ABDURRAHİM DERBENT, Kubilay DEMİRAĞ, Elvin KURDOĞLU

Masif kanamada yüksek volümde kolloid kullanımı (Olgu sunumu)

Arteriyovenöz malformasyon ve frontal kitle nedeniyle kranyotomi operasyonuna alnan, intraoperatif kanama nedeniyle yüksek volümde kolloid uygulanan iki erişkin olgu sunuldu. Olgularda, operasyonun başlangıcından sonra ilk olguda 3. saatte, ikinci olguda 90.dk'da ani olarak gelişen aşırı miktarda cerrahi kanama gözlendi. Yeterli miktarda kan temin edilene kadar hemodinamik stabilitenin sağlanması amacıyla kan transfüzyonuna ek olarak birinci olguda 3500 mL, ikinci olguda 4000 mL jelatin solüsyonu infüze edildi. Postoperatif dönemde yapılan koagülasyon testlerinde herhangi bir anormallik gözlenmedi. Sonuç olarak beklenmeyen intraoperatif masif bir hemoraji gerçekleştiğinde, kan transfüzyonu uygulanıncaya kadar, rutin koagülasyon testleri etkilenmediğinden jelatin solüsyonunun yüksek volümlerde kullanılabileceği kanısına varıldı.

Anahtar Kelimeler:

Arteriyovenöz malformasyonlar, Kraniyotomi, Kanama

Large amount of colloid solution infusion during massive bleeding (Case report)

Two adult patients undergoing craniotomy operation with diagnosis of arteriovenous malformation and frontal tumor are presented. We observed sudden and aboundant surgical hemorrhage 3 hours and 90 min after the beginning of the operation in case 1 and case 2 respectively. In order to stabilize patients hemodynamically, until obtaining enough amount of blood products, in addition to blood transfusion 3500 mL of gelatin solution was infused in case 1 and 4000 mL in case 2. We did not observe any abnormality in coagulation tests performed in the postoperative period. We concluded that, when an unexpected intraoperative massive hemorrhage is encountered, it might be preferred to use high amounts of gelatin solution infusion since it did not impair the routine coagulation tests.

Keywords:

Arteriovenous Malformations, Craniotomy, Hemorrhage,

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