Question

A 70-year-old man with upper gastrointestinal bleeding from a duodenal ulcer is resuscitated and endoscopically treated. His Hb is 78 g/L and he is haemodynamically stable. According to transfusion guidelines, which is the most appropriate red cell transfusion threshold in this setting?

Accepted Answer

Transfuse when Hb <70 g/L

Answer

Transfuse to maintain Hb ≥100 g/L

Answer

Transfuse only when Hb <50 g/L

Answer

Transfuse regardless of Hb in all GI bleeds

Answer

Avoid transfusion; it is contraindicated in GI bleeding

Practice question

A 70-year-old man with upper gastrointestinal bleeding from a duodenal ulcer is resuscitated and endoscopically treated. His Hb is 78 g/L and he is haemodynamically stable. According to transfusion guidelines, which is the most appropriate red cell transfusion threshold in this setting?