Acute blood loss anemia occurs in the perioperative period
Nobody presented that article.
We would need to know the hemoglobin and venous saturation of the baby at the time the decision of transfusion was made to assess if it were necessary.
Having personal knowledge of this procedure and having seen it done (congenital heart surgery and thoracic surgery) you are jumping to conclusions that are superficial.
Nope.
I didn't say, maybe a transfusion isn't necessary.
The presenting physician made that decision.
So to clarify you are of the opinion that transfusion 24 hours post mediastinotomy and thoracotomy in a neonate may not be urgent 94 emergent? You believe this transfusion could have waited? I would life to understand the evidence around that statement.
So to clarify, you're a lying troll.
The only issue is why the hospital stalled and dragged their feet until it was too late for the parents to use a directed donor.
Additionally you are telling me that the child has no clots prior to the transfusion. There is evidence of same? Perhaps understanding how the vascular tree is cannulared for structural heart surgery in addition to heparinization and protamine reversal will help you ask the proper questions
Since the hospital is rightly concerned with being sued into oblivion, (as Dr. Frank Vertosik, MD, a neurosurgeon(*), wrote in his book When The Air Hits Your Brain, "...just get out your checkbook and write out a string of zeros"), if there were clots extant before or during the surgery, they'd have been shouting that from the rooftops already.
The really question of concern here is why was there MRSA on the thrombus.
MRSA is a known nosocomial infection in hospitals. Just add a few more zeros on the end of that check.
(*) IIRC, in his book he talks about a patient staggering into the ER (I think it was during his residency) and he told the guy "Forget it, you've come to the wrong place, get someone else" because he wasn't getting paid enough to deal with that kind of thing. Compassionate dedicated selfless care at its finest, eh?
You can’t answer any of the questions without tangent and reference to things that are off point.
Nice try
Have a good day.