The present situation and advance of red blood cell transfusion triggers
10.13303/j.cjbt.issn.1004549x.2024.02.018
- VernacularTitle:红细胞输注指征的研究现状与进展
- Author:
Yuye CHEN
1
;
Hong LYU
1
;
Qian LI
1
;
Jingjia SHEN
1
;
Jia SHI
1
Author Information
1. Department of Anesthesiology, Fuwai Hosipital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100037, China
- Publication Type:Journal Article
- Keywords:
blood transfusion/blood component transfusion;
restricted blood transfusion;
perioperative management;
blood conservation
- From:
Chinese Journal of Blood Transfusion
2024;37(2):238-243
- CountryChina
- Language:Chinese
-
Abstract:
In clinical practice, red blood cell infusion needs to be based on the patient′s hemoglobin level. However, different guidelines recommend different thresholds for red blood cell infusion and the timing of blood transfusion initiation is still controversial due to the presence of these different thresholds. Meanwhile, the use of allogeneic blood products carries a certain risk of transfusion-related infections or organ damage. Therefore, initiating red blood cell infusion requires more evidence. This review discusses some new methods, namely central venous oxygen saturation, arterial venous oxygen difference, near-infrared spectroscopy, and perioperative transfusion trigger score. It aims to help evaluate blood transfusion trigger and provide reference for doctors when making transfusion decisions.