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Critical Care
Published in: Critical Care 4/2013

01-08-2013 | Letter

Management of bleeding following major trauma: is a target haemoglobin of 7 to 9 g/dl high enough?

Authors: Nicolas Morel, François Delaunay, Vincent Dubuisson

Published in: Critical Care | Issue 4/2013

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Excerpt

In the latest recommendations for the management of bleeding following major trauma, Spahn and colleagues recommend a target haemoglobin of 7 to 9 g/dl to initiate blood transfusion [1]. In their rationale the authors use a subgroup of trauma patients from the Transfusion Requirements in Critical Care study; however, patients with active blood loss were excluded from this trial. …
Literature
1.
Spahn DR, Bouillon B, Cerny V, Coats TJ, Duranteau J, Fernandez-Mondejar E, Filipescu D, Hunt BJ, Komadina R, Nardi G, Neugebauer E, Ozier Y, Riddez L, Schultz A, Vincent JL, Rossaint R: Management of bleeding and coagulopathy following major trauma: an updated European guideline. Crit Care 2013, 17: R76.PubMedPubMedCentralCrossRef
2.
McIntyre LA, Hebert PC: Can we safely restrict transfusion in trauma patients? Curr Opin Crit Care 2006, 12: 575-583.PubMedCrossRef
3.
Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B, Peterson E, Tomlanovich M: Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 2001, 345: 1368-1377.PubMedCrossRef
4.
Riskin DJ, Tsai TC, Riskin L, Hernandez-Boussard T, Purtill M, Maggio PM, Spain DA, Brundage SI: Massive transfusion protocols: the role of aggressive resuscitation versus product ratio in mortality reduction. J Am Coll Surg 2009, 209: 198-205.PubMedCrossRef
5.
Metadata
Title
Management of bleeding following major trauma: is a target haemoglobin of 7 to 9 g/dl high enough?
Authors
Nicolas Morel
François Delaunay
Vincent Dubuisson
Publication date
01-08-2013
Publisher
BioMed Central
Published in
Critical Care / Issue 4/2013
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc12767

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