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Life-Threatening Transfusion Reaction in Postoperative Total Knee Arthroplasty: A Unique Case and Comprehensive Insights.
Gohil, Kushal; Gawhale, Sangeet; Ghag, Niranjan Sunil; Chavan, Karthik Subhas; Surjuse, Abhay Sudam.
Afiliación
  • Gohil K; Department of Orthopedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India.
  • Gawhale S; Department of Orthopedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India.
  • Ghag NS; Department of Orthopedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India.
  • Chavan KS; Department of Orthopedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India.
  • Surjuse AS; Department of Orthopedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India.
J Orthop Case Rep ; 14(9): 173-177, 2024 Sep.
Article en En | MEDLINE | ID: mdl-39253651
ABSTRACT

Introduction:

Blood transfusions are essential for managing blood loss in surgical patients but can lead to life-threatening reactions. This report presents a severe transfusion reaction in a postoperative total knee arthroplasty (TKA) patient, emphasizing the need for vigilant monitoring and timely intervention. Case Report A 70-year-old male with a history of bilateral knee pain underwent right-sided TKA. Preoperative evaluations were normal. Post-surgery, significant blood loss led to a one-pint packed red blood cell transfusion. The patient developed fever, chills, palpitations, and rapid breathing, indicating a transfusion reaction. Despite immediate treatment, the patient's condition deteriorated, requiring ICU admission. Complications included acute kidney injury (AKI), metabolic acidosis, thrombocytopenia, pleural effusion, and aspiration pneumonitis. Multiple organ dysfunction syndrome (MODS) developed, necessitating hemodialysis. Despite comprehensive care, the patient passed away.

Conclusion:

This case highlights the critical need for rigorous pre-transfusion screening, vigilant monitoring, and immediate intervention in managing severe transfusion reactions in postoperative TKA patients. Comprehensive patient care strategies are essential to mitigate the multifocal complications associated with transfusion reactions. Additional research is needed to understand and prevent such life-threatening reactions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Orthop Case Rep Año: 2024 Tipo del documento: Article País de afiliación: India Pais de publicación: India
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Orthop Case Rep Año: 2024 Tipo del documento: Article País de afiliación: India Pais de publicación: India