Back in the day it was widely accepted
that the potential hazards of the transfusion of a single unit of blood greatly
outweighed the advantages, and so it would be at least two units of blood or
nothing.
Back in the day pretty much everyone
would be transfused until their haemoglobin level was over 10 (or 100 in new
currency).
And back in the day a lot of people
would get pneumonia whilst in hospital for no adequately explored reason.
Nowadays we are more aware of
transfusion associated circulatory overload, and today (despite being on a
day off) I tuned in to a rather interesting talk on the subject presented
over Microsoft Teams.
I listened to a couple of very interesting
case studies… and found myself wondering just what can you do for the best.
Someone’s anaemia is causing fluid retention, but trying to alleviate the
anaemia by transfusing blood is just giving more fluid…
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