Profound Intraoperative Hypotension Associated With Transfusion via the Belmont Fluid Management System
This retrospective observational case series conducted at 2 large academic centers over a 4-year period consists of 15 cases of profound hypotension in surgical patients immediately after initiation of the Belmont Fluid Management System for rapid transfusion of blood products. Halting the infusion...
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| Veröffentlicht in: | Anesthesia and analgesia 2019-09, Vol.129 (3), p.e77 |
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| container_issue | 3 |
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| container_title | Anesthesia and analgesia |
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| creator | Miller, Joanna Kim, Sang Adelmann, Dieter Hill, Bryan Schlichting, Nicolette Smith, Natalie DeMaria, Jr, Samuel Zerillo, Jeron |
| description | This retrospective observational case series conducted at 2 large academic centers over a 4-year period consists of 15 cases of profound hypotension in surgical patients immediately after initiation of the Belmont Fluid Management System for rapid transfusion of blood products. Halting the infusion and administering vasoactive agents led to resolution of hypotension. Repeat transfusion with the Belmont system resulted in repeat hypotension unless counteracted with vasopressors. No etiology was elucidated. This represents the largest documented association of acute hypotensive transfusion reaction with any rapid infusion system in surgical patients. |
| doi_str_mv | 10.1213/ANE.0000000000003343 |
| format | Article |
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Halting the infusion and administering vasoactive agents led to resolution of hypotension. Repeat transfusion with the Belmont system resulted in repeat hypotension unless counteracted with vasopressors. No etiology was elucidated. This represents the largest documented association of acute hypotensive transfusion reaction with any rapid infusion system in surgical patients.</description><identifier>EISSN: 1526-7598</identifier><identifier>DOI: 10.1213/ANE.0000000000003343</identifier><identifier>PMID: 31425212</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Aged ; Blood Transfusion - trends ; Female ; Fluid Therapy - adverse effects ; Fluid Therapy - trends ; Humans ; Intraoperative Complications - diagnosis ; Intraoperative Complications - etiology ; Intraoperative Complications - therapy ; Male ; Middle Aged ; Retrospective Studies ; Transfusion Reaction - diagnosis ; Transfusion Reaction - etiology ; Transfusion Reaction - therapy</subject><ispartof>Anesthesia and analgesia, 2019-09, Vol.129 (3), p.e77</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31425212$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Miller, Joanna</creatorcontrib><creatorcontrib>Kim, Sang</creatorcontrib><creatorcontrib>Adelmann, Dieter</creatorcontrib><creatorcontrib>Hill, Bryan</creatorcontrib><creatorcontrib>Schlichting, Nicolette</creatorcontrib><creatorcontrib>Smith, Natalie</creatorcontrib><creatorcontrib>DeMaria, Jr, Samuel</creatorcontrib><creatorcontrib>Zerillo, Jeron</creatorcontrib><title>Profound Intraoperative Hypotension Associated With Transfusion via the Belmont Fluid Management System</title><title>Anesthesia and analgesia</title><addtitle>Anesth Analg</addtitle><description>This retrospective observational case series conducted at 2 large academic centers over a 4-year period consists of 15 cases of profound hypotension in surgical patients immediately after initiation of the Belmont Fluid Management System for rapid transfusion of blood products. Halting the infusion and administering vasoactive agents led to resolution of hypotension. Repeat transfusion with the Belmont system resulted in repeat hypotension unless counteracted with vasopressors. No etiology was elucidated. This represents the largest documented association of acute hypotensive transfusion reaction with any rapid infusion system in surgical patients.