[HSF] More Bad News About Trasylol

Hgrmd at aol.com Hgrmd at aol.com
Sun Oct 1 10:05:42 EDT 2006


John,
  I completely agree.  It is ridiculous to state that each unit  of packed 
cells increases the mortality 7%.  If so, I would have had cases  who did fine 
in spite of a 140% predicted mortality.  The 82 yo lady I'm  supposed to do 
tomorrow has a HCT of 34.  She needs a redo CABG (1 graft),  mitral and tricuspid 
repairs.  The EF is normal.  I suspect I'll  use 5 or 6 units of blood.  Do 
you think I just increased her predicted  mortality an additional 30% in 
addition to the inherent 15% risk?   Neither do I. 
Hal


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