By International Anesthesia Research Society
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Additional resources for Anesthesia & Analgesia Vol 109 Issue 01 2009
109, No. 1, July 2009 TEG, PT, PTT, INR and clinical observation; however, in our second case, DIC may have also developed secondary to bony trauma or as a result of the multiple transfusions of IAT or banked blood products. 38 suggest that the PT, PTT and INR are the best tests to detect a developing coagulopathy in instrumented spinal fusion. The substantial amount of free Hb in our cases is illustrated by the appearance of Hb in the urine of both patients who had no other cause of hemolysis when it started and hemolysis observed in the IAT blood (Fig.
Each grade categorizes by the initial letter describing the injury or outcome: RIFLE. 5-fold increase in the creatinine level or a 25% decrease in glomerular filtration rate (GFR). Grade 2, injury, requires a twofold increase in serum creatinine or a 50% or more decrease in GFR. Grade 3, failure, requires a threefold increase in serum creatinine or a decrease in GFR more than 75%. The last two letters represent renal outcome; loss occurs if there is persistent acute renal failure for more than 4 wk, and end stage renal disease is defined as loss continued for more than 3 mo.
Address correspondence and reprint requests to Tod B. , Aurora, CO 80045. edu. 0b013e3181a335e4 38 hardware placement from T1 to S1 presented for L4 –5 hardware removal and reinstrumentation. She had no coexisting medical problems, was not taking any prescription or herbal medications known to interact with transfused products or hemostasis. General anesthesia with intraoperative neuromonitoring was conducted. After midazolam sedation, anesthesia and intubation of the trachea was accomplished with propofol, sufentanil, and vecuronium.
Anesthesia & Analgesia Vol 109 Issue 01 2009 by International Anesthesia Research Society