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2-Year-old Baby With Complex Heart Deformity Undergoes Major Open Heart Surgery at Wockhardt Hospitals, Bangalore - (now a Network Hospital of Fortis) Without any Blood Transfusion
Date:1/19/2010

-person">Baby Brendan we obviously chose the second option due to its curative value. But the problem we faced was that the heart lung machine requires 500 ml of blood by itself to drive away the air and still haemoglobin at acceptable level. The challenge was with the baby weighed only 11 kgs and his blood volume was 800 - 900 ml and to conduct an open heart proved difficult without additional usage of blood" said Dr. Devananda.

The team devised many things technically to make operative time shorter and do the best possible ways so that re-operation or re-exploration can be avoided and the ICU stay is reduced. The heart lung machine circuit was modified in such a way that total priming volume was reduced to the least possible; the haemo-filteration technique was used in such a way that excess water from the body is removed and it gives back the RBC's to the body. We also had to reduce the sampling to the least possible for various tests.

"We did everything technically possible to reduce the requirement of blood. With all these modifications the baby underwent the open heart surgery and was out of ICU within 24 hours and is flying back to his native on the 7th post operative day. In an era where a lot of talking is happening around blood transfusion and adults have been undergoing surgery without blood transfusion, the same thing on a child is quite complicated. However with technical modification and surgical skills it is definitely possible and should be encouraged so that no child from the community remains untreated" said Dr. Devananda.

Brendan can live an active life like any other child of his age as this is a one time complete correction and his post op ECHO is satisfactory.

Brendan's mother Ettieh's faith in Jehovah has strengthened after this incident. She says, "Everybody should give proper attention to their child and keep monitoring the health of the baby time and again. Till
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SOURCE Wockhardt Hospitals Bangalore (Now a Network Hospital of Fortis)
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