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Thread: Hemoglobin count

  1. #1
    Registered User
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    Jan 2004
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    Hemoglobin count

    Is there a number that is generally accepted as to when a trnsfusion should be consudered?
    I just had a local hospital tell me they use 10.
    That seems high.

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  3. #2

    Hemoglobin count

    For starters, this article posted by Jan Wade might help (search NoBlood using "hemoglobin hematocrit"):

    http://www.noblood.org/news-hot-topi...im-hannon.html
    Jan Grossberg, RN, BSN
    Editorial Team

  4. #3
    Managing Editor Jan B. Wade's Avatar
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    Apr 1996
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    Bellingham, Washington, United States
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    1,592

    Quote

    FYI from the article mentioned above

    "Based on audit results showing the hospital had room for improvement in the area of red-cell transfusions, Lee Memorial’s Dr. Reardon began educating the medical staff about the Transfusion Requirements in Critical Care, or TRICC, trial (Hebert PC, et al. N Engl J Med. 1999; 340:409–417). That study showed using a hemoglobin of 7 g/dL as a transfusion trigger in critically ill patients produced just as good or slightly better outcomes than a more liberal trigger of 10 g/dL, Dr. Reardon says."

    I wonder how informed the person making statement is and whether they know the facts. If the hospital is indeed transfusing at 10 g/dL they are in violation of common practice.

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