Red Blood Cell Transfusion Thresholds in Critically Ill Patients

被引：6

作者：

Chacko, Jose ^{[1
]}

Brar, Gagan ^{[2
]}

机构：

[1] Narayana Multispecial Hosp, Dept Emergency Med & Crit Care, Bengaluru, Karnataka, India

[2] Narayana Multispecial Hosp, Dept Anesthesia & Crit Care, Bengaluru, Karnataka, India

来源：

INDIAN JOURNAL OF CRITICAL CARE MEDICINE | 2019年 / 23卷

关键词：

Anemia; Blood transfusion; Critical illness; Hemoglobin; RESTRICTIVE TRANSFUSION; REQUIREMENTS; INFECTION; ANEMIA; MORTALITY; SEPSIS; RISK;

D O I：

10.5005/jp-journals-10071-23248

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

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.

引用

页码：S181 / S184

页数：4

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