In fiscal year 2010, WellStar Health System transfused more than 26,000 units of packed red blood cells and more than 37,000 total blood products.
The literature is replete with evidenced-based science that supports routine transfusions of red cells in non-acutely hemorrhaging patients with a hemoglobin greater than 7g/dl only in the following conditions:
- Hemorrhagic shock
- Hemodynamic instability
- Evidence of inadequate oxygen delivery
- Acute coronary syndrome
A 10,000/uL prophylactic platelet transfusion trigger has been documented to be both hemostatically efficacious and cost effective in reducing platelet requirements. Therapeutic platelet transfusions to control or prevent bleeding with trauma or surgical procedures require higher transfusion triggers of 100,000/uL for neurosurgical procedures and between 50,000/uL and 100,000/uL for other invasive procedures.
A blood transfusion is in reality an organ transplant that has potential significant consequences. Please
click here to review the guidelines published in
Critical Care Medicine Vol. 37, No. 12, 2009.
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