The 2023 AABB International Guidelines on red blood cell transfusion are here. They provide recommendations for adults and children based on extensive research. For adults, the guidelines suggest a restrictive transfusion strategy with a hemoglobin concentration less than 7 g/dl for stable patients, which was found to be safe. For children, similar strategies are recommended, taking into account specific cardiac conditions and surgical stages. Overall, these guidelines encourage clinicians to consider clinical context and alternative therapies when making transfusion decisions for patients, promoting a more tailored and cautious approach.
Journal Article by Carson JL, Stanworth SJ (…) Pagano MB et 24 al. in JAMA