Transfusion in the Neurological ICU; Do We Have to Transfuse or Not?
Sungwon Na, MD
Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea
ABSTRACT
Anemia is common problem in the critically ill patients. Transfusion has been regarded as a safe and effective means of increasing tissue oxygen delivery. But red blood cell transfusion is associated with many adverse outcomes such as infection, allergy, lung injury, myocardial infarction and organ dysfunctions. Restrictive transfusion strategy has demonstrated favorable outcomes in the general intensive care units, however, optimal transfusion trigger needs further investigation considering the unique sensitivity of brain to hypoxia.
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