[HSF] More Bad News About Trasylol

[prasannasimha]

Hal, what if the patients signs a statement that he knows that Aprotinin 
is going to be used and is aware of the risks and consequences (and 
benefits) of using it.
Coincidentally we also have to factor in that every transfusion unit 
enhances total morbidity and mortality by 7 % according to the data from 
Cleveland clinic.
Prasanna

Hgrmd at aol.com wrote:
> Chand,
>   How can you still persist in using the product when you know that it  has a 
> distinctly higher risk of complications, particularly ATN?  The  last time I 
> used it was in an 85 yo lady with an aneurysmal ascending and arch  aorta.  
> Using circ arrest, I sewed the graft to the arch, just before the  left common 
> carotid.  I then sewed the innominate to the side of the  graft.  Circ arrest 
> time was 37 minutes.  She woke up and did well  hemodynamically, but she never 
> made another drop of urine.  Two months  later, last I heard she was still on 
> dialysis.  
>   I would rather just deal with the bleeding rather than deal with the  ATN 
> and the lawsuits.  With this latest salvo of bad news in the press, I'm  sure 
> the scum sucking bottom feeders (lawyers, not catfish) will be trolling for  
> cases with renewed vigor.  Chand, suppose you do get a lawsuit for use of  
> Trasylol and ultimately prevail.  You still lose after you consider the  mental 
> stress, time lost going over discovery and depositions, etc associated  with 
> getting sued.  Believe me, back in the days when I had malpractice  insurance, I 
> used to get B.S. frivolous suits that were ultimately  dropped.  The mental 
> anguish is excruciating.  You are a young guy who  is probably unfamiliar with 
> these hassles.  Believe me, it's not worth  it.
> Hal
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