{"id":2439,"date":"2010-12-29T22:20:55","date_gmt":"2010-12-29T22:20:55","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/hemrct\/"},"modified":"2025-05-14T19:08:27","modified_gmt":"2025-05-14T19:08:27","slug":"hemrct","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/hemrct\/","title":{"rendered":"Guidelines for the Clinical Use of Red Cell Transfusions"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><\/p>\n<div><\/div>\n<div>The red blood cell transfusions should not be dictated by a single hemoglobin &#8220;trigger&#8221; but instead should be based on the patient&#8217;s risks of developing complications of inadequate oxygenation. Red blood cell transfusion is rarely indicated when the hemoglobin concentration is greater than 10 g\/dL and is almost always indicated when it is less than 6 g\/dL.<\/div>\n<p><!--more--><\/p>\n<div><\/div>\n<div>\n<div><strong>Guidelines for red cell transfusions and volume replacement in adults<\/strong><\/div>\n<div><\/div>\n<div>Need based on estimation of lost blood volume:<\/div>\n<div>\n<ul>\n<li>&gt;40 percent loss (&gt;2000 mL):\u00a0Rapid volume replacement, including RBC transfusion, is required<\/li>\n<li>30 to 40 percent loss (1500 to 2000 mL):\u00a0Rapid volume replacement with crystalloids or synthetic colloids is required; RBC transfusion will probably also be required<\/li>\n<li>15 to 30 percent loss (800 to 1500 mL):\u00a0Need to transfuse crystalloids or synthetic colloids; need for RBC transfusion is unlikely unless the patient has pre-existing anemia, continuing blood loss, or reduced cardiovascular reserve<\/li>\n<li>Less than 15 percent blood loss (&lt;\/=750 mL):\u00a0No need for transfusion unless volume loss is superimposed on preexisting anemia, or when patient is unable to compensate due to severe cardiac or respiratory disease<\/li>\n<\/ul>\n<\/div>\n<div><\/div>\n<div>Need based on hemoglobin concentration:<\/div>\n<div>\n<ul>\n<li>Hgb &lt;7 g\/dL:\u00a0RBC transfusion indicated. If the patient is otherwise stable, the patient should receive 2 units of packed RBC, following which the patient&#8217;s clinical status and circulating HgB should be reassessed<\/li>\n<li>Hgb 7 to 10 g\/dL:\u00a0Correct strategy is unclear<\/li>\n<li>Hgb &gt;10 g\/dL:\u00a0RBC transfusion not indicated<\/li>\n<li>High risk patients:\u00a0Patients &gt;65 and\/or those with cardiovascular or respiratory disease may tolerate anemia poorly. Such patients may be transfused when Hgb &lt;8 g\/dL.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div><\/div>\n<div><\/div>\n<div><strong>References: <\/strong><\/div>\n<div>\n<ol>\n<li>Murphy MF, Wallington TB, Kelsey P, Boulton F, Bruce M, Cohen H, Duguid J, Knowles SM, Poole G, Williamson LM; British Committee for Standards in Haematology, Blood Transfusion Task Force.\u00a0Guidelines for the clinical use of red cell transfusions.\u00a0Br J Haematol. 2001 Apr;113(1):24-31.\u00a0<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/11328275\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Practice Guidelines for blood component therapy: A report by the American Society of Anesthesiologists Task Force on Blood Component Therapy. Anesthesiology 1996; 84:732-47.\u00a0<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/8659805\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<\/div>\n<div><\/div>\n<div>Created: Dec 29, 2010.<\/div>\n<p><\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[171],"tags":[757,490,489,1263,273,274,1262,1261,1260,1259,1156,1164],"class_list":["post-2439","post","type-post","status-publish","format-standard","hentry","category-hematology","tag-cell","tag-clinical","tag-clinico","tag-globulos","tag-guia","tag-guidelines","tag-red","tag-rojos","tag-transfusiones","tag-transfusions","tag-use","tag-uso"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Guidelines for the Clinical Use of Red Cell Transfusions - MedicalCRITERIA.com<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medicalcriteria.com\/web\/es\/hemrct\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"[:es]Pautas para el Uso Cl\u00ednico de Transfusiones de Gl\u00f3bulos Rojos[:en]Guidelines for the Clinical Use of Red Cell Transfusions[:] - MedicalCRITERIA.com\" \/>\n<meta property=\"og:description\" content=\"Sorry, this entry is only available in Espa\u00f1ol.