Exchange transfusion using washed red blood cells reconstituted with fresh-frozen plasma for treatment of severe hyperkalemia in the neonate

Emmalee S. Setzer, Farida Ahmed, Ronald N. Goldberg, Robert L. Hellman, Pedro Moscoso, Pedro L. Ferrer, Thomas A. Noto

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

In conclusion, we have demonstrated an effective method for the treatment of severe hyperkalemia in the neonate, using exchange transfusion with blood units prepared by washing stored red blood cells with saline and reconstituting them with blood-group specific or compatible fresh-frozen plasma. No further therapy may be required if the underlying cause of the hyperkalemia can be discerned and corrected. If not, exchange transfusion may be useful as an emergency measure in anticipation of more prolonged management with a cation exchange resin and dialysis.

Original languageEnglish (US)
Pages (from-to)443-445
Number of pages3
JournalThe Journal of Pediatrics
Volume104
Issue number3
DOIs
StatePublished - Mar 1984

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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