; Investigation of possible causes of massive hemolysis occurring at Toronto Western Hospital
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Investigation of possible causes of massive hemolysis occurring at Toronto Western Hospital

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Possible contamination of the dialysate entering the single patient stations The function of this single patient station is to conduct the dialysate through the dialyzer and down the drain. Damage of red cells from incorrect positioning of arterial fistula needles Hemolysis caused by trauma to red cells generated by high negative pressure of malpositioned fistula needles has been described. Visible particulate matter was seen in the bloodlines and identified as chips of wood, pieces of blue paint, black particulates and a number of unidentified chemicals.

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