Transfusion practice in trauma patient
2010
Anemia is common in critically ill patients and carries risk of reduced
oxygen carriage and worse outcomes. Transfusion, however, carry their own
risk, and the physician must balance the risks of anemia with the risk of
transfusion in each patient. Some recent studies compared a liberal with a
restrictive approach to transfusion, and a clinical practice guidelines were
made. This protocols consider that acute hemorrhage has been controlled, the
initial resuscitation has been completed, and the patient is stabile in the
intensive care unit without ongoing bleeding. The trigger for PRBC
transfusion in patients without severe cardiovascular disease is hemoglobin
g/dL (or a hematocrit %).
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