Gepost in: Hematologie

Guidelines on the management of anaemia and red celltransfusion in adult critically ill patients

This document aims to summarize the current literatureguiding the use of red cell transfusion in critically ill patientsand provides recommendations to support clinicians in theirday-to-day practice. Critically ill patients differ in their age,diagnosis, co-morbidities, and severity of illness. These fac-tors influence their tolerance of anaemia and alter the risk tobenefit ratio of transfusion. The optimal management for anindividual may not fall clearly within our recommendationsand each decision requires a synthesis of the availableevidence and the clinical judgment of the treating physician.This guideline relates to the use of red cells to manageanaemia during critical illness when major haemorrhage isnot present. A previous British Committee for Standards inHaematology (BCSH) guideline has been published on massivehaemorrhage (Stainsbyet al, 2006), but this is a rapidly changingfield. We recommend readers consult recent guidelinesspecifically addressing the management of major haemorrhagefor evidence-based guidance. A subsequent BCSH guideline willspecifically cover the use of plasma components in critically ill patients.