Question

A 70-year-old woman with stable angina and chronic kidney disease (eGFR 40 mL/min/1.73 m²) presents with haemoglobin 78 g/L and fatigue. She is haemodynamically stable. According to Canadian transfusion practice, what is the most appropriate transfusion strategy?

Accepted Answer

Use a restrictive transfusion threshold, typically transfusing when haemoglobin is <70-80 g/L in stable medical patients with consideration of symptoms and comorbidities

Answer

Transfuse red blood cells to a target haemoglobin of 120 g/L

Answer

Transfuse if she becomes symptomatic regardless of haemoglobin level

Answer

Withhold transfusion unless haemoglobin is <60 g/L

Answer

Transfuse platelets instead of red cells

Practice question

A 70-year-old woman with stable angina and chronic kidney disease (eGFR 40 mL/min/1.73 m²) presents with haemoglobin 78 g/L and fatigue. She is haemodynamically stable. According to Canadian transfusion practice, what is the most appropriate transfusion strategy?