Normovolemic hemodilution using hydroxyethyl starch 130/0.4 (Voluven) in a Jehovah's Witness child requiring cardiopulmonary bypass for ventricular septal defect repair

J Clin Anesth. 2014 Aug;26(5):402-6. doi: 10.1016/j.jclinane.2014.03.001. Epub 2014 Aug 11.

Abstract

Surgical repair of congenital heart disease during cardiopulmonary bypass is common, and performing these complicated procedures in the absence of blood transfusions is especially challenging. A case of a Jehovah's Witness child who underwent surgical repair of a ventricular septal defect utilizing a new tetrastarch for autologous normovolemic hemodilution is reported. A successful operative repair was achieved without the need for non-autologous blood transfusion.

Keywords: Autologous normovolemic hemodilution; Cardiopulmonary bypass; Hydroxyethyl starch: Voluven; Jehovah’s Witness patients; Pediatric cardiac surgery; Ventricular septal defect repair.

Publication types

  • Case Reports

MeSH terms

  • Cardiopulmonary Bypass / methods*
  • Child, Preschool
  • Female
  • Heart Defects, Congenital / surgery
  • Heart Septal Defects, Ventricular / surgery*
  • Hemodilution / methods
  • Humans
  • Hydroxyethyl Starch Derivatives / administration & dosage*
  • Jehovah's Witnesses*
  • Plasma Substitutes / administration & dosage

Substances

  • HES 130-0.4
  • Hydroxyethyl Starch Derivatives
  • Plasma Substitutes