Lets focus on the Type B reaction. This is much less common.
Few take home points
1. Can be seen with the new cellulosic membranes
2. Usually can occur hours into dialysis, doesn't follow the Type A rule of in first 5-10 minutes
3. Can cause hypotension, SOB, back pain and sometimes anaphylaxis
4. Its a complement induced process rather than an ethylene oxide antibody reaction as in type A
5. Can lead to neutropenia
6. Eventually improves as dialysis continues
7. The syndrome is usually prevent by the reuse of the dialyzer which then will reduce the complement levels.
No comments:
Post a Comment