Red Blood Cell Transfusion

Publication Date: October 12, 2023
Last Updated: January 19, 2024

Recommendations for Adults

For hospitalized adult patients who are hemodynamically stable, the international panel recommends a restrictive RBC transfusion strategy in which the transfusion is considered when the hemoglobin concentration is less than 7 g/dL. (S, M)
In accordance with the restrictive strategy threshold used in most of the trials for subgroups of patients, clinicians may choose a threshold of 7.5 g/dL for patients undergoing cardiac surgery and 8 g/dL for patients undergoing orthopedic surgery or those with preexisting cardiovascular disease.
620

Recommendations for Children

For critically ill children and hospitalized children at risk of critical illness who are hemodynamically stable and without a transfusion-dependent hemoglobinopathy, cyanotic cardiac condition, or severe hypoxemia, the international panel recommends a restrictive transfusion strategy in which a transfusion is considered when the hemoglobin level is less than 7 g/dL compared with one of less than 9.5 g/dL. (S, M)
620

Overview

Title

Red Blood Cell Transfusion

Authoring Organization