IS A HEMOGLOBIN OF 10 G/DL REQUIRED FOR SURGERY

被引:32
作者
CARSON, JL
WILLETT, LR
机构
[1] General Internal Medicine Division, Department of Medicine, UMDNJ-R. Wood Johnson Medical School, New Brunswick, NJ 08903
关键词
D O I
10.1016/S0025-7125(16)30255-3
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The '10/30' (hemoglobin/hematocrit) rule has long been recognized and accepted in the medical community as the threshold for transfusion in the perioperative setting. However, an increasing number of publications suggest there is no absolute threshold for transfusion, and that this decision should be based on an assessment of the overall clinical picture presented by the patient. This article reviews the risks associated with blood transfusions, and the data in humans and animals that describe the benefits of transfusion. Recommendations on the trigger for red cell transfusion are provided.
引用
收藏
页码:335 / 347
页数:13
相关论文
共 110 条
  • [1] HEPATITIS-C VIRUS-INFECTION IN POSTTRANSFUSION HEPATITIS - AN ANALYSIS WITH 1ST-GENERATION AND 2ND-GENERATION ASSAYS
    AACH, RD
    STEVENS, CE
    HOLLINGER, FB
    MOSLEY, JW
    PETERSON, DA
    TAYLOR, PE
    JOHNSON, RG
    BARBOSA, LH
    NEMO, GJ
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1991, 325 (19) : 1325 - 1329
  • [2] SERUM ALANINE AMINOTRANSFERASE OF DONORS IN RELATION TO THE RISK OF NON-A,NON-B HEPATITIS IN RECIPIENTS - THE TRANSFUSION-TRANSMITTED VIRUSES STUDY
    AACH, RD
    SZMUNESS, W
    MOSLEY, JW
    HOLLINGER, FB
    KAHN, RA
    STEVENS, CE
    EDWARDS, VM
    WERCH, J
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1981, 304 (17) : 989 - 994
  • [3] AACH RD, 1986, ANN INTERN MED, V92, P539
  • [4] GASTROINTESTINAL HEMORRHAGE FROM PEPTIC-ULCER - EVALUATION OF BLOODLESS TRANSFUSION AND EARLY SURGERY
    ALEXIU, O
    MIRCEA, N
    BALABAN, M
    FURTUNESCU, B
    [J]. ANAESTHESIA, 1975, 30 (05) : 609 - 615
  • [5] THE MINIMUM ACCEPTABLE LEVEL OF HEMOGLOBIN
    ALLEN, JB
    ALLEN, FB
    [J]. INTERNATIONAL ANESTHESIOLOGY CLINICS, 1982, 20 (04) : 1 - 22
  • [6] DETECTION OF ANTIBODY TO HEPATITIS-C VIRUS IN PROSPECTIVELY FOLLOWED TRANSFUSION RECIPIENTS WITH ACUTE AND CHRONIC NON-A-HEPATITIS, NON-B-HEPATITIS
    ALTER, HJ
    PURCELL, RH
    SHIH, JW
    MELPOLDER, JC
    HOUGHTON, M
    CHOO, QL
    KUO, G
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1989, 321 (22) : 1494 - 1500
  • [7] DONOR TRANSAMINASE AND RECIPIENT HEPATITIS - IMPACT ON BLOOD-TRANSFUSION SERVICES
    ALTER, HJ
    PURCELL, RH
    HOLLAND, PV
    ALLING, DW
    KOZIOL, DE
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1981, 246 (06): : 630 - 634
  • [8] ALTER HJ, 1984, VIRAL HEPATITIS LIVE, P345
  • [9] THE LONG-TERM SEROLOGICAL COURSE OF ASYMPTOMATIC HEPATITIS-B VIRUS CARRIERS AND THE DEVELOPMENT OF PRIMARY HEPATOCELLULAR-CARCINOMA
    ALWARD, WLM
    MCMAHON, BJ
    HALL, DB
    HEYWARD, WL
    FRANCIS, DP
    BENDER, TR
    [J]. JOURNAL OF INFECTIOUS DISEASES, 1985, 151 (04) : 604 - 609
  • [10] ANDERSON HT, 1978, SURGERY, V84, P8