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/medicalcriteria.com\/web\/es\/hemrct\/\" \/>\n<meta property=\"og:site_name\" content=\"MedicalCRITERIA.com\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/medicalcriteria\/\" \/>\n<meta property=\"article:published_time\" content=\"2010-12-29T22:20:55+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-05-14T19:08:27+00:00\" \/>\n<meta name=\"author\" content=\"Guillermo Firman\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Guillermo Firman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/es\\\/hemrct\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/es\\\/hemrct\\\/\"},\"author\":{\"name\":\"Guillermo Firman\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#\\\/schema\\\/person\\\/ead6734a2f20659131388ba822c7078c\"},\"headline\":\"Guidelines for the Clinical Use of Red Cell Transfusions\",\"datePublished\":\"2010-12-29T22:20:55+00:00\",\"dateModified\":\"2025-05-14T19:08:27+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/es\\\/hemrct\\\/\"},\"wordCount\":774,\"publisher\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#organization\"},\"keywords\":[\"Cell\",\"Clinical\",\"clinico\",\"globulos\",\"guia\",\"Guidelines\",\"Red\",\"rojos\",\"transfusiones\",\"Transfusions\",\"Use\",\"uso\"],\"articleSection\":[\"Hematology\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/es\\\/hemrct\\\/\",\"url\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/es\\\/hemrct\\\/\",\"name\":\"[:es]Pautas para el Uso Cl\u00ednico de Transfusiones de Gl\u00f3bulos Rojos[:en]Guidelines for the Clinical Use of Red Cell Transfusions[:] - MedicalCRITERIA.com\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#website\"},\"datePublished\":\"2010-12-29T22:20:55+00:00\",\"dateModified\":\"2025-05-14T19:08:27+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/es\\\/hemrct\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/es\\\/hemrct\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/es\\\/hemrct\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Pautas para el Uso Cl\u00ednico de Transfusiones de Gl\u00f3bulos Rojos\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#website\",\"url\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/\",\"name\":\"MedicalCRITERIA.com\",\"description\":\"Unifying Concepts\",\"publisher\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#organization\",\"name\":\"MedicalCRITERIA.com\",\"alternateName\":\"Criterios M\u00e9dicos\",\"url\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/wp-content\\\/uploads\\\/2025\\\/03\\\/cropped-mc_1024x500.png\",\"contentUrl\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/wp-content\\\/uploads\\\/2025\\\/03\\\/cropped-mc_1024x500.png\",\"width\":600,\"height\":257,\"caption\":\"MedicalCRITERIA.com\"},\"image\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/medicalcriteria\\\/\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#\\\/schema\\\/person\\\/ead6734a2f20659131388ba822c7078c\",\"name\":\"Guillermo Firman\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/24f0f68ba780b5b240680962755c6f75e6116e6667394a46e38b7b8fd0a62e9f?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/24f0f68ba780b5b240680962755c6f75e6116e6667394a46e38b7b8fd0a62e9f?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/24f0f68ba780b5b240680962755c6f75e6116e6667394a46e38b7b8fd0a62e9f?s=96&d=mm&r=g\",\"caption\":\"Guillermo Firman\"},\"sameAs\":[\"http:\\\/\\\/MedicalCRITERIA.com\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"[:es]Pautas para el Uso Cl\u00ednico de Transfusiones de Gl\u00f3bulos Rojos[:en]Guidelines for the Clinical Use of Red Cell Transfusions[:] - MedicalCRITERIA.com","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/medicalcriteria.com\/web\/es\/hemrct\/","og_locale":"en_US","og_type":"article","og_title":"[:es]Pautas para el Uso Cl\u00ednico de Transfusiones de Gl\u00f3bulos Rojos[:en]Guidelines for the Clinical Use of Red Cell Transfusions[:] - MedicalCRITERIA.com","og_description":"Sorry, this entry is only available in