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Don’t administer packed red blood cells (PRBCs) in a young healthy patient without ongoing blood loss and hemoglobin of ≥ 6 g/dL unless symptomatic or hemodynamically unstable.
Hemoterapia Basada en el Sentido Común
American Society of Anesthesiologists
The hemoglobin transfusion threshold used in multiple studies has varied from 6.0 to 10.0 g/dL. The optimal hemoglobin/hematocrit criterion for transfusion remains controversial in several clinical settings. Nevertheless, compared with higher hemoglobin thresholds, a lower hemoglobin threshold is associated with fewer red blood cell units transfused without adverse associations with mortality, cardiac morbidity, functional recovery or length of hospital stay. Hospital mortality remains lower in ...
ver más ... 2016Don’t transfuse red blood cells for iron deficiency withouthemodynamic instability.
Hemoterapia Basada en el Sentido Común
American Association of Blood Banks
Blood transfusion has become a routine medical response despite cheaper and safer alternatives in some settings. Pre-operative patients with iron deficiency and patients with chronic iron deficiency without hemodynamic instability (even with low hemoglobin levels) should be given oral and/or intravenous iron.
ver más ... 2016Don’t transfuse more units of blood than absolutely necessary.
Hemoterapia Basada en el Sentido Común
American Association of Blood Banks
Each unit of blood carries risks. A restrictive threshold (7.0-8.0g/dL) should be used for the vast majority of hospitalized, stable patients without evidence of inadequate tissue oxygenation (evidence supports a threshold of 8.0g/dL in patients with pre-existing cardiovascular disease). Transfusion decisions should be influenced by symptoms and hemoglobin concentration. Single unit red cell transfusions should be the standard for non-bleeding, hospitalized patients. Additional units should ...
ver más ... 2016Don’t routinely transfuse platelets for patients with chemotherapyinduced thrombocytopenia if the platelet count is greater than 10 x109/L in the absence of bleeding.
Hemoterapia Basada en el Sentido Común
Canadian Society of Transfusion Medicine
A platelet count of 10 x 109/L or greater usually provides adequate hemostasis. Platelet transfusions are associated with adverse events and risks. Considerations in the decision to transfuse platelets include the cause of the thrombocytopenia, comorbid conditions, symptoms of bleeding, risk factors for bleeding, and the need to perform an invasive procedure.
ver más ... 2016Don’t routinely use plasma or prothrombin complex concentrates for non-emergent reversal of vitamin K antagonists.
Hemoterapia Basada en el Sentido Común
Canadian Society of Transfusion Medicine
Patients requiring non-emergent reversal of warfarin can often be treated with vitamin K or by discontinuing the warfarin therapy. Prothrombin complex concentrates should only be used for patients with serious bleeding or for those who need urgent surgery. Plasma should only be used in this setting if prothrombin complex concentrates are not available or are contraindicated.
ver más ... 2016