Patient Blood Management Guidelines: Module 1

Critical Bleeding Massive Transfusion

| Clinical practice guidance based on evidence or consensus |

4.5 Effect of non-transfusion interventions to increase haemoglobin concentration

Question 5 (interventional)

In patients with critical bleeding requiring massive transfusion, what is the effect of non-transfusion interventions to increase haemoglobin concentration on morbidity, mortality and need for RBC transfusion?

RBC, red blood cell

Non-transfusion interventions to increase haemoglobin concentration (e.g. iron and erythropoiesis-stimulating agents, ESAs) are not applicable in the setting of critical bleeding requiring massive transfusion. The review did not include a search for synthetic oxygen-carrying solutions or cell salvage techniques.

A systematic review of cell salvage techniques is included in other modules of these guidelines.

Evidence statement
 
In critically bleeding patients requiring massive transfusion, no evidence could be found regarding non-transfusion interventions to increase haemoglobin concentration.
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