Recombinant factor VII (rFVII) can be useful for massive hemorrhage during radical nephrectomy

  • admin admin
  • Dr. Shirjeel Chaudhry
Keywords: Nephrectomy; Recombinant FVIIa; Hemorrhage; Blood loss; Massive blood transfusion; Disseminated intravascular coagulation

Abstract

Radical nephrectomy for renal tumors can be associated with serious complications, e.g. massive bleeding or even table deaths. Various regimens like normovolemic hemodilution, autologous transfusion, hypotensive anesthesia, etc have beenusedin anticipation of hemorrhage in these operations. In our case there was not only massive hemorrhage but also a failure to clot and disseminated intravascular coagulation. All the routine regimens failed to stop bleeding and the generalized ooze. Recombinant Factor VII (rFVIIa) was used and it saved the day!

Published
05-20-2019
How to Cite
admin, admin, & Chaudhry, D. S. (2019). Recombinant factor VII (rFVII) can be useful for massive hemorrhage during radical nephrectomy. Anaesthesia, Pain & Intensive Care. Retrieved from https://apicareonline.com/index.php/APIC/article/view/685
Section
Case Reports