Hemodynamics, fluids & transfusion

Red Blood Cell Transfusion in Critically Ill Adults: An American College of Chest Physicians Clinical Practice Guideline

ChestPublished Clinical practice guideline

Methodological detailsGRADE approach, modified Delphi consensus, systematic evidence review
  • GRADE approach
  • Modified Delphi consensus
  • Systematic evidence review

Recommendations

As issued by the authors

  1. In most critically ill patients, a restrictive strategy is preferable to a permissive approach (no increased risk of death or complications; significantly decreased RBC use)

  2. Critically ill subpopulations: restrictive approach supported, except in patients with acute coronary syndrome (ACS), in whom a restrictive approach could increase adverse outcomes

Original publication

Red Blood Cell Transfusion in Critically Ill Adults: An American College of Chest Physicians Clinical Practice Guideline. Chest. Published 26 September 2024. doi:10.1016/j.chest.2024.09.016

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