Exchange Transfusion

Indications

  • Arsine Intoxication (see Arsine, [[Arsine]])
    • Clinical: massive hemolysis
  • Methemoglobinemia (see Methemoglobinemia, [[Methemoglobinemia]])
  • Neonatal Drug Toxicity
  • Sickle Cell Disease with Crisis (see Sickle Cell Disease, [[Sickle Cell Disease]])
    • Physiology: xxx
  • Sodium Chlorate Intoxication (see Sodium Chlorate, [[Sodium Chlorate]])
    • Clinical: massive hemolysis
  • Sulfhemoglobinemia (see Sulfhemoglobinemia, [[Sulfhemoglobinemia]])
    • Epidemiology: due to hydrogen sulfide exposure (see Hydrogen Sulfide Gas, [[Hydrogen Sulfide Gas]])

Technique

  • Removal of Blood and Replacement with Identical Quantity of Whole Blood
    • Process is Usually Repeated 2-3x

Complications/Adverse Effects

Hematologic Complications/Adverse Effects

  • Transfusion Reaction

Other Complications/Adverse Effects


References

  • xxxx