Status:
Ready to upload
Record number:
1194
Adverse Occurrence type:
MPHO Type:
Estimated frequency:
Murthy: case report
Time to detection:
immediate
Alerting signals, symptoms, evidence of occurrence:
Shock resistant ventricular fibrillation and flabby heart, hypotension. During aortic clamp release during cardiac surgery. The
transfused blood (unwarmed) was found to be 16 days old with a potassium concentration of 16.6 mmol.l^1.
Demonstration of imputability or root cause:
High serum potassium level in patient, treated with glucose/insulin.
Imputability grade:
3 Definite/Certain/Proven
Groups audience:
Keywords:
References:
Suggest new keywords:
hyperkalemia
Reference attachment:
Suggest references:
Murthy, B.V. (2000). Hyperkalaemia and rapid blood transfusion. Anaesthesia 55(4):398; Wilson, R.F., Binkley, L.E., Sabo, F.M. Jr, Wilson, J.A., Munkarah, M.M., Dulchavsky, S.A. and Diebel, L.N. (1992). Electrolyte and acid-base changes with massive blood transfusions Am Surg 58(9):535-44.
Expert comments for publication:
Following massive blood transfusion of stored blood, complications such as hyperkalaemia and citrate toxicity are well recognised, but fortunately very rare.