Introduction: Mismatched-blood transfusions in the ABO-system may lead to severe of complications such as intravascular hemolysis.
Case report: A 49-year-old man suffering from a right lower limb injury due to accident was admitted to hospital. Vital signs were normal. X-ray showed a femoral neck fracture. Before surgery, all of lab tests were in normal values and B+ blood- group was reported. During surgery and due to blood loss, the patient underwent blood transfusion. At the end of transfusion, a mismatched blood bag was observed. The patient had received about 400 cc mismatched-blood. Transfusion was promptly terminated and the patient received extensive IV fluids in addition to a single dose of furosemide. The patient had stable status without signs of overt hemolysis. After 3 days stay at intensive care unit, he was transferred to the ward with a stable status.
Conclusion: In spite of mismatched blood transfusion, the patient did not experience severe adverse events. To prevent this problem, different steps of blood transfusion should be checked by anesthesiologist
Salarian S, Shafigh N, Sistanizad M, Talebi Kiasari F, Bagheri B. A case report of heterogeneous blood transfusion in the operating room. Koomesh 1399; 23 (1) :180-182 URL: http://koomeshjournal.semums.ac.ir/article-1-6100-en.html