Wednesday March 25, 2020
Red cell transfusions
All non-essential red cell transfusions will be postponed indefinitely.
This is due to increased risk for patients coming in to the hospital environment for such treatments, potential reduced staffing for elective services as staff are reallocated to acute care to cover staff sick and self-isolation leave, and the possibility of reduced blood supplies during the pandemic.
Transfusion decisions should be influenced by symptoms and haemoglobin concentration. Restrictive thresholds will be enforced in the majority of cases.
- Hb <70g/l in otherwise stable patients
- Hb<80g/l in patients with significant ischaemic heart disease, dyspnoea or other compounding co-morbidity.
Haematinic deficiencies must have been excluded. No red cell transfusions for iron deficiency will be accepted without acute haemodynamic instability.
Single unit red cell transfusions should be the standard for non-bleeding patients.
If you believe your patient needs an out-patient red cell transfusion urgently please contact Dr Marie Hughes, Haematologist.
All non-essential iron infusions will also be postponed indefinitely for the reasons given above. If you believe your patient needs an iron infusion urgently please contact Dr Alex Lampen-Smith, Gastroenterologist and Head of Department of Gastroenterology.
Dr Marie Hughes
027 801 2124
Dr Alex Lampen-Smith
Head of Department of Gastroenterology
021 88 55 98