Repeated Medical PG Question- 62

Following a recent abdominal surgery, your patient is in the ICU with sepsis. Below what level of hemoglobin would a blood transfusion be indicated?

A. <12 gm%

B. <10 gm%

C. <8.5 gm%

D. <7 gm%

Answer: D. <7 gm%

Expaination:  Indication for periopertive cases for blood transfusion if haemoglobin level is less than 6. There is no indication recommended for blood transfusion for Haemoglobin > 8 gm%

Periopertive RBCs transfusion criteria

Blood substitutes: 

1. First generation : perflourocarbon
   
2. Second generation: Stromafree hemoglobin
   
3. Next generation: 
   

• Polyethylene glycol (PEG) hemoglobin 
  
• Hemospanalso known as MP4OX, is a PEG-conjugated human hemoglobin currently undergoing clinical trials in the US and Europe.
  
• Pyridoxylated hemoglobin 
• polyoxyethyleneconjugate (PHP) is a conjugated hemoglobin