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Transfusion-dependent anemia is a form of anemia characterized by the need for continuous blood transfusion. It is a condition that results from various diseases, and is associated with decreased survival rates. [1] [2] Regular transfusion is required to reduce the symptoms of anemia by increasing functional red blood cells and hemoglobin count.
The packed cells are typically used in anemia that is either causing symptoms or when the hemoglobin is less than usually 70–80 g/L (7–8 g/dL). [1] [2] [3] In adults, one unit brings up hemoglobin levels by about 10 g/L (1 g/dL). [4] [5] Repeated transfusions may be required in people receiving cancer chemotherapy or who have hemoglobin ...
Historically, red blood cell transfusion was considered when the hemoglobin level fell below 100g/L or hematocrit fell below 30%. [3] [4] Because each unit of blood given carries risks, a trigger level lower than that, at 70 to 80g/L, is now usually used, as it has been shown to have better patient outcomes.
Transfusion dependent anemia is a form of anemia where ongoing blood transfusion are required. [89] Most people with myelodysplastic syndrome develop this state at some point in time. [90] Beta thalassemia may also result in transfusion dependence. [91] [92] Concerns from repeated blood transfusions include iron overload. [90]
It is used in the treatment of massive bleeding, in exchange transfusion, and when people donate blood to themselves. [1] [2] One unit of whole blood (approximately 450 mL) brings up hemoglobin levels by about 10 g/L. [3] [4] Cross matching is typically done before the blood is given. [2] [5] It is given by injection into a vein. [6]
A hemoglobin test measures the amount of hemoglobin in your blood. If a hemoglobin tests shows that a person's levels are below normal, it means they have a low red blood cell count, which is known as anemia. If the test shows higher levels than normal, it means they have hemoglobinemia. [citation needed] The normal range for hemoglobin is:
A 2013 study of over 400,000 people admitted to US hospitals found that 74% developed anemia at some point during their hospital stay. [5] Iatrogenic anemia is of particular concern in intensive care medicine, [6]: 629 because people who are critically ill require frequent blood tests and have a higher risk of developing anemia due to lower hemoglobin levels and impaired production of red ...
Prior to surgery in people with sickle cell anemia (HbSS) who already have a hemoglobin above 85g/L, or who require a prolonged operation with general anesthetic, or who need high-risk surgery [3] [4] [6] [7] To optimise hemoglobin S levels, for example to prevent a stroke occurring in a child.
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