Question

A 72-year-old with a history of upper GI bleeding presents with melena and dizziness. Hgb 6.7 g/dL, BP 102/62. He is admitted. What transfusion strategy is recommended?

Accepted Answer

Restrictive strategy: transfuse when Hgb <7 g/dL (unless specific exceptions)

Answer

Transfuse PRBCs when Hgb <9 g/dL for all UGIB

Answer

Transfuse to maintain Hgb ≥10 g/dL routinely

Answer

Avoid transfusion unless Hgb <6 g/dL

Answer

Transfuse only after endoscopy

Practice question

A 72-year-old with a history of upper GI bleeding presents with melena and dizziness. Hgb 6.7 g/dL, BP 102/62. He is admitted. What transfusion strategy is recommended?