We know from the Hebert et al (NEJM 1999, Crit Care Med 2001) that most critically ill patients with anemia should be transfused to maintain a hemoglobin of 7.0-9.0 g/dL and Wu et al (NEJM 2001) showed that elderly people with myocardial infarctions should be transfused to maintain a hematocrit between 30-33%, therefore, should critically ill patients with ESRD be transfused to maintain a hemoglobin between 11-12.0 g/dL, and if not, what should that target be?
Recently in Cardiology Category
In a patient with symptomatic pulmonary embolism wherein recommended doses of thrombolytic therapy is contraindicated because of recent surgery or GI bleeding, is low-dose, long-term thrombolytic therapy a useful adjunctive measure?
- submitted by Patrick Bui
We know that warfarin decreases the risk of stroke in patients with atrial fibrillation. In a patient with atrial fibrillation & ESRD on HD who has an increased risk of bleeding, is warfarin an effective drug to use in stroke prevention?
- submitted by Patrick Bui
In cardiorenal syndrome with diuretic resistance, how high can we drive the creatinine level before stopping the use of furosemide?
- submitted by Juana Gonzalez
In an elderly patient with history of CHF & COPD who presents to the ER with shortness of breath, how can I differentiate the underlying etiology?
- submitted by Elena Shagisultanova
In an elderly patient with heart failure who presents with prerenal azotemia, what therapeutic measures would you undertake to protect their kidneys?
- submitted by Michael Bazylewicz
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