Espa\u00f1ol.","og_url":"https:\/\/medicalcriteria.com\/web\/es\/hemrct\/","og_site_name":"MedicalCRITERIA.com","article_publisher":"https:\/\/www.facebook.com\/medicalcriteria\/","article_published_time":"2010-12-29T22:20:55+00:00","article_modified_time":"2025-05-14T19:08:27+00:00","author":"Guillermo Firman","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Guillermo Firman","Est. reading time":"4 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/medicalcriteria.com\/web\/es\/hemrct\/#article","isPartOf":{"@id":"https:\/\/medicalcriteria.com\/web\/es\/hemrct\/"},"author":{"name":"Guillermo Firman","@id":"https:\/\/medicalcriteria.com\/web\/#\/schema\/person\/ead6734a2f20659131388ba822c7078c"},"headline":"Guidelines for the Clinical Use of Red Cell Transfusions","datePublished":"2010-12-29T22:20:55+00:00","dateModified":"2025-05-14T19:08:27+00:00","mainEntityOfPage":{"@id":"https:\/\/medicalcriteria.com\/web\/es\/hemrct\/"},"wordCount":774,"publisher":{"@id":"https:\/\/medicalcriteria.com\/web\/#organization"},"keywords":["Cell","Clinical","clinico","globulos","guia","Guidelines","Red","rojos","transfusiones","Transfusions","Use","uso"],"articleSection":["Hematology"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/medicalcriteria.com\/web\/es\/hemrct\/","url":"https:\/\/medicalcriteria.com\/web\/es\/hemrct\/","name":"[:es]Pautas para el Uso Cl\u00ednico de Transfusiones de Gl\u00f3bulos Rojos[:en]Guidelines for the Clinical Use of Red Cell Transfusions[:] - MedicalCRITERIA.com","isPartOf":{"@id":"https:\/\/medicalcriteria.com\/web\/#website"},"datePublished":"2010-12-29T22:20:55+00:00","dateModified":"2025-05-14T19:08:27+00:00","breadcrumb":{"@id":"https:\/\/medicalcriteria.com\/web\/es\/hemrct\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/medicalcriteria.com\/web\/es\/hemrct\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/medicalcriteria.com\/web\/es\/hemrct\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Portada","item":"https:\/\/medicalcriteria.com\/web\/"},{"@type":"ListItem","position":2,"name":"Pautas para el Uso Cl\u00ednico de Transfusiones de Gl\u00f3bulos Rojos"}]},{"@type":"WebSite","@id":"https:\/\/medicalcriteria.com\/web\/#website","url":"https:\/\/medicalcriteria.com\/web\/","name":"MedicalCRITERIA.com","description":"Unifying Concepts","publisher":{"@id":"https:\/\/medicalcriteria.com\/web\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/medicalcriteria.com\/web\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/medicalcriteria.com\/web\/#organization","name":"MedicalCRITERIA.com","alternateName":"Criterios M\u00e9dicos","url":"https:\/\/medicalcriteria.com\/web\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/medicalcriteria.com\/web\/#\/schema\/logo\/image\/","url":"https:\/\/medicalcriteria.com\/web\/wp-content\/uploads\/2025\/03\/cropped-mc_1024x500.png","contentUrl":"https:\/\/medicalcriteria.com\/web\/wp-content\/uploads\/2025\/03\/cropped-mc_1024x500.png","width":600,"height":257,"caption":"MedicalCRITERIA.com"},"image":{"@id":"https:\/\/medicalcriteria.com\/web\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/medicalcriteria\/"]},{"@type":"Person","@id":"https:\/\/medicalcriteria.com\/web\/#\/schema\/person\/ead6734a2f20659131388ba822c7078c","name":"Guillermo Firman","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/24f0f68ba780b5b240680962755c6f75e6116e6667394a46e38b7b8fd0a62e9f?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/24f0f68ba780b5b240680962755c6f75e6116e6667394a46e38b7b8fd0a62e9f?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/24f0f68ba780b5b240680962755c6f75e6116e6667394a46e38b7b8fd0a62e9f?s=96&d=mm&r=g","caption":"Guillermo Firman"},"sameAs":["http:\/\/MedicalCRITERIA.com"]}]}},"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2439","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2439"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2439\/revisions"}],"predecessor-version":[{"id":9343,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2439\/revisions\/9343"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2439"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2439"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2439"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}