TY - CHAP M1 - Book, Section TI - Anemia and Red Blood Cell Transfusion in the Critically Ill Patient A1 - Corwin, Howard L. A1 - Napolitano, Lena M. A2 - Schmidt, Gregory A. A2 - Kress, John P. A2 - Douglas, Ivor S. Y1 - 2023 N1 - T2 - Hall, Schmidt and Wood’s Principles of Critical Care, 5th Edition AB - KEY POINTSAnemia is common in the critically ill and is associated with the use of red blood cell (RBC) transfusions and worse clinical outcomes.Anemia management, independent of RBC transfusion, is important. This may include the use of erythropoiesis-stimulating agents and/or iron.The risks of RBC transfusions have expanded and are well documented.Little data support efficacy of RBC transfusions in many clinical situations in which they are given.In general for critically ill patients, a restrictive strategy (consider RBC transfusion when hemoglobin ≤7 g/dL) is recommended.In patients with acute coronary syndrome, consider RBC transfusion when Hb ≤8 g/dL.Patient preferences and Patient Blood Management guidelines should be considered when considering blood transfusion.Anemia prevention in the ICU includes efforts to reduce phlebotomy and diagnostic laboratory testing, use of pediatric or low-volume sampling tubes, and blood loss prevention. SN - PB - McGraw Hill CY - New York, NY Y2 - 2023/12/07 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1201807857 ER -