Anaphylactic Transfusion Reaction

reportActive / Technical Report | Accession Number: AD1084875 | Open PDF

Abstract:

A nineteen year-old ASA 1 transferred to our Burn Unit for an infection of the lower extremities after being left for five days in the desert during a southern border crossing. The patient was taken to the OR after fluid resuscitation and dialysis to debride diffuse eschars. The patient experienced unanticipated blood loss and was transfused over 20 units of emergency release blood products to maintain a hemoglobin of 7. During a subsequent debridement, the patient experienced acute hypotension, bronchospasm, and flushing-presumed to be an anaphylactic transfusion reaction with the administration of subsequent blood products.

Author(s):
Richards, Evan J.
Author Organization(s):
59 MDW San Antonio United States
Descriptive Note:
Conference Paper
Supplementary Note:
American Society of Anesthesiologists Annual Meeting 2019 (ASA), Orlando FL, 19-23 Oct 2019 , 19 Oct 2019, 23 Oct 2019,
Pagination:
0001

Security Markings

DOCUMENT & CONTEXTUAL SUMMARY

Distribution:
Approved For Public Release
Distribution Statement:
Approved For Public Release;

RECORD

Collection: TR
Subject Terms
Joint Capability Areas:
JCA_1.4.1_Force Health Protection; JCA_1.4_Force Support
Communities of Interest:
No COI(s) Identified
Descriptor(s):
lower extremity, wound infections, debridement, blood transfusions, crossings, dialysis, emergencies, hemoglobin, resuscitation
Field(s)/Group(s):
Medicine and Medical Research
Report Date:
2019 Oct 19
Creation Date:
2019 Nov 25