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Keywords:

  • hemorrhage;
  • transfusion;
  • anemia;
  • shock;
  • resuscitation;
  • neonatal resuscitation program

Poster Presentation

  1. Top of page
  2. Poster Presentation

Background

The need for volume resuscitation during neonatal resuscitation is an infrequent occurrence that has recently undergone examination. Volume replacement in the face of hemorrhage or suspected blood loss remains a viable course of action. Anemia can be worsened by large infusions of saline, which dilutes oxygen carrying capacity and leads to tissue hypoxia.

Case

Baby Y was born by Cesarean for fetal indication at 37.5 weeks gestation. He was exceedingly pale and shocky appearing at birth. He was volume resuscitated with saline, eventually received blood but arrested at 1 hour of age.

Conclusion

Delay in recognition of blood loss and timely administration of blood could be avoided by developing a protocol for early release of emergency uncross-matched O-negative blood.