Oron Liron, Bruchim Yaron, Klainbart Sigal, Kelmer Efrat
Department of Small Animal Emergency and Critical Care, Hebrew University Veterinary Teaching Hospital, Koret School of Veterinary Medicine, The Hebrew University of Jerusalem, Rehovot, 761001, Israel.
J Vet Emerg Crit Care (San Antonio). 2017 Mar;27(2):218-223. doi: 10.1111/vec.12565. Epub 2017 Jan 10.
To describe the use of an ultrasound-guided intracardiac xenotransfusion of canine packed red blood cells (pRBC) to the left ventricle of a severely anemic cat during cardiopulmonary resuscitation (CPR).
An 8-year-old previously healthy neutered female cat was presented with severe weakness after she had disappeared for 1 month. On presentation, the cat was in hypovolemic shock, laterally recumbent, and severely anemic with massive flea infestation. Within minutes of admission, the cat became agonal and suffered cardiopulmonary arrest. CPR was immediately initiated; however, attempts to gain IV access during CPR were unsuccessful. As the cat's blood type was yet unknown, 10 mL of canine pRBC was transfused directly into the left ventricular chamber using ultrasound guidance, as well as 0.02 mg/kg of epinephrine using a similar technique. The cat regained cardiac activity and once the jugular vein was cannulated it received 20 additional mL of canine pRBC intravenously. The packed cell volume and total plasma protein following the intracardiac transfusion were 0.09 L/L [9%] and 30 g/L [3.0 g/dL], respectively. Subsequent blood typing revealed the cat had type B blood. The cat was discharged 3 days post-CPR and was alive and doing well 3 months following discharge.
This is the first reported case of ultrasound-guided intracardiac canine-to-feline xenotransfusion during CPR.
描述在心肺复苏（CPR）期间，对一只严重贫血的猫的左心室进行超声引导下犬浓缩红细胞（pRBC）的心内异种输血。
一只8岁、此前健康的绝育雌性猫在失踪1个月后出现严重虚弱。就诊时，该猫处于低血容量性休克，侧卧，严重贫血且有大量跳蚤感染。入院后几分钟，猫进入濒死状态并发生心肺骤停。立即开始进行心肺复苏；然而，在心肺复苏期间建立静脉通路的尝试未成功。由于猫的血型尚不清楚，在超声引导下将10 mL犬pRBC直接输注到左心室腔，并使用类似技术给予0.02 mg/kg肾上腺素。猫恢复了心脏活动，一旦颈静脉插管成功，又静脉输注了20 mL犬pRBC。心内输血后的血细胞比容和总血浆蛋白分别为0.09 L/L [9%]和30 g/L [3.0 g/dL]。随后的血型鉴定显示该猫为B型血。猫在心肺复苏后3天出院，出院后3个月存活且状况良好。
这是首例关于心肺复苏期间超声引导下犬到猫的心内异种输血的报道病例。
