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Anesthesia and analgesia · Sep 2019
Case Reports Multicenter Study Observational StudyProfound Intraoperative Hypotension Associated With Transfusion via the Belmont Fluid Management System.
- Joanna Miller, Sang Kim, Dieter Adelmann, Bryan Hill, Nicolette Schlichting, Natalie Smith, Samuel DeMaria, and Jeron Zerillo.
- From the Mount Sinai Hospital, New York, New York.
- Anesth. Analg. 2019 Sep 1; 129 (3): e77e82e77-e82.
AbstractThis retrospective observational case series conducted at 2 large academic centers over a 4-year period consists of 15 cases of profound hypotension in surgical patients immediately after initiation of the Belmont Fluid Management System for rapid transfusion of blood products. Halting the infusion and administering vasoactive agents led to resolution of hypotension. Repeat transfusion with the Belmont system resulted in repeat hypotension unless counteracted with vasopressors. No etiology was elucidated. This represents the largest documented association of acute hypotensive transfusion reaction with any rapid infusion system in surgical patients.
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