A 70-year-old man with stable coronary artery disease is admitted with symptomatic anaemia. Haemoglobin is 68 g/L, he is mildly dyspnoeic on exertion ...

Question

A 70-year-old man with stable coronary artery disease is admitted with symptomatic anaemia. Haemoglobin is 68 g/L, he is mildly dyspnoeic on exertion but haemodynamically stable. According to Australian blood management guidance, what is the most appropriate approach to red cell transfusion?

Accepted Answer

Consider transfusing one unit of red cells now and reassess symptoms and haemoglobin

Answer

Do not transfuse as he is haemodynamically stable

Answer

Transfuse red cells to achieve a haemoglobin above 110 g/L

Answer

Transfuse four units immediately to normalise haemoglobin

Answer

Delay all transfusions until haemoglobin falls below 50 g/L

au-amc MCQ (SBA): Red cell transfusion thresholds

A 70-year-old man with stable coronary artery disease is admitted with symptomatic anaemia. Haemoglobin is 68 g/L, he is mildly dyspnoeic on exertion but haemodynamically stable. According to Australian blood management guidance, what is the most appropriate approach to red cell transfusion?