Dr Craig French. Anaemia is bad for you. BUT Is correction of anaemia with Red Blood Cell transfusion good for you?

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Presentation transcript:

Dr Craig French

Anaemia is bad for you. BUT Is correction of anaemia with Red Blood Cell transfusion good for you?

In medical patients, what is the effect of RBC transfusion on patient outcomes?

52 year male Presents with acute myocardial infarct to a large city hospital He receives thrombolysis therapy for blocked artery It is noted his Hb is 80g/L Very thoughtful resident asks the cardiologist “should we transfuse him and if so, how many bags of blood?”

Cardiologist carefully thinks of the possible benefits to the patient from the blood transfusion balanced against the potential harm –Maybe the anaemia will contribute to more heart damage –Maybe the anaemia will increase his mortality and both of these maybe reduced by transfusion –However could the blood transfusion somehow contribute to further blockages of his coronary arteries Is there any evidence to base this decision on?

Future Modules Reasonable body of evidence for RBC transfusion Consensus based for Plasma, Cryoprecipitate, Platelets Also cover –cell salvage for trauma and emergency surgery –tranexamic acid in trauma Awaiting NHMRC approval

Future Modules Module 5 - Obstetrics Module 6 - Paediatric/Neonates Due to commence 2013

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