The Use of Recombinant Activated Factor VII to Control Bleeding in a Preterm Infant Undergoing Exploratory Laparotomy
2002; American Academy of Pediatrics; Volume: 110; Issue: 1 Linguagem: Inglês
10.1542/peds.110.1.169
ISSN1098-4275
AutoresAmpaiwan Chuansumrit, Pracha Nuntnarumit, Chusak Okascharoen, Sumete Teeraratkul, Saranya Suwansingh, Sarayut Supapannachart,
Tópico(s)Blood Coagulation and Thrombosis Mechanisms
ResumoThe case of a preterm infant weighing 1120 g who successfully received recombinant activated factor VII (rFVIIa) without complication for control of a life-threatening bleeding event resulting from a ruptured umbilical artery is reported. After performing an exploratory laparotomy at 27 hours of age, hemorrhage from the surgical wound and various sites persisted. By 63 hours of age, the infant had received a total of 192 mL (171 mL/kg) of packed red blood cells, 115 mL (103 mL/kg) of fresh frozen plasma, 8 mL of cryoprecipitate, and 75 mL (67 mL/kg) of platelet concentrate without stabilization. Hemorrhage ceased after 2 doses of 40 μg/kg/dose recombinant activated factor VII given at 63 and 70 hours of age, with subsequent stabilization of the hematocrit and without need for additional transfusion therapy.
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