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Related Experiment Videos

Over-transfusion ascites.

J Eldor1, O Olsha, A Farkas

  • 1Department of Anesthesiology, Shaare Zedek Medical Center, Jerusalem, Israel.

Resuscitation
|April 1, 1991
PubMed
Summary
This summary is machine-generated.

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Massive fluid resuscitation in a pediatric trauma patient led to over-transfusion ascites and pulmonary edema. Prompt recognition and management resolved these critical complications, highlighting careful fluid balance importance in pediatric critical care.

Area of Science:

  • Pediatric Critical Care
  • Trauma Surgery
  • Fluid Management

Background:

  • A 12-year-old female sustained severe leg fractures from a traffic accident.
  • Intraoperative fluid resuscitation included 10L lactated Ringer's, 3L 0.9% NaCl, and 2L 5% glucose due to transfusion challenges.

Observation:

  • Postoperatively, the patient developed abdominal distension and ascites.
  • Diagnostic imaging ruled out urinary tract leakage as a cause.

Findings:

  • The patient's hemoglobin dropped to 4.9 g%, indicating significant blood loss or hemodilution.
  • Over-transfusion ascites and pulmonary edema were diagnosed as complications of aggressive fluid administration.

Implications:

  • This case underscores the risk of fluid overload in pediatric trauma patients receiving massive resuscitation.

Related Experiment Videos

  • Effective management in the Intensive Care Unit (ICU) led to resolution of ascites and pulmonary edema.
  • Close monitoring of fluid balance and early recognition of complications are crucial in managing pediatric trauma patients.