Restrictive red blood cell transfusion strategies in critical care: does one size really fit all?

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Abstract

Anaemia is common in patients managed in intensive care units.1-4 It has been shown that 35 a??45 of ICU patients have anaemia sufficient to require red blood cell transfusion, and they receive on average almost 5 units.1,4 The causes of this anaemia are multifactorial and include blood loss, haemodilution, and the anaemia of critical illness, which reduces red blood cell production.1-4 Controversially, red blood cell transfusions have been used to improve the peripheral delivery of oxygen,5 even in patients with haemoglobin (Hb) concentrations more than 100 g/L.6,7 More recently, early goal-directed therapy a?? a component of the current 2008 Surviving Sepsis guidelines for critically ill patients with severe sepsis and septic shock a?? includes as a target maintaining the haematocrit over 30 .8,9
Original languageEnglish
Pages (from-to)323 - 327
Number of pages5
JournalCritical Care and Resuscitation
Volume10
Issue number4
Publication statusPublished - 2008

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