[HSF] Blood transfusion for the postop heart

[Prasanna Simha M]

Hal that would actually be not a valid argument. Maybe your value would be
still less with a restrictive transfusion policy !! I would not denigrate
your operative skill that may have compensated and given a better result
with your transfusion policy. I use  a restictive transfusion policy (with
an emphasis on preventing blood loss ) and the Euroscore + Aristotle score
predicted mortality of my case mix was 5.8  % and my mortality was half of
that - so much for scores !!
Prasanna
On Wed, Feb 3, 2010 at 6:32 PM, <hgrmd at aol.com> wrote:

> John,
>  That must be the data to which  I have been referring.  Once again, I
> believe there has been a little of potentially dangerous hyperbole on the
> subject of blood conservation.  Using STS criteria, my mortality rate was
> 2.2 per cent last year.  Less than 10 per cent were stand alone CABG's.  I
> transfuse much more liberally than what's been quoted.  Using the criteria
> quoted on this thread, I've no doubt the rate would be much higher.
>
> Hal
> Sent from my Verizon Wireless BlackBerry
>
> -----Original Message-----
> From: Flege John <flege19 at gmail.com>
> Date: Wed, 3 Feb 2010 06:07:09
> To: <OpenHeart-L at lists.hsforum.com>
> Subject: Re: [HSF] Blood transfusion for the postop heart
>
> I seem to remember that the New England Study Group found anemia (<20&) an
> independent predictor of a poor outcome. They analyzed a large data base.
> John Flege
> On Feb 3, 2010, at 1:08 AM, Anthony P Furnary MD wrote:
>
> > Don't know for sure.  Just picked a number that seemed really really low,
> because for me anemia in and of itself is not a reason to transfuse --
> severe symptoms of anemia are -- low cardiac output, poor oxygenation, etc.
>  Otherwise we would just be treating a number, nothing more.
> >
> >
> > On Feb 1, 2010, at 3:28 AM, wftjrtyler at aol.com wrote:
> >
> >>
> >> In a message dated 1/31/2010 11:32:07 PM Central Standard Time,
> >> tfurnary at starrwood.com writes:
> >>
> >> My transfusion "threshold" is Hct of 15.
> >>
> >> Tony, How did you determine 15 to be the threshold?  bill
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-- 
Prasanna Simha M