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VOLUME 23 , ISSUE S3 ( September, 2019 ) > List of Articles

INVITED ARTICLE

Red Blood Cell Transfusion Thresholds in Critically Ill Patients

Jose Chacko, Gagan Brar

Keywords : Anemia, Blood transfusion, Critical illness, Hemoglobin

Citation Information : Chacko J, Brar G. Red Blood Cell Transfusion Thresholds in Critically Ill Patients. Indian J Crit Care Med 2019; 23 (S3):0-0.

DOI: 10.5005/jp-journals-10071-23248

License: CC BY-NC 4.0

Published Online: 00-09-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Anemia of multifactorial etiology is common among critically ill patients and several arbitrary transfusion thresholds have been proposed. Transfusion of red blood cells has been well established to increase morbidity and even mortality among critically ill patients. Several randomized controlled studies have evaluated the use of a restrictive compared to a more liberal transfusion strategy in the critically ill. A transfusion threshold of 7 g/dL appears to be generally safe, especially in the younger age group without significant comorbidities. Besides, a restrictive transfusion strategy reduces the incidence of transfusion-related complications. However, the decision to transfuse needs to be individualized depending on the clinical situation, balancing putative benefits against possible complications.


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