</description><subject>Adult</subject><subject>Aged</subject><subject>Blood Transfusion - trends</subject><subject>Female</subject><subject>Fluid Therapy - adverse effects</subject><subject>Fluid Therapy - trends</subject><subject>Humans</subject><subject>Intraoperative Complications - diagnosis</subject><subject>Intraoperative Complications - etiology</subject><subject>Intraoperative Complications - therapy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Transfusion Reaction - diagnosis</subject><subject>Transfusion Reaction - etiology</subject><subject>Transfusion Reaction - therapy</subject><issn>1526-7598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNj9lqwzAUREWhNGnaPyhFP-DUkizbekxDNkgXaEofw7V1lajEkrHkQP6-oQt0XgbmwDBDyB1Lx4wz8TB5no3TfxIiExdkyCTPk0KqckCuQ_g8A5aW-RUZCJZxyRkfkt1r543vnaYrFzvwLXYQ7RHp8tT6iC5Y7-gkBF9biKjph417uunABdN_s6MFGvdIH_HQeBfp_NBbTZ_AwQ4bPAdvpxCxuSGXBg4Bb399RN7ns810maxfFqvpZJ2052kxwTpVlZQFk5orUHWapQXPBZeSZwZEpdBIpUtlFBY1F6BKkxWV4cCkzDXLxYjc__S2fdWg3radbaA7bf8eiy_31liL</recordid><startdate>201909</startdate><enddate>201909</enddate><creator>Miller, Joanna</creator><creator>Kim, Sang</creator><creator>Adelmann, Dieter</creator><creator>Hill, Bryan</creator><creator>Schlichting, Nicolette</creator><creator>Smith, Natalie</creator><creator>DeMaria, Jr, Samuel</creator><creator>Zerillo, Jeron</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>201909</creationdate><title>Profound Intraoperative Hypotension Associated With Transfusion via the Belmont Fluid Management System</title><author>Miller, Joanna ; Kim, Sang ; Adelmann, Dieter ; Hill, Bryan ; Schlichting, Nicolette ; Smith, Natalie ; DeMaria, Jr, Samuel ; Zerillo, Jeron</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p108t-ec09b55715d29a9c040726325524fa3b9ef59d89f9e7c23a98f47bf2a1556d163</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Blood Transfusion - trends</topic><topic>Female</topic><topic>Fluid Therapy - adverse effects</topic><topic>Fluid Therapy - trends</topic><topic>Humans</topic><topic>Intraoperative Complications - diagnosis</topic><topic>Intraoperative Complications - etiology</topic><topic>Intraoperative Complications - therapy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Transfusion Reaction - diagnosis</topic><topic>Transfusion Reaction - etiology</topic><topic>Transfusion Reaction - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Miller, Joanna</creatorcontrib><creatorcontrib>Kim, Sang</creatorcontrib><creatorcontrib>Adelmann, Dieter</creatorcontrib><creatorcontrib>Hill, Bryan</creatorcontrib><creatorcontrib>Schlichting, Nicolette</creatorcontrib><creatorcontrib>Smith, Natalie</creatorcontrib><creatorcontrib>DeMaria, Jr, Samuel</creatorcontrib><creatorcontrib>Zerillo, Jeron</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Anesthesia and analgesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miller, Joanna</au><au>Kim, Sang</au><au>Adelmann, Dieter</au><au>Hill, Bryan</au><au>Schlichting, Nicolette</au><au>Smith, Natalie</au><au>DeMaria, Jr, Samuel</au><au>Zerillo, Jeron</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Profound Intraoperative Hypotension Associated With Transfusion via the Belmont Fluid Management System</atitle><jtitle>Anesthesia and analgesia</jtitle><addtitle>Anesth Analg</addtitle><date>2019-09</date><risdate>2019</risdate><volume>129</volume><issue>3</issue><spage>e77</spage><pages>e77-</pages><eissn>1526-7598</eissn><abstract>This retrospective observational case series conducted at 2 large academic centers over a 4-year period consists of 15 cases of profound hypotension in surgical patients immediately after initiation of the Belmont Fluid Management System for rapid transfusion of blood products. 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| fulltext | fulltext |
| identifier | EISSN: 1526-7598 |
| ispartof | Anesthesia and analgesia, 2019-09, Vol.129 (3), p.e77 |
| issn | 1526-7598 |
| language | eng |
| recordid | cdi_pubmed_primary_31425212 |
| source | MEDLINE; Journals@Ovid LWW Legacy Archive; EZB-FREE-00999 freely available EZB journals |
| subjects | Adult Aged Blood Transfusion - trends Female Fluid Therapy - adverse effects Fluid Therapy - trends Humans Intraoperative Complications - diagnosis Intraoperative Complications - etiology Intraoperative Complications - therapy Male Middle Aged Retrospective Studies Transfusion Reaction - diagnosis Transfusion Reaction - etiology Transfusion Reaction - therapy |
| title | Profound Intraoperative Hypotension Associated With Transfusion via the Belmont Fluid Management System |
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