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Critical Care
Published in: Critical Care 1/2017

Open Access 01-12-2017 | Editorial

Iatrogenic hemodilution: a possible cause for avoidable blood transfusions?

Author: Azriel Perel

Published in: Critical Care | Issue 1/2017

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Excerpt

A restrictive approach to blood transfusions is recommended by most current guidelines [1, 2]. Others suggest that in some patients a more liberal transfusion strategy may be beneficial [3]. However, the extensive discussions regarding the appropriate transfusion threshold have not adequately addressed the potential impact of iatrogenic hemodilution on the hemoglobin (Hb) level during dynamic clinical conditions that necessitate fluid administration [4, 5]. This editorial will attempt to describe the frequent occurrence of iatrogenic hemodilution and its potential impact on decisions to transfuse blood. …
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Kozek-Langenecker SA, Ahmed AB, Afshari A, Albaladejo P, Aldecoa C, Barauskas G, De Robertis E, Faraoni D, Filipescu DC, Fries D, et al. Management of severe perioperative bleeding: guidelines from the European Society of Anaesthesiology: First update 2016. Eur J Anaesth. 2017;34:332–95.CrossRef
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Mirski MA, Frank SM, Kor DJ, Vincent JL, Holmes Jr DR. Restrictive and liberal red cell transfusion strategies in adult patients: reconciling clinical data with best practice. Crit Care. 2015;19:202.CrossRefPubMedPubMedCentral
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Metadata
Title
Iatrogenic hemodilution: a possible cause for avoidable blood transfusions?
Author
Azriel Perel
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2017
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-017-1872-1

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