Abstract

Blood loss is usually replaced with crystalloid or colloid solutions until a predetermined minimal hematocrit is reached. But in severe blood loss, blood transfusion is indicated for maintenance of oxygen-carrying capacity, coagulation factors and intravascular volume. Jehovah's witness patients refuse blood transfusion, but some patients with rare blood type may even not have the chance of blood transfusion. Commonly utilized and effective alternatives to blood transfusion are acute hemodilution, autotransfusion and other blood salvage techniques. We report a case of successful anesthetic management in patient of hemorrhagic shock with rare blood type (Rh-, AB type) without blood trasfusion.

• Keywords: Blood;hemodilution;Rh-;AB type;Shock;hemorrhagic;