Indian Journal of Anaesthesia  
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CASE REPORT
Year : 2008  |  Volume : 52  |  Issue : 5  |  Page : 562

Extreme Haemodilution to Haemoglobin of 1.2 gm.dl-1 due to Severe Blood Loss in Liver Transplantation


1 Consultants, Department of Anaesthesiology, Jaslok Hospital and Research Centre, 15 G Deshmukh Marg, Mumbai - 400 026, India
2 DNB Registrars, Department of Anaesthesiology, Jaslok Hospital and Research Centre, 15 G Deshmukh Marg, Mumbai - 400 026, India

Correspondence Address:
Jyotsna Goswami
1401, B Phoenix Towers, S.B.Marg, Lower Parel, Mumbai -400 013
India
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Source of Support: None, Conflict of Interest: None


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We report a case of a 50-year-old man, a known case of hepatitis C virus cirrhosis, who was presented for cadaveric orthotopic liver transplantation. There was severe intraoperative haemorrhage requiring massive transfusion of blood and blood products. During anhepatic phase the supply of our blood bank got exhausted. So we had to replace the ongoing blood loss with volume-expanders for approximately one hour. Patient tolerated haemodilution intraoperatively to the extent of haemoglobin 1.2 g.dl. -1


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