A 48-year-old woman on ICU with severe sepsis has a Hb of 68 g/L. She is haemodynamically stable on low-dose noradrenaline (0.05 mcg/kg/min) with a la...

Question

A 48-year-old woman on ICU with severe sepsis has a Hb of 68 g/L. She is haemodynamically stable on low-dose noradrenaline (0.05 mcg/kg/min) with a lactate of 1.8 mmol/L. She has no active bleeding and no acute coronary syndrome. According to the TRICC trial and current evidence, what is the appropriate transfusion threshold?

Accepted Answer

Transfuse when Hb drops below 70 g/L - a restrictive strategy

Answer

Transfuse to maintain Hb >100 g/L

Answer

Transfuse to maintain Hb >90 g/L

Answer

No transfusion is ever needed in ICU patients

Answer

Transfuse based on ScvO2 regardless of Hb

uk-fficm MCQ (SBA): Transfusion Threshold