Red Blood Cell Transfusion in the Emergency Department

作者: Brit Long , Alex Koyfman

DOI: 10.1016/J.JEMERMED.2016.04.010

关键词:

摘要: Abstract Background Transfusion of red blood cells (RBCs) is the primary management anemia, which affects 90% critically ill patients. Anemia has been associated with a poor prognosis in various settings, including critical illness. Recent literature shown hemoglobin transfusion threshold 7 g/dL to be safe. This review examines several aspects transfusion. Objective We sought provide emergency physicians an updated indications for RBC department. Discussion The standard was 10 g/dL. However, body shows physiologic compensatory adaptations chronic anemia. reactions and infections are rare but can have significant morbidity mortality. Products stored Conclusions not without risks, reaction, infection, potentially increased age products likely no effect on before 21 days storage. A level safe setting illness, sepsis, gastrointestinal bleeding, trauma. clinician must evaluate transfuse based clinical patient hemodynamic status rather than using specific threshold.

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