64 APTTs T 62 C 32 TABLE 2 HB electrophoresis-before and after exchange transfusion
Test Before After three After four exchange exchange exchange transfusion
transfusions transfusions (650 ml) (900 ml) HbS % 76.
We report a pregnant woman with respiratory failure due to acute hemolytic crisis and acute chest syndrome, requiring critical care management with emergency exchange transfusion
, intubation and cesarean delivery.
Known treatments that involve high DEHP exposures are blood exchange transfusions
, extracorporeal membrane oxygenation (ECMO), and cardiovascular surgery.
But, happily, with doctors in Japan now learning to do complete blood exchange transfusions
, the Kims were able to have three more children who survived and are now healthy young adults.
If phototherapy fails to lower a total serum bilirubin concentration of [greater than or equal to]340 [micro]mol/L (20 mg/dL), exchange transfusion
Hyperbilirubinemic renal failure in tropical disease: Treatment with exchange transfusion
While he presented with only three detectable alloantibodies, at least four additional alloantibodies were demonstrable in his blood less than 2 weeks after he underwent a 16-unit exchange transfusion
The infant received 1 transfusion with packed red blood cells on hospital day 3 because of continued hemolysis, but she did not require exchange transfusion
despite having a high initial parasite count.
Rapid reversal of multiple organ failure with simple and/or exchange transfusion
support the theory of microvascular occlusion by sickled cells.
Neonatal exchange transfusion
complicated by transfusion-induced malaria.
In an exchange transfusion
, a portion of the patient's defective circulating red cell mass is removed and replaced with normal donor red cells, so that the amount of transfused iron can be significantly reduced.
Blood exchange transfusion
, a labor-intensive and potentially hazardous procedure, was initially considered for 2 of our patients but was deemed unnecessary because of the rapid improvement after artesunate treatment.
Two patients with low-flow priapism failed medical management (hydration, exchange transfusion
, etc) and minimally invasive procedures (aspiration, *-adrenergic instillation, etc).
or dialysis may be required as means of reversing hypotension and/or substituting for disordered renal function.
Anecdotal data and extrapolation from the literature about treatment of malaria suggest that exchange transfusion
may be beneficial for some critically ill patients, especially for those with signs of hemodynamic instability or high parasitemia levels (e.