When we should give RBCs transfusion to the patient?
Hossam Elgnainy Selected answer as best February 10, 2024
Indications for RBC transfusion for hospitalized patients:
- Transfuse when Hb level is < 7 g/dL (70 g/L) for all patients (Strong recommendation). This recommendation applies to all except patients who:
- Are hemodynamically unstable
- Have stable cardiovascular disease or acute coronary syndrome
- Are having orthopedic or cardiac surgery
- Consider transfusion when Hb level is ≤ 8 g/dL (80 g/L) for patients with stable cardiovascular disease or those having orthopedic surgery.
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There are many details for this that will be different according to the patient age, disease condition and the specific indication of transfusion.
Check this article for more details: DynaMed. Red Blood Cell Transfusion. EBSCO Information Services. Accessed 10 February 2024. https://www.dynamed.com/procedure/red-blood-cell-transfusion
Shimaa Sayed Posted new comment February 10, 2024
In addition to the answer of Dr. Hossam
In pediatrics, Red cells are transfused at up to 5 mL/kg/h (unless there is active major bleeding) and the transfusion should be completed within 4 hours
For more details check the link, https://www.transfusionguidelines.org/transfusion-handbook/10-effective-transfusion-in-paediatric-practice/10-3-transfusion-of-infants-and-children