Any suggestions for the following case?

50+ y/o JW with cirrhosis. Needs double valve replacement. Current Hgb. 11.0. Has made an informed decision not to accept blood derived products including albumin. Therefore will not accept erythropoetin products available in USA. IV iron contraindicated d/t decreased liver function. How can we increase Hgb. for surgery?

Thanks for your consideration.


Debbie Tolich, Director
Regional Center Blood Conservation
St. Vincent Charity Hospital
216-363-3353
800-782-4673
email: deborah.tolich@csauh.com