Question
Perioperative benefit from transfusion is with a haemoglobin level of
The correct answer is
$<6$ gm/dl
Perioperative Transfusion Benefit Threshold
Perioperative benefit from blood transfusion is indicated when the risks associated with a low haemoglobin (Hb) level might exceed the risks of transfusion itself. This typically occurs at very low Hb concentrations.
Identifying Hemoglobin Threshold for Benefit
The decision to transfuse perioperatively hinges on the patient's haemoglobin level and clinical status. Guidelines focus on thresholds where oxygen delivery is significantly impaired.
- Haemoglobin $< 6$ gm/dl: This level indicates severe anaemia. Oxygen-carrying capacity is critically low, posing a significant risk of tissue hypoxia and organ dysfunction. Transfusion at this level is generally considered beneficial to restore adequate oxygen delivery.
- Haemoglobin $6-8$ gm/dl: Transfusion might be considered, especially if the patient exhibits symptoms of anaemia or has comorbidities like cardiovascular disease. However, the benefit is context-dependent.
- Haemoglobin $> 8$ gm/dl: In most patients without specific complications or symptoms, transfusion is usually not necessary at these levels.
The range indicating clear perioperative benefit aligns with the most severe level of anaemia presented.
Was this answer helpful?
Important Questions from Pre-operative & Post-operative Care
- Which type of surgery is laparoscopic cholecystectomy classified as?
- A 50-year old lady underwent uneventful bariatric surgery for morbid obesity. On the third post operative day, she develops breathless and pulmonary embolism is suspected. The next investigation to confirm the diagnosis will be:
- Which one of the following is NOT a risk factor for development of venous thrombosis in surgical patients?
- Which one of the following is NOT a complication of massive blood transfusion?
- A 20 year old patient underwent open hernia surgery four days back. He is running fever for the last one day and on local examination the operated site was wet with pus and surrounding redness and edema. The appropriate management would be:
Need Expert Advice?
