[HSF] aortic root replacement ,svere hyperbilirubinemia

[erdinç naseri]

Hal,
I think the cost of all those blood products is equal to the 40% of reimbursement for Bentall here .BTW you are talking about hepatic injury but  the patient has Isolated hyperbilirubinemia.
erdinc
erdinc> From: Hgrmd at aol.com> Date: Sat, 4 Aug 2007 12:32:04 -0400> Subject: Re: [HSF] aortic root replacement ,svere hyperbilirubinemia> To: OpenHeart-L at lists.hsforum.com> CC: > > Prasanna,> For a routine Bentall I probably use 2 units FFP, 10-20 units of cryo, and > 20 units of platelets. If that takes care of the medical bleeding, we're > done. If bleeding persists, then we give more platelets and send off stat > coags. The amount of FFP I order depends on how many units of packed cells have > been given since the patient entered the room. If none, no FFP. If 2 or > more, especially if the patient was on Coumadin preop, I give 2 units. I > measure the fibrinogen and platelet count during the pump run. If fibrinogen less > than 200, 10-20 units of cryo. If platelet count less than 120K, 10-20 units > of platelets. We still don't use TEG as yet (I'm in the process of getting > it.) Hopefully, TEG will help me refine my blood component needs. I'll > never have the low blood bank utilization that you possess, but I'm working on it.> > Hal> > > > ************************************** Get a sneak peek of the all-new AOL at > http://discover.aol.com/memed/aolcom30tour> _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------