Elective Surgery Without Transfusion

Spence, Ríchard K.; Carson, J; Poses, Roy M.; McCoy, Sue; Pello, Mark J.; Alexander, James B.; Popovich, John; Norcross, E. Douglas; Camishon, R. C.

doi:10.1097/00132586-199010000-00038

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2010

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“…In the human critical care arena, Spence et al 15 retrospectively evaluated Jehovah's Witness patients who declined ABT undergoing elective surgical procedures. These investigators found no mortality difference between groups of patients with preoperative Hb concentrations above 100 g/L (10 g/dL) (3.2% mortality) and 60–100 g/L (6–10 g/dL) (5% mortality), respectively.…”

Section: Transfusion Triggermentioning

confidence: 99%

Controversies related to red blood cell transfusion in critically ill patients

Prittie

2010

Journal of Veterinary Emergency and Critical Care

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RBC transfusion is unequivocally indicated for treatment of anemic hypoxia. However, critical hemoglobin or Hct below which all critically ill patients require transfusion has not been established and there are inherent risks associated with allogenic blood transfusion. Clinical trials designed to evaluate the effects of RBC age and leukoreduction on veterinary patient outcome are warranted. Implementation of evidence-based transfusion guidelines and consideration of alternatives to allogenic blood transfusion are advisable.

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Section: Transfusion Triggermentioning

confidence: 99%