The value of institutional protocols and focused cardiac ultrasound during a case of ultramassive transfusion

Muhammad Salman Tahir Janjua, Shvetank Agarwal, Manuel R Castresana

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)433-436
Number of pages4
JournalAnnals of Cardiac Anaesthesia
Volume21
Issue number4
DOIs
StatePublished - Oct 1 2018

Keywords

  • Blood components
  • focused cardiac ultrasound
  • massive transfusion

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

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