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Correspondence
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Volume 347:696-697 August 29, 2002 Number 9
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Combined Blood Substitute and Erythropoietin Therapy in a Severely Injured Jehovah's Witness

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To the Editor: We disagree strongly with the conclusions of Cothren et al. (April 4 issue)1 about the benefits of the polymerized hemoglobin-based oxygen carrier PolyHeme in critically ill patients with anemia who refuse transfusions. Hemoglobin-based oxygen carriers are administered in such patients to increase oxygen delivery to the tissues, in order to maintain or restore oxygen uptake. Yet no data on tissue oxygen balance before and after the administration of the product are presented. Such products may not be associated with increased oxygen delivery when they cause vasoconstriction in the peripheral circulation and decrease cardiac output.2,3 Finally, in order . . . [Full Text of this Article]


Related Letters:

Blood Substitute and Erythropoietin Therapy in a Severely Injured Jehovah's Witness
Cothren C., Moore E. E., Offner P. J., Haenel J. B., Johnson J. L.
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N Engl J Med 2002; 346:1097-1098, Apr 4, 2002. Correspondence



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