Gastrointestinal Bleeding and Survival After a Nadir Hemoglobin <3.0 g/dL in 2 Jehovah's Witness Patients: A Case Report

被引：0
作者：
Sklar, Matthew B. [1 ]
Kajstura, Tymoteusz J. [1 ]
Vogt, Samantha L. [2 ]
Gray, Christy [1 ]
Ulatowski, John A. [1 ]
Resar, Linda M. S. [3 ]
Frank, Steven M. [1 ]
机构：
[1] Johns Hopkins Univ, Sch Med, Dept Anesthesiol & Crit Care Med, 1800 Orleans St, Baltimore, MD 21287 USA
[2] Johns Hopkins Univ, Dept Med Hematol & Oncol, Sch Med, Baltimore, MD USA
[3] Johns Hopkins Univ, Inst Cellular Engn, Dept Med Hematol Oncol Pathol, Sch Med, Baltimore, MD USA
来源：
A & A PRACTICE | 2024年 / 18卷 / 08期
关键词：
TRANEXAMIC ACID; CARDIAC-SURGERY; TRANSFUSION; MORBIDITY; OUTCOMES;
D O I：
10.1213/XAA.0000000000001837
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
We report 2 cases of gastrointestinal bleeding and profound anemia in Jehovah's Witness patients (with nadir hemoglobin of 2.1 and 2.8 g/dL), both of whom survived until discharge to home. Management included supportive care, antifibrinolytics, and an aggressive erythropoietic regimen. Despite previous reports of high mortality with hemoglobin concentrations less than 5 to 6 g/dL, these patients illustrate that meticulous care in selected patients with severe anemia can lead to successful outcomes, without transfusion.
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