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Posted On : 27 May 2019

What is the lower limit of Hb when a blood transfusion should be planned in an otherwise normal child and a sick child?

Expert Answer :

Answer Discussion :

V

venkatesh b

0

Hb < 5 when normal , whereas in a sick child Hb<7 with unstable hemodynamics , BT should be planned.

5 years ago

S

subodh kumar

0

9 when heart disease
7 when normal

5 years ago

B

B priyanka

1

normal -<9, sick -<7

5 years ago

F

fayez farag

0

If unstable hemodynamics

5 years ago

M

Madhusudan Roy

0

Hb <7mg

5 years ago

Answer 1

Level of Hb to Tx depends on the clinical situation. an acutely dropping Hb in a child with Intravascular Hemolysis in a G6PD deficiency pt requires Tx at higher levels of Hb as there is no time for cardiac compensation, In contrast, a child with Chronic IDA does not need Tx even if Hb is 4 gm, dl but if the same child has pneumonia he needs to be Tx at that level. In adults patients with Myocardial ischemia will be Txed to bring HCT More than 33 percent. Patients with cardiac hemolysis will require maintaining higher Hb so that the gradient across the valve is decreased and hence hemolysis is decreased. There is NO VALUE OF HB at which Transfusion is justified in individual situations it varies considerably.

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