Document Detail

Blood transfusion facilitating difficult weaning from the ventilator.
MedLine Citation:
PMID:  9534644     Owner:  NLM     Status:  MEDLINE    
We report a case series of five anaemic patients (haemoglobin: 8.7 +/- 0.8 g.dl-1) with chronic obstructive lung disease in whom trials of weaning from the ventilator were unsuccessful. After transfer to our regional weaning centre, blood was transfused to increase the haemoglobin value to 12 g.dl-1 or higher. Subsequently, all patients were weaned successfully. We conclude from our experience that in anaemic patients with chronic obstructive lung disease there should not be a fixed transfusion threshold. In anaemic patients in whom difficulty in weaning from the ventilator is experienced, blood transfusion should be tailored to the individual patient's needs. Transfusion in those with chronic obstructive airways disease may lead to successful weaning.
B Schönhofer; H Böhrer; D Köhler
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  53     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  1998 Feb 
Date Detail:
Created Date:  1998-04-16     Completed Date:  1998-04-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  181-4     Citation Subset:  AIM; IM    
Krankenhaus Kloster Grafschaft, Zentrum für Pneumologie, Beatmungs- und Schlafmedizin, Schmallenberg-Grafschaft, Germany.
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MeSH Terms
Aged, 80 and over
Anemia / complications,  therapy
Blood Transfusion*
Lung Diseases, Obstructive / complications,  therapy*
Middle Aged
Retrospective Studies
Ventilator Weaning*

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