Articles  |   April 2013
AQI Case Report
Article Information
Central and Peripheral Nervous Systems / Coagulation and Transfusion / Endocrine and Metabolic Systems / Hematologic System / Neurosurgical Anesthesia / Pharmacology / Radiological and Other Imaging / Regional Anesthesia / Renal and Urinary Systems / Electrolyte Balance / Technology / Equipment / Monitoring / Trauma / Burn Care / Articles
Articles   |   April 2013
AQI Case Report
ASA Monitor 04 2013, Vol.77, 30-32.
ASA Monitor 04 2013, Vol.77, 30-32.
Detailed review of unusual cases is a cornerstone of anesthesiology education. Each month, the AQI-AIRS Steering Committee will abstract a case and provide a detailed discussion based on a submission to the national Anesthesia Incident Reporting System. Feedback regarding this item can be sent by email to r.dutton@asahq.org. Report incidents to www.aqiairs.org.
A 12-year-old girl presented for spinal fusion. Past history was significant for thrombocytopenia, but otherwise unremarkable. A hematology consultant recommended perioperative infusion of aminocaproic acid, which was obtained from the pharmacy while preparing the operating room. Following uneventful induction of general anesthesia and placement of a left radial arterial line, the provider could not find the aminocaproic acid infusion bag and requested another. The surgical procedure was uneventful, and the aminocaproic acid was administered by intravenous bolus and subsequent infusion as planned. Blood loss for the procedure was within expected limits.
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