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.
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health