Moonen et al reported transfusion triggers for allogeneic blood following primary hip or knee arthroplasty. The authors are from Maasland Hospital, Sittard, The Netherlands.
Patient selection: adult after primary hip or knee arthroplasty
Parameters:
(1) ASA classification
(2) surgical complications
ASA Classification
Surgical Complications
Hemoglobin Trigger
1
NA
8.1 g/dL
2 or 3
uncomplicated
8.1 g/dL
2 or 3
significant blood loss (> 500 mL)
8.9 g/dL
2 or 3
minor complication
9.7 g/dL
4
NA
9.7 g/dL
where:
• To simplify remembering, I would make the triggers 8, 9 and 10 g/dL
• I did not see major complication listed under surgical complication.
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