Effective management of acute hemorrhage using an SL One® rapid infusion device in a pediatric patient undergoing nephrectomy for Wilms tumor with inferior vena cava extension: a case report
Abstract Background Wilms tumor is the most common pediatric renal tumor. Tumor extension into the inferior vena cava (IVC) can increase hemorrhage risk during surgical resection, necessitating rapid transfusion. Pediatric patients have lower circulating blood volume, heightening their susceptibilit...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2025-05-01
|
| Series: | JA Clinical Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40981-025-00788-7 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850190825708847104 |
|---|---|
| author | Shoko Fujioka Yusuke Miyazaki Hinako Furuya Chika Miyazaki Nobuyuki Katori Yoshie Taniguchi |
| author_facet | Shoko Fujioka Yusuke Miyazaki Hinako Furuya Chika Miyazaki Nobuyuki Katori Yoshie Taniguchi |
| author_sort | Shoko Fujioka |
| collection | DOAJ |
| description | Abstract Background Wilms tumor is the most common pediatric renal tumor. Tumor extension into the inferior vena cava (IVC) can increase hemorrhage risk during surgical resection, necessitating rapid transfusion. Pediatric patients have lower circulating blood volume, heightening their susceptibility to hemodynamic instability. Case presentation A 2-year-old boy with an IVC-extending Wilms tumor underwent nephrectomy. Anticipating hemorrhage, we employed an SL One® rapid infusion device via a Broviac™ central venous catheter. During a sudden, high-volume bleeding, transfusion was initiated at 23 mL/min and intermittently increased to 150 mL/min while preload was evaluated using transesophageal echocardiography, rapidly stabilizing hemodynamics. No rapid-transfusion-related complications, such as hyperkalemia or hypothermia, were observed, and the postoperative course was uneventful. Conclusions In this pediatric case at high risk for acute blood loss, the SL One® provided effective circulatory stabilization without adverse events. Further studies are needed to validate the safety of the SL One® in pediatric patients. |
| format | Article |
| id | doaj-art-ba7605af8fd24430b09bd94a3fdaae54 |
| institution | OA Journals |
| issn | 2363-9024 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj-art-ba7605af8fd24430b09bd94a3fdaae542025-08-20T02:15:08ZengSpringerOpenJA Clinical Reports2363-90242025-05-011111510.1186/s40981-025-00788-7Effective management of acute hemorrhage using an SL One® rapid infusion device in a pediatric patient undergoing nephrectomy for Wilms tumor with inferior vena cava extension: a case reportShoko Fujioka0Yusuke Miyazaki1Hinako Furuya2Chika Miyazaki3Nobuyuki Katori4Yoshie Taniguchi5Department of Anesthesiology, The Jikei University School of MedicineDepartment of Anesthesiology, The Jikei University School of MedicineDepartment of Anesthesiology, The Jikei University School of MedicineDepartment of Anesthesiology, The Jikei University School of MedicineDepartment of Anesthesiology, The Jikei University School of MedicineDepartment of Anesthesiology, The Jikei University School of MedicineAbstract Background Wilms tumor is the most common pediatric renal tumor. Tumor extension into the inferior vena cava (IVC) can increase hemorrhage risk during surgical resection, necessitating rapid transfusion. Pediatric patients have lower circulating blood volume, heightening their susceptibility to hemodynamic instability. Case presentation A 2-year-old boy with an IVC-extending Wilms tumor underwent nephrectomy. Anticipating hemorrhage, we employed an SL One® rapid infusion device via a Broviac™ central venous catheter. During a sudden, high-volume bleeding, transfusion was initiated at 23 mL/min and intermittently increased to 150 mL/min while preload was evaluated using transesophageal echocardiography, rapidly stabilizing hemodynamics. No rapid-transfusion-related complications, such as hyperkalemia or hypothermia, were observed, and the postoperative course was uneventful. Conclusions In this pediatric case at high risk for acute blood loss, the SL One® provided effective circulatory stabilization without adverse events. Further studies are needed to validate the safety of the SL One® in pediatric patients.https://doi.org/10.1186/s40981-025-00788-7SL One®Rapid infusion deviceHemorrhageChildWilms tumor |
| spellingShingle | Shoko Fujioka Yusuke Miyazaki Hinako Furuya Chika Miyazaki Nobuyuki Katori Yoshie Taniguchi Effective management of acute hemorrhage using an SL One® rapid infusion device in a pediatric patient undergoing nephrectomy for Wilms tumor with inferior vena cava extension: a case report JA Clinical Reports SL One® Rapid infusion device Hemorrhage Child Wilms tumor |
| title | Effective management of acute hemorrhage using an SL One® rapid infusion device in a pediatric patient undergoing nephrectomy for Wilms tumor with inferior vena cava extension: a case report |
| title_full | Effective management of acute hemorrhage using an SL One® rapid infusion device in a pediatric patient undergoing nephrectomy for Wilms tumor with inferior vena cava extension: a case report |
| title_fullStr | Effective management of acute hemorrhage using an SL One® rapid infusion device in a pediatric patient undergoing nephrectomy for Wilms tumor with inferior vena cava extension: a case report |
| title_full_unstemmed | Effective management of acute hemorrhage using an SL One® rapid infusion device in a pediatric patient undergoing nephrectomy for Wilms tumor with inferior vena cava extension: a case report |
| title_short | Effective management of acute hemorrhage using an SL One® rapid infusion device in a pediatric patient undergoing nephrectomy for Wilms tumor with inferior vena cava extension: a case report |
| title_sort | effective management of acute hemorrhage using an sl one r rapid infusion device in a pediatric patient undergoing nephrectomy for wilms tumor with inferior vena cava extension a case report |
| topic | SL One® Rapid infusion device Hemorrhage Child Wilms tumor |
| url | https://doi.org/10.1186/s40981-025-00788-7 |
| work_keys_str_mv | AT shokofujioka effectivemanagementofacutehemorrhageusinganslonerapidinfusiondeviceinapediatricpatientundergoingnephrectomyforwilmstumorwithinferiorvenacavaextensionacasereport AT yusukemiyazaki effectivemanagementofacutehemorrhageusinganslonerapidinfusiondeviceinapediatricpatientundergoingnephrectomyforwilmstumorwithinferiorvenacavaextensionacasereport AT hinakofuruya effectivemanagementofacutehemorrhageusinganslonerapidinfusiondeviceinapediatricpatientundergoingnephrectomyforwilmstumorwithinferiorvenacavaextensionacasereport AT chikamiyazaki effectivemanagementofacutehemorrhageusinganslonerapidinfusiondeviceinapediatricpatientundergoingnephrectomyforwilmstumorwithinferiorvenacavaextensionacasereport AT nobuyukikatori effectivemanagementofacutehemorrhageusinganslonerapidinfusiondeviceinapediatricpatientundergoingnephrectomyforwilmstumorwithinferiorvenacavaextensionacasereport AT yoshietaniguchi effectivemanagementofacutehemorrhageusinganslonerapidinfusiondeviceinapediatricpatientundergoingnephrectomyforwilmstumorwithinferiorvenacavaextensionacasereport |