Extreme Plasma Dilution Decreases Heparin and Protamine Cardiopulmonary Bypass Requirements: A Case Report on a Jehovah's Witness Patient

Emilie Chang, Jason W. Gatling, Scott Bode, Paul C. Herrmann, Brian S. Bull, Richard Lee Applegate

Research output: Contribution to journalArticle

Abstract

The primary focus of cardiopulmonary bypass management in Jehovah's Witness patients is the need to conserve blood. A consequence of these strategies inevitably results in hemodilution that is frequently extreme enough to dilute clotting factors and potentially impair coagulation. The purpose of this case report is to demonstrate that a hemodiluted patient requires less heparin to sustain anticoagulation and less protamine to reverse heparin at cardiopulmonary bypass termination. Patient harm may ensue unless the effects of extreme hemodilution are recognized.

Original languageEnglish (US)
Pages (from-to)291-293
Number of pages3
JournalA & A case reports
Volume8
Issue number11
DOIs
StatePublished - Jun 1 2017

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Jehovah's Witnesses
Hemodilution
Protamines
Cardiopulmonary Bypass
Heparin
Patient Harm
Blood Coagulation Factors

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Extreme Plasma Dilution Decreases Heparin and Protamine Cardiopulmonary Bypass Requirements : A Case Report on a Jehovah's Witness Patient. / Chang, Emilie; Gatling, Jason W.; Bode, Scott; Herrmann, Paul C.; Bull, Brian S.; Applegate, Richard Lee.

In: A & A case reports, Vol. 8, No. 11, 01.06.2017, p. 291-293.

Research output: Contribution to journalArticle

Chang, Emilie ; Gatling, Jason W. ; Bode, Scott ; Herrmann, Paul C. ; Bull, Brian S. ; Applegate, Richard Lee. / Extreme Plasma Dilution Decreases Heparin and Protamine Cardiopulmonary Bypass Requirements : A Case Report on a Jehovah's Witness Patient. In: A & A case reports. 2017 ; Vol. 8, No. 11. pp. 291-293.
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