Intraoperative Management of Extreme Hemodilution in a Patient with a Severed Axillary Artery

Authors describe a case of CRITICAL ANEMIA tolerance in a post-trauma patient (multiple stab wounds). His hemoglobin reached 0.7g/dL and 2.2% hematocrit. There was no evidence of cardiac ischemia and he was discharged in good condition. They conclude by saying that conditions of extreme anemia can be successfully controlled by maintaining a normal blood volume, 100% oxygen supply and the use of plasma substitutes.

Daí J, Tu W, Yang Z, Lin R Anesth Analg 2010;111:1204 –6)