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TRANSFUSION REACTIONS AND THEIR TREATMENT, ESPECIALLY WITH THE ARTIFICIAL KIDNEY

TRANSFUSION REACTIONS AND THEIR TREATMENT, ESPECIALLY WITH THE ARTIFICIAL KIDNEY Transfusions of incompatible blood caused severe reactions in 16 patients; 13 cases are described. The usual course consisted of three successive periods referred to as the acute, the oliguric, and the diuretic phases. In the acute phase many of the characteristic symptoms may be masked by anesthesia; watchfulness is therefore necessary, and recognition of symptoms has to be followed at once by cessation of the transfusion and treatment for shock. In the oliguric phase it was necessary to be on guard against overhydration, edema, hypertension, hyperpotassemia, acidosis, uremia, and infection (especially bronchopneumonia). Twelve of the patients in this series were treated with an artificial kidney and nine recovered. In six of them recovery would have been very difficult or impossible without the hemodialysis. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

TRANSFUSION REACTIONS AND THEIR TREATMENT, ESPECIALLY WITH THE ARTIFICIAL KIDNEY

JAMA , Volume 169 (17) – Apr 25, 1959

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Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1959.03000340001001
Publisher site
See Article on Publisher Site

Abstract

Transfusions of incompatible blood caused severe reactions in 16 patients; 13 cases are described. The usual course consisted of three successive periods referred to as the acute, the oliguric, and the diuretic phases. In the acute phase many of the characteristic symptoms may be masked by anesthesia; watchfulness is therefore necessary, and recognition of symptoms has to be followed at once by cessation of the transfusion and treatment for shock. In the oliguric phase it was necessary to be on guard against overhydration, edema, hypertension, hyperpotassemia, acidosis, uremia, and infection (especially bronchopneumonia). Twelve of the patients in this series were treated with an artificial kidney and nine recovered. In six of them recovery would have been very difficult or impossible without the hemodialysis.

Journal

JAMAAmerican Medical Association

Published: Apr 25, 1959

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