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Parsimonious blood use and lower transfusion triggers: What is the evidence?

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Evidence supports a parsimonious approach to blood use for managing anemia, contrasting with the long-standing practice of blood transfusion targeting arbitrary hemoglobin levels. Hemodilution studies have demonstrated that humans can… Click to show full abstract

Evidence supports a parsimonious approach to blood use for managing anemia, contrasting with the long-standing practice of blood transfusion targeting arbitrary hemoglobin levels. Hemodilution studies have demonstrated that humans can tolerate anemia. The cumulative data have confirmed and validated the safety of a conservative approach to transfusion. This has translated into formal national guidelines for blood transfusion as well as patient safety and quality markers supporting blood management stewardship to minimize unnecessary use of blood products. Cumulative data have confi rmed the safety of a conservative approach to transfusion.

Keywords: blood use; parsimonious blood; evidence; transfusion; blood

Journal Title: Cleveland Clinic Journal of Medicine
Year Published: 2017

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