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Review

A Contemporary Review of Blood Transfusion in Critically Ill Patients

by
Sumeet K. Yadav
1,
Guleid Hussein
1,
Bolun Liu
1,
Nikhil Vojjala
2,
Mohamed Warsame
1,
Mohamad El Labban
3,
Ibtisam Rauf
4,
Mohamed Hassan
1,
Tashfia Zareen
4,
Syed Muhammad Usama
5,
Yaqi Zhang
6,
Shika M. Jain
7,
Salim R. Surani
8,*,
Pavan Devulapally
9,
Brian Bartlett
10,
Syed Anjum Khan
11 and
Nitesh Kumar Jain
11,*
1
Department of Hospital Internal Medicine, Mayo Clinic Health System, 1025 Marsh Street, Mankato, MN 56001, USA
2
Department of Internal Medicine, Trinity Health Oakland/Wayne State University, Pontiac, MI 48341, USA
3
Department of Internal Medicine, Mayo Clinic Health System, 1025 Marsh Street, Mankato, MN 56001, USA
4
St. George’s University School of Medicine, St. George SW17 0RE, Grenada
5
Department of Internal Medicine, Nazareth Hospital, Philadelphia, PA 19152, USA
6
Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA
7
Department of Internal Medicine, MVJ Medical College and Research Hospital, Bengaluru 562 114, India
8
Department of Medicine and Pharmacology, Texas A&M University, College Station, TX 79016, USA
9
South Texas Renal Care Group, Department of Nephrology, Christus Santa Rosa, Methodist Hospital, San Antonio, TX 78229, USA
10
Department of Emergency Medicine, Mayo Clinic health System, 1025 Marsh Street, MN 56001, USA
11
Department of Critical Care Medicine, Mayo Clinic Health System, 1025 Marsh Street, Mankato, MN 56001, USA
 
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*
Authors to whom correspondence should be addressed.
Medicina 2024, 60(8), 1247; https://doi.org/10.3390/medicina60081247
Submission received: 20 June 2024 / Revised: 10 July 2024 / Accepted: 25 July 2024 / Published: 31 July 2024
(This article belongs to the Section Intensive Care/ Anesthesiology)
Versions Notes

Abstract

Blood transfusion is a common therapeutic intervention in hospitalized patients. There are numerous indications for transfusion, including anemia and coagulopathy with deficiency of single or multiple coagulation components such as platelets or coagulation factors. Nevertheless, the practice of transfusion in critically ill patients has been controversial mainly due to a lack of evidence and the need to consider the appropriate clinical context for transfusion. Further, transfusion carries many risk factors that must be balanced with benefits. Therefore, transfusion practice in ICU patients has constantly evolved, and we endeavor to present a contemporary review of transfusion practices in this population guided by clinical trials and expert guidelines.
Keywords: transfusion; coagulopathy; critically ill; guideline; intensive care; plasma; platelets; red blood cells; point of care; tranexamic acid; bleeding; coagulation; massive transfusion; anemia; platelet transfusion; plasma; hemostasis; adult; thrombocytopenia; coagulopathy; prophylactic transfusion; blood; cardiac surgery; acute coronary syndrome; erythrocyte; hemoglobin; practice; risk factors; surgery; transfusion transfusion; coagulopathy; critically ill; guideline; intensive care; plasma; platelets; red blood cells; point of care; tranexamic acid; bleeding; coagulation; massive transfusion; anemia; platelet transfusion; plasma; hemostasis; adult; thrombocytopenia; coagulopathy; prophylactic transfusion; blood; cardiac surgery; acute coronary syndrome; erythrocyte; hemoglobin; practice; risk factors; surgery; transfusion

Share and Cite

MDPI and ACS Style

Yadav, S.K.; Hussein, G.; Liu, B.; Vojjala, N.; Warsame, M.; El Labban, M.; Rauf, I.; Hassan, M.; Zareen, T.; Usama, S.M.; et al. A Contemporary Review of Blood Transfusion in Critically Ill Patients. Medicina 2024, 60, 1247. https://doi.org/10.3390/medicina60081247

AMA Style

Yadav SK, Hussein G, Liu B, Vojjala N, Warsame M, El Labban M, Rauf I, Hassan M, Zareen T, Usama SM, et al. A Contemporary Review of Blood Transfusion in Critically Ill Patients. Medicina. 2024; 60(8):1247. https://doi.org/10.3390/medicina60081247

Chicago/Turabian Style

Yadav, Sumeet K., Guleid Hussein, Bolun Liu, Nikhil Vojjala, Mohamed Warsame, Mohamad El Labban, Ibtisam Rauf, Mohamed Hassan, Tashfia Zareen, Syed Muhammad Usama, and et al. 2024. "A Contemporary Review of Blood Transfusion in Critically Ill Patients" Medicina 60, no. 8: 1247. https://doi.org/10.3390/medicina60081247

APA Style

Yadav, S. K., Hussein, G., Liu, B., Vojjala, N., Warsame, M., El Labban, M., Rauf, I., Hassan, M., Zareen, T., Usama, S. M., Zhang, Y., Jain, S. M., Surani, S. R., Devulapally, P., Bartlett, B., Khan, S. A., & Jain, N. K. (2024). A Contemporary Review of Blood Transfusion in Critically Ill Patients. Medicina, 60(8), 1247. https://doi.org/10.3390/medicina60081247

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