• Paediatric anaesthesia · Sep 2003

    Case Reports

    Use of erythropoietin for bloodless surgery in a Jehovah's witness infant.

    • A Pérez-Ferrer, J De Vicente, E Gredilla, M I García-Vega, P Bourgeois, and L J Goldman.
    • The Department of Paediatric Anaesthesiology, La Paz Children's University Hospital, Madrid, Spain. a.perezf@teleline.es
    • Paediatr Anaesth. 2003 Sep 1; 13 (7): 633-6.

    AbstractWe present a case of surgery in a 2-month-old infant of the Jehovah's Witness (JW) faith weighing 2.8 kg scheduled for left upper lobectomy because of congenital lobar emphysema. He presented with physiological anaemia (haematocrit 33.8%) in accordance with his age. Because of the relative emergency of surgery, a short erythropoietin course was instituted. Recombinant human erythropoietin (rHuEPO) at a dosage of 180 U x kg-1x day-1 was administered for 10 days preoperatively and for 4 days postoperatively. Iron was administered orally and intravenously over the entire perioperative period. No side-effects from either erythropoietin or intravenously administered iron were observed. To our knowledge, this is the first case published of a short perioperative rHuEPO course in an infant.

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