<abstract xmlns="http://www.w3.org/1999/xhtml"><p> Anemia in patients admitted to an intensive care unit is common and affects almost all critically ill patients. The intensivist is faced with the challenge of treating multifactorial etiologies, mainly bleeding and blood loss due to phlebotomy and decreased erythropoiesis. Red cell transfusion, the most common treatment for anemia, comes with associated risks, which may further reduce the chance of survival of these patients. The best evidence suggests the practice of restrictive RBC transfusion (transfusion at Hb&lt;7 g/dl).</p><p>In this article, the etiopathogenesis of the anemia in critically ill is reviewed, and current opinion on the pros and cons of various management strategies are discussed with emphasize on restrictive transfusion policy.</p></abstract>

Anemia in patients admitted to an intensive care unit is common and affects almost all critically ill patients. The intensivist is faced with the challenge of treating multifactorial etiologies, mainly bleeding and blood loss due to phlebotomy and decreased erythropoiesis. Red cell transfusion, the most common treatment for anemia, comes with associated risks, which may further reduce the chance of survival of these patients. The best evidence suggests the practice of restrictive RBC transfusion (transfusion at Hb<7 g/dl).In this article, the etiopathogenesis of the anemia in critically ill is reviewed, and current opinion on the pros and cons of various management strategies are discussed with emphasize on restrictive transfusion policy.

Anemia in Intensive Care: A review of Current Concepts

Respiratory Intensive Care, Max Super Specialty Hospital, Saket, New Delhi, India

Flat No. 417, Dhruva Apartments, Plot no. 4, I P Extension, Patparganj, Delhi, India, Pin-110092.

Department of Medicine & TB, Chest Clinic Moti Nagar, North Delhi Municipal Corporation, New Delhi, India

Gen-X Diagnostics, Madhu Vihar, New Delhi, India

The Journal of Critical Care Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

{"article-title":"Anemia in Intensive Care: A review of Current Concepts"}

Anemia in patients admitted to an intensive care unit is common and affects almost all critically ill patients. The intensivist is faced with the challenge of...

Anemia in Intensive Care: A review of Current Concepts

Online veröffentlicht: 10. Aug. 2016

Seitenbereich: 109 - 114

Eingereicht: 05. Mai 2016

Akzeptiert: 29. Juni 2016

DOI: https://doi.org/10.1515/jccm-2016-0017

Schlüsselwörter
anemia, critical illness, erythropoietin, intensive care, red blood cell, transfusion

© 2016

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Anemia in Intensive Care: A review of Current Concepts

Online veröffentlicht: 10. Aug. 2016

Seitenbereich: 109 - 114

Eingereicht: 05. Mai 2016

Akzeptiert: 29. Juni 2016

DOI: https://doi.org/10.1515/jccm-2016-0017

Schlüsselwörteranemia, critical illness, erythropoietin, intensive care, red blood cell, transfusion

© 2016

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Schlüsselwörter
anemia, critical illness, erythropoietin, intensive care, red blood cell, transfusion