We have experienced a case of incompatible blood transfusion during general anesthesia in which 300㎖ of improperly typed blood were tranfused. Upon discovery of the error, the tranfusion was discontinued and the patient was immediately, carefully and aggressively treated with proper fresh blood, plasma expander(Rheomacrdex-D), fluids(Hartmann´s solution and 10% dextrose in water) and drugs (Solu-Cortef 300 ㎎, furosemide 400 ㎎, 20% manitol 500 ㎖, digoxine 0.5 ㎎, morphine 15 ㎎). The free hemoglobin in the plasma and urine and blood gas of the femoral or radial artery were monitored throughout the resuscitative procedure.
It is felt that accidental incompatible blood transfusion of more than 300 ㎖ should be preventable and that the patient´s life may be saved without serious complications with immediate and proper management.
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