Question

A 63-year-old with melena and orthostasis is admitted. Hgb 7.1 g/dL, INR 1.0. What transfusion strategy is recommended for upper GI bleeding?

Accepted Answer

Restrictive transfusion with threshold 7 g/dL

Answer

Transfuse at Hgb <9 g/dL to reduce mortality

Answer

Transfuse only with active coronary ischaemia

Answer

Defer transfusion until endoscopy clarifies the source

Answer

Transfuse at Hgb <8 g/dL for all causes

Practice question

A 63-year-old with melena and orthostasis is admitted. Hgb 7.1 g/dL, INR 1.0. What transfusion strategy is recommended for upper GI bleeding?