A 54-year-old hospitalist asks about optimal transfusion strategy for an upper GI bleed patient who is haemodynamically stable after resuscitation and...

Question

A 54-year-old hospitalist asks about optimal transfusion strategy for an upper GI bleed patient who is haemodynamically stable after resuscitation and Hb 7.2 g/dL. What is best?

Accepted Answer

Withhold transfusion until Hb

Answer

Transfuse to Hb ≥10 g/dL

Answer

Transfuse now to target 8-9 g/dL

Answer

Transfuse only if lactate >4 mmol/L

Answer

Transfuse platelets instead of RBCs

us-abfm MCQ (SBA): GI Bleeding-Transfusion Threshold

A 54-year-old hospitalist asks about optimal transfusion strategy for an upper GI bleed patient who is haemodynamically stable after resuscitation and Hb 7.2 g/dL. What is best?