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


Department of Anesthesiology and Perioperative Medicine, Medical College of Georgia at Augusta University, Augusta, GA, USA

Correspondence Address:
Muhammad Salman Tahir Janjua
Department of Anesthesiology and Perioperative Medicine, 1120 15th Street BIW 2144, Augusta, GA
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_49_18

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Year : 2018  |  Volume : 21  |  Issue : 4  |  Page : 433-436

 

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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.






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Department of Anesthesiology and Perioperative Medicine, Medical College of Georgia at Augusta University, Augusta, GA, USA

Correspondence Address:
Muhammad Salman Tahir Janjua
Department of Anesthesiology and Perioperative Medicine, 1120 15th Street BIW 2144, Augusta, GA
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_49_18

Rights and Permissions

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.






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