (Voluven) in a Jehovah's Witness child requiring cardiopulmonary bypass for ventricular septal defect repair.

Author information

1
Division of Anesthesiology and Pain Medicine, Children's National Health System, Washington, DC 20010, USA. Electronic address: blaliber@childrensnational.org.
2
Division of Cardiovascular Surgery, Children's National Health System, Washington, DC 20010, USA.
3
Division of Anesthesiology and Pain Medicine, Children's National Health System, Washington, DC 20010, USA; Division of Cardiovascular Surgery, Children's National Health System, Washington, DC 20010, USA; The Sheikh Zayed Institute for Pediatric Surgical Innovation, Children's National Health System, Washington, DC 20010, USA.
4
Division of Cardiovascular Surgery, Perfusion Department, Children's National Health System, Washington, DC 20010, USA.
5
Division of Anesthesiology and Pain Medicine, Children's National Health System, Washington, DC 20010, USA.

Abstract

Surgical repair of congenital heart disease during cardiopulmonary bypass is common, and performing these complicated procedures in the absence of blood transfusions is especially challenging. A case of a Jehovah's Witness child who underwent surgical repair of a ventricular septal defect utilizing a new tetrastarch for autologous normovolemic hemodilution is reported. A successful operative repair was achieved without the need for non-autologous blood transfusion.

KEYWORDS:

Autologous normovolemic hemodilution; Cardiopulmonary bypass; Hydroxyethyl starch: Voluven; Jehovah’s Witness patients; Pediatric cardiac surgery; Ventricular septal defect repair

PMID:
25123329
DOI:
10.1016/j.jclinane.2014.03.001
[Indexed for MEDLINE]
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