Successful Intraoperative Management to Minimize Blood Loss Using the Combination of Tranexamic Acid and Hemocoagulase for Jehovah’s Witnesses Patient with Liver Cirrhosis

Yoo, Jae Hwa; Kim, Geon Tae; Oh, Hong Chul

doi:2020.26.2.119

Soonchunhyang Med Sci > Volume 26(2); 2020 > Article

Case Report

Soonchunhyang Medical Science 2020;26(2): 119-122. doi: https://doi.org/10.15746/sms.20.029

간경화를 가지고 있는 여호와의 증인 환자의 수술 중 실혈관리를 위한 Tranexamic Acid와 Hemocoagulase의 동반 사용 예

유재화¹, 김건태¹, 오홍철²

¹순천향대학교 서울병원 마취통증의학과
²순천향대학교 서울병원 흉부외과

Successful Intraoperative Management to Minimize Blood Loss Using the Combination of Tranexamic Acid and Hemocoagulase for Jehovah’s Witnesses Patient with Liver Cirrhosis

Jae Hwa Yoo¹, Geon Tae Kim¹, Hong Chul Oh²

¹Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea
²Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Seoul Hospital, Seoul, Korea

Corresponding Author: Jae Hwa Yoo ,Tel: +82-2-709-9302, Fax: +82-2-790-0394, Email: lenael5719@gmail.com; 89523@schmc.ac.kr

Received: October 11, 2020; Accepted: October 29, 2020.

ABSTRACT

A 78-year-old Jehovah’s Witnesses women with hepatitis B viral liver cirrhosis scored as Child-Pugh A was scheduled for debulking operation of peritoneal carcinomatosis due to right ovarian cancer. Despite the need for preoperative strategies for correction of anemia and coagulopathy due to the risk of significant intraoperative hemorrhage, preoperative management was missing. In addition, she exhibited preoperative hemoglobin, hematocrit levels, and platelet count of 10.5 g/dL, 33.6%, and 85,000/μL, respectively. To minimize intraoperative blood loss, we used the combination of tranexamic acid and hemocoagulase, intraoperative blood loss counted about 700 mL, and the immediate postoperative hemoglobin was 9.0 g/dL. She recovered well without any anemic complications or thromboembolic events.

Key words: Hemocoagulase; Jehovah’s Witnesses; Tranexamic acid