Severe hypocalcemia during surgery for placenta accreta spectrum: The case for empiric replacement.
Hadi ErfaniAlireza A ShamshirsazKarin A FoxAtefeh RezaeiShiu-Ki Rocky HuiAmir A ShamshirsazAhmed A NassrBahram SalmanianJimmy EspinozaJun TeruyaMichael A BelfortPublished in: Acta obstetricia et gynecologica Scandinavica (2019)
Intraoperative transfusion of ≥4 units RBCs is predictive of the development of severe hypocalcemia in placenta accreta spectrum patients experiencing active bleeding. Empiric replacement of 1 g CaCL2 is recommended for every 4 U RBC transfused.