Optimizing Blood Transfusion in Patients with Acute Myocardial Infarction
Evan M. Bloch, Aaron A.R. Tobian
Abstract
Red-cell transfusion is one of the most commonly performed medical procedures. It is also one of the most overused medical procedures, which largely neglects the associated risks, costs, and sustainability of liberal transfusion practices. In 1999, Hébert and colleagues published their findings from the landmark Transfusion Requirements in Critical Care (TRICC) trial, results that challenged the then-standard practice of liberal transfusion.1 The trial showed that 30-day mortality among critically ill patients was not significantly different between those who had been assigned to a restrictive transfusion strategy (hemoglobin trigger, <7 g per deciliter) and those who had been assigned to a . . .
Topics & Concepts
MedicineRed Blood Cell TransfusionBlood transfusionIntensive care medicineMyocardial infarctionStandard of careCritically illEmergency medicineSurgeryInternal medicineBlood transfusion and managementTrauma, Hemostasis, Coagulopathy, ResuscitationHyperglycemia and glycemic control in critically ill and hospitalized patients