Strategies for Elective Red Blood Cell Transfusion
Authors: Jonathan M. Ross
Journal: Annals of Internal Medicine (1992)

Letters1 September 1992Strategies for Elective Red Blood Cell TransfusionJonathan M. Ross, MDJonathan M. Ross, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-117-5-441 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the Editors:Dr. Welch and colleagues (1) are to be congratulated for their excellent review of strategies for elective red blood cell transfusion. It was comprehensive, clinically important, and scholarly. The accompanying clinical guideline article (2), endorsed by the American College of Physicians Clinical Efficacy Assessment Project (CEAP), although well constructed and clear in its intent to help, troubled me on two counts. First, the guidelines seem rigid when delineating the symptoms or signs requiring blood transfusion in normovolemic patients with persistent anemia. I question the validity of excludingallother indications, such as fatigue, depression, improvement of well...References References References1. WelchMeehanGoodnough HKL. Prudent strategies for elective red blood cell transfusion. Ann Intern Med. 1992;116:393-402. LinkGoogle Scholar2. . Practice strategies for elective red blood cell transfusions. Ann Intern Med. 1992;116:403-6. LinkGoogle Scholar1. WelchMeehanGoodnough HKT. Prudent strategies for elective red blood cell transfusion. Ann Intern Med. 1992;116:393-402. LinkGoogle Scholar2. Practice strategies for elective red blood cell transfusion. Ann Intern Med. 1992;116:403-6. LinkGoogle Scholar3. Consensus Conference. Perioperative red cell transfusion. JAMA. 1988;260:2700-3. CrossrefMedlineGoogle Scholar4. SilbersteinKruskallStehlingJohnstonRutmanSamia LMLMRC. Strategies for the review of transfusion practices. JAMA. 1989;262:1993-7. CrossrefMedlineGoogle Scholar1. WelchMeehanGoodnough HKL. Prudent strategies for elective red blood cell transfusion. Ann Intern Med. 1992;116:393-402. LinkGoogle Scholar2. Practice strategies for elective red blood cell transfusions. Ann Intern Med. 1992;116:403-6. LinkGoogle Scholar1. WelchMeehanGoodnough HKL. Prudent strategies for elective red blood cell transfusion. Ann Intern Med. 1992;116:393-402. LinkGoogle Scholar2. . Practice strategies for elective red blood cell transfusion. Ann Intern Med. 1992;116:403-6. LinkGoogle Scholar1. GrindonTomasuloBerginKleinMillerMintz APJHJP. The hospital transfusion committee: guidelines for Improving Practice. JAMA. 1985;253:540-3. CrossrefMedlineGoogle Scholar2. FriedmanBurnsSchork BTM. An analysis of blood transfusion of surgical patients by sex: a quest for the transfusion trigger. Transfusion. 1980;20:179-88. CrossrefMedlineGoogle Scholar3. GoodnoughVerbruggeVizmegRiddell LDKJ. Identifying elective orthopaedic surgical patients transfused with blood volumes in excess of blood needs: the "transfusion trigger" revisited. Transfusion, [In press]. Google Scholar4. StehlingEllisonFaustGrottaMoyers LNRAJ. A survey of transfusion practices among anesthesiologists. Vox Sang. 1987;52:60-2. CrossrefMedlineGoogle Scholar5. StehlingZauder LH. How low can we go? Is there a way to know? [Editorial]. Transfusion. 1990;30:1-3. CrossrefMedlineGoogle Scholar6. GoodnoughHullBrennenMartin LAPB. Targeting continuing medical education on decision makers: who decides to transfuse blood? Journal of Continuing Education in Health Professions, [In press]. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Dartmouth-Hitchcock Medical Center Lebanon, NH 03756 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByAnemic HypoxiaRole of RBC Transfusion Therapy in Sepsis 1 September 1992Volume 117, Issue 5Page: 441-442KeywordsAnemiaBlood transfusionFatigueRed blood cellsSigns and symptoms Issue Published: 1 September 1992 PDF DownloadLoading ...