Benefit of balance? Odds of survival by unit transfused

Thoracotomy Resuscitation of a Patient Who Sustained Blunt Force Trauma with a pH of 6.7 on Admission and Ultra Massive Transfusion of 42 Units of Blood

“…1 In addition, Loudon, et al, in a retrospective analysis of the ACS-TQIP database suggest that futility and mortality is the likely outcome for ultra-massive transfusions of more than 11 units of blood in a standard transfusion model and 23 units in a balanced transfusion approach. 2 Conversely, there are reports of trauma patients with pH as low as 6.5 surviving. 3,4 Furthermore, resuscitative thoracotomy for patients sustaining blunt trauma has mixed to negative support due to low procedural success rates.…”