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  • Title: ABO-incompatible blood transfusion and invasive therapeutic approaches during pediatric cardiopulmonary bypass.
    Author: Aliç Y, Akpek EA, Dönmez A, Ozkan S, Perfusionist GY, Aslamaci S.
    Journal: Anesth Analg; 2008 Oct; 107(4):1185-7. PubMed ID: 18806026.
    Abstract:
    Human error has been identified as a major source of ABO-incompatible blood transfusion which most often results from blood being given to the wrong patient. We present a case of inadvertent administration of ABO-incompatible blood to a 6-mo-old child who underwent congenital heart surgery and discuss the use of invasive therapeutic approaches. Invasive techniques included total circulatory arrest and large-volume exchange transfusion, along with conventional ultrafiltration and plasmapheresis, which could all be performed rapidly and effectively. The combination of standard pharmacologic therapies and alternative invasive techniques after a massive ABO-incompatible blood transfusion led to a favorable outcome in our patient.
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