Open AccessUse of Recombinant Factor VIIa in Gastrointestinal Bleeding in Children with Malignancies: A Case Series
Author(s) -
Jan Hau Lee,
Heng Joo Ng,
Mei Yoke Chan
Publication year - 2010
Publication title -
proceedings of singapore healthcare
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
eISSN - 2059-2329
pISSN - 2010-1058
DOI - 10.1177/201010581001900211
Subject(s) - medicine , recombinant factor viia , coagulopathy , factor viia , gastrointestinal bleeding , blood product , factor vii , surgery , anesthesia , coagulation , tissue factor
Recombinant factor VIIa (rFVIIa) may be useful in management of severe bleeding in paediatric oncology patients. We described our experience and outcomes in a form of a case series. In all cases, indication was massive gastrointestinal bleeding with haemodynamic instability, persistent thrombocytopenia and coagulopathy despite correction. The range of doses used was 88–102 mcg/kg/dose. Each patient received at least 3 doses. The use of rFVIIa resulted in a reduction in blood product support requirement. rFVIIa was effective in 2 out of 3 patients in stopping the bleeding. There were no drug-related complications. rFVIIa has a critical role to play in the early management of severe bleeding in critically ill paediatric oncology patients.