• A&A practice · Aug 2024

    Case Reports

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

    • Matthew B Sklar, Tymoteusz J Kajstura, Samantha L Vogt, Christy Gray, John A Ulatowski, ResarLinda M SLMSDepartment of Medicine (Hematology), Oncology, Pathology, Institute for Cellular Engineering, Johns Hopkins University School of Medicine, Baltimore, Maryland., and Steven M Frank.
    • From the Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
    • A A Pract. 2024 Aug 1; 18 (8): e01837e01837.

    AbstractWe 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.Copyright © 2024 International Anesthesia Research Society.

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