Cardiac Arrest due to Hyperkalemia Following Irradiated Packed Red Cells Transfusion.

Miyazawa, Kazuharu; Ohta, Sukejuurou; Kojima, Yukiko; Mizunuma, Takahide; Nishikawa, Toshiaki

doi:10.2199/jjsca.18.724

J.J.S.C.A

1998

DOI: 10.2199/jjsca.18.724

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Cardiac Arrest due to Hyperkalemia Following Irradiated Packed Red Cells Transfusion.

Kazuharu Miyazawa

Sukejuurou Ohta

Yukiko Kojima

et al.

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“…Cardiac arrest occurred immediately after the ECC was connected. The plasma K + level in the ECC rose to 10.6 mEq per L. Fortunately, because CPR was performed by skilled anesthesiologists and cardiac surgeons, these three patients' lives were saved 20 …”

mentioning

confidence: 99%

Potassium‐adsorption filter for RBC transfusion: a Phase III clinical trial

Inaba

Nibu²,

Takano³

et al. 2000

Transfusion

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mentioning

confidence: 99%

Potassium‐adsorption filter for RBC transfusion: a Phase III clinical trial

Inaba

Nibu²,

Takano³

et al. 2000

Transfusion

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“…Although irradiation by x‐ray for cellular blood components is effective to render T lymphocytes incapable of replication and prevent transfusion‐associated GVHD, plasma potassium levels of irradiated blood are rapidly increased during preservation compared with the nonirradiated blood. Hyperkalemia and cardiac arrest can occur in patients with renal failure or massive rapid blood transfusion by the use of irradiated blood (4,5). It is necessary to avoid such adverse reactions by transfusion.…”

mentioning

confidence: 99%

Development of a Rapid Blood Transfusion System with the Capability of Blood Purification

Omokawa

Notoya

Kumagai

et al. 2000

Therapeutic Apheresis

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Blood is usually irradiated by x-ray to prevent graft-versus-host-disease. However, plasma potassium levels of irradiated blood are rapidly increased during preservation in irradiated blood. The objectives of this study were to develop a rapid blood transfusion system for which irradiated blood can be used and to evaluate the capability of blood purification of the system. Packed red blood cells (RBC) were irradiated (15 Gy x-ray) at 21 days and preserved until 42 days after collection. A blood mixture of RBC and plasma was perfused through a dialyzer at 25, 50, 100, and 200 ml/min. Dialysate was perfused at 100, 100, 500, and 500 ml/min, respectively. Preperfusion levels of sodium, 121; potassium, 35; and chlorine, 76 mEq/L were changed to sodium, 144 to 146; potassium 2.5 to 3.0; and chlorine, 105 to 110 mEq/L, which were comparable with the levels in dialysate after perfusion for 25, 50, and 100 ml/min perfusion groups. For the 200 ml/min perfusion group, potassium was 5.3 mEq/L after perfusion which was slightly higher than other groups, but 84% of the potassium was removed by the system. Citrate levels were significantly decreased to 3.4, 28, 31, and 81 mg/dl for the 25, 50, 100, and 200 ml/min groups, respectively, after perfusions. The rapid transfusion system composed of the dialyzer and the blood pumps was effective in the removal of potassium and in the normalization of electrolytes. Irradiated blood with high levels of potassium can be safely and effectively used for this system in cases requiring massive rapid blood transfusion.

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Cardiac Arrest due to Hyperkalemia Following Irradiated Packed Red Cells Transfusion.

Cited by 2 publications

References 4 publications

Potassium‐adsorption filter for RBC transfusion: a Phase III clinical trial

Potassium‐adsorption filter for RBC transfusion: a Phase III clinical trial

Development of a Rapid Blood Transfusion System with the Capability of Blood Purification

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