04-20-2005, 07:36 PM
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Use of erythropoietin for bloodless surgery in a Jehovah's witness infant.
Source:
Paediatr Anaesth. 2003 Sep;13(7):633-6
Full Text Article:
http://www.blackwell-synergy.com/openurl?genre=article&sid=nlm ubmed&issn=1155-5645&date=2003&volume=13&issue=7&spage=633
Use of erythropoietin for bloodless surgery in a Jehovah's witness infant.
Perez-Ferrer A, De Vicente J, Gredilla E, Garcia-Vega MI, Bourgeois P, Goldman LJ.
The Department of Paediatric Anaesthesiology, La Paz Children's University Hospital, Madrid, Spain. a.perezf@teleline.es
We present a case of surgery in a 2-month-old infant of the Jehovah's Witness (JW) faith weighing 2.8 kg scheduled for left upper lobectomy because of congenital lobar emphysema. He presented with physiological anaemia (haematocrit 33.8%) in accordance with his age. Because of the relative emergency of surgery, a short erythropoietin course was instituted. Recombinant human erythropoietin (rHuEPO) at a dosage of 180 U x kg-1x day-1 was administered for 10 days preoperatively and for 4 days postoperatively. Iron was administered orally and intravenously over the entire perioperative period. No side-effects from either erythropoietin or intravenously administered iron were observed. To our knowledge, this is the first case published of a short perioperative rHuEPO course in an infant.
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