No Absolute Futility Predictor for Transfusions in Trauma Surgery:Case Report of a Successful Resuscitation with 218 Units BloodProducts

Authors

  • Robert E Johnstone Robert E Johnstone is Professor, Department of Anesthesiology Author
  • Daniel C Sizemore Daniel C Sizemore, Associate Professor, Department of Anesthesiology Author
  • Alison M Wilson Alison M Wilson, Professor and Skewes Family Chair for Trauma, Department of Surgery Author

DOI:

https://doi.org/10.47363/JSAR/2022(3)142

Keywords:

Blood transfusions, Trauma surgery, Surgical futility

Abstract

Increasing units of blood transfused during trauma surgery are associated with increasing mortality. Recommendations for considering further transfusions futile commonly range from 40-75 units. We report a trauma patient who received 218 units of blood products intraoperative and 230 within 24 hours and survived to live an active life.

Author Biographies

  • Robert E Johnstone, Robert E Johnstone is Professor, Department of Anesthesiology

    Robert E Johnstone is Professor, Department of Anesthesiology

  • Daniel C Sizemore, Daniel C Sizemore, Associate Professor, Department of Anesthesiology

    Daniel C Sizemore, Associate Professor, Department of Anesthesiology

  • Alison M Wilson, Alison M Wilson, Professor and Skewes Family Chair for Trauma, Department of Surgery

    Alison M Wilson, Professor and Skewes Family Chair for Trauma, Department of Surgery

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Published

2022-09-10