Publications by authors named "H Tint"
Background: Patients with acquired hemophilia A (AHA) who require open heart surgery have a life-threatening risk of hemorrhage. Limited data exist to guide perioperative management of these patients.
Case Presentation: A 53-year-old female with rheumatoid arthritis, concomitant aortic valve endocarditis, and severe aortic regurgitation presented to our hospital.
Background: Respiratory failure (RF) is a common cause of death and morbid complication in trauma patients. Extracorporeal membrane oxygenation (ECMO) is increasingly used in adults with RF refractory to invasive mechanical ventilation. However, use of ECMO remains limited for this patient population as they often have contraindications for anticoagulation.
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- A case is reported of a premature newborn girl who developed severe jaundice and was treated with veno-arterial extracorporeal membrane oxygenation (VA-ECMO) due to pneumonia caused by respiratory syncytial virus.
- During her treatment, therapeutic plasma exchange (TPE) was adjusted for her small body weight to effectively manage rising bilirubin levels and prevent neurological damage.
- Three successful TPE procedures were carried out, leading to stabilization of her bilirubin levels, suggesting that TPE can be safely performed in neonates on ECMO, although alternative methods like manual exchange transfusion are preferred without ECMO due to safety concerns.
Background: The action of bacterial neuraminidase of (SPN) results in exposure of the normally "hidden" Thomsen-Freidenreich antigen (T-antigen) found on erythrocytes and other tissues. This may lead to SPN-induced hemolytic uremic syndrome (pHUS) with subsequent hemolysis and end organ damage. pHUS can be identified by minor crossmatch incompatibility.
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- Chronic therapeutic plasma exchange (TPE) may lead to unknown effects on iron status, especially iron deficiency anemia (IDA).
- A study reviewed patients undergoing TPE from 2011-2016, focusing on serum iron levels and iron saturation.
- Results showed that 60% of the patients developed IDA, suggesting that chronic TPE, particularly with other risk factors, heightens the risk of iron deficiency.