When Every Second Counts- Emergency Blood Transfusion Protocol for Fetal/Neonatal Hemorrhage
Sunday, June 26, 2011
Discipline: Newborn Care (NB)
Learning Objectives:
- Describe a method of rapid access to blood for resuscitation.
- Differentiate the importance of oxygen carrying capacity vs volume expansion.
- Identify the risk factors for perinatal/fetal/neonatal hemorrhage and the types of resultant anemia.
Background: The need for volume resuscitation during neonatal resuscitation is an infrequent occurence and has undergone examination of late. Volume replacement in the face of hemmorhage or suspected blood loss remains a viable course of action. Anemia can be worsened by large infusions of saline, diluting oxygen carrying capacity and leading to tissue hypoxia.
Case: Baby Y was born by csection for fetal indication at 37.5 weeks. He was exceedingly pale and shocky appearing at birth and proceded to be volume resuscitated with saline, eventually receiving blood, but arresting at 1 hour of age.
Conclusion: Delay in recognition of blood loss and timely administration of blood could be avoided by developing a protocol for early release of emergency uncross-matched O-negative blood.
Keywords: hemorrhage, transfusion, anemia, shock, resuscitation, NRP
See more of: Case Study Poster Presentation
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