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recommendationchoosing-wisely· transfusion medicine· item cwus-aabb-001

Don't transfuse red blood cells for arbitrary hemoglobin or hematocrit thresholds in the absence of symptoms, active bleeding, or hemodynamic instability. Setting: hemodynamically stable, non-bleeding hospitalized patient with hemoglobin at or above the restrictive threshold (7-8 g/dL) Why: A restrictive transfusion threshold is as safe as or safer than liberal transfusion and avoids the costs and risks of unnecessary blood products. Consider instead: restrictive transfusion strategy; transfuse for symptoms rather than a number Source: AABB (American Association of Blood Banks) (Choosing Wisely, US, 2014).