Most patients in the ICU will become anemic. This chapter explores prevention, evaluation, and treatment of anemia in the ICU. Causes of new-onset anemia in the ICU are distinct from the causes of anemia seen in the outpatient clinic, so the approach should be appropriately tailored to the critical care environment. The Jehovah's Witness patient requires special attention to avoid anemia.
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The IBCC chapter is located here.
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You should correct the unit for Hb to g/dL, not mg/dL
Any explanation on why you didn’t fix those units ? It hurts my eyes everytime I stumble upon it and if a simple error like that can’t be fixed, what’s the point of peer-reviewing those chapters?
Sorry for being a pushy jerk if it’s already on your list but didn’t make it yet.
Would you raccomend a target of 8 g/dl also in brain injury?
I think you could still use 7 g/dl in brain injury, not aware of specific hemoglobin targets for this.
Some orthopedists insist in mantainning a target Hb > 10 in spinal surgeries, for lowering the risk of spinal ischemia. I have never seen any data about this. Do you any data about this patient population?
What about other pathophysiological triggers for transfusion like lactate/svo2? As for instance recommended in the ICU book by marino
I remember reading this when I was a medical student 10-15 years ago. I believe that this was derived from the River’s trial. All respect given to this trial, I think that multiple other large trials have done away with “goal directed” therapies- like giving medical therapies (blood) to fix numbers (CaO2). Obviously I defer to Dr Farkas to give a better explanation.
What is your approach to the ICU patient with iron deficiency and anemia? Consider patients with either negative for hemolysis/blood loss OR positive for hemolysis/blood loss.