This month, my place of work has launched the
"Appropriate Transfusion Project" which aims to change practice and ensure the
full implementation of the latest
NICE Transfusion Guidelines with the Trust.
What does NICE recommend?
·
Single
unit transfusions on patients who do not have active bleeding and to clinically
re-assess patients and check haemoglobin levels after each unit of red blood
cells.
·
Use
a restrictive transfusion threshold of 70g/L and a target haemoglobin level of
71—90g/L after transfusion.
What are the exceptions?
A restrictive transfusion threshold is not
appropriate in cases of:
Major haemorrhage
·
Acute
coronary syndrome – For these patients consider a threshold haemoglobin level
of 80g/L and a target haemoglobin concentration of >81-100g/L after
transfusion.
·
Chronic
anaemia – for patients who require transfusion for chronic anaemia, consider
setting individual thresholds and haemoglobin targets for each patient.
It is recommended that when transfusing
patients these best practice parameters should be borne in in mind. It is
important that when requesting blood that the clinical justification and Hb
level are stated on the request form.
I’m looking forward to starting in blood bank
to see how this will be applied in practice
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