Condition | Hemoglobin threshold for transfusion |
Symptomatic patient (eg, myocardial ischemia, hemodynamic instability) | 10 g/dL*[1] |
Hospitalized patient | |
Preexisting coronary artery disease | 8 g/dL* |
Acute coronary syndromes, including acute MI | 10 g/dL¶[2] |
ICU (hemodynamically stable) | 7 g/dL*[3,4] |
Gastrointestinal bleeding (hemodynamically stable) | 7 g/dL*[5,6] |
Orthopedic surgery | 8 g/dL*[1] |
Cardiac surgery | 7.5 g/dL*[7,8] |
Ambulatory outpatient | |
Oncology patient in treatment | 7 to 8 g/dL¶ |
Palliative care setting | As needed for symptoms; hospice benefits may vary |
ICU: intensive care unit; MI: myocardial infarction.
* Based on results from clinical trial(s). Some experts may use different values. As an example, in individuals with gastrointestinal bleeding, it is often difficult, if not impossible, to estimate what the nadir hemoglobin will be, and some experts recommend a transfusion threshold of 8 g/dL[6].
¶ There are no large clinical trials yet performed in this setting. These recommendations are based on the authors' opinions.آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