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When to Escalate Treatment in Sickle Cell Crisis – ISBT
Aug 30, 2026, 12:51

When to Escalate Treatment in Sickle Cell Crisis – ISBT

International Society of Blood Transfusion (ISBT) shared a post on LinkedIn:

“Sickle Cell Crisis: When to Escalate Therapy – Part 2

In part 1, we looked at the clinical red flags that can signal a complicated or organ-threatening sickling crisis. In part 2, we explore when red cell exchange (RCE) should be considered and where PLEX may fit in severe, refractory disease.

Key messages:

  • Know when urgent RCE may be indicated.
  • Reduce HbS while avoiding hyperviscosity.
  • PLEX is not routine first-line therapy.
  • Escalate early and involve a multidisciplinary team when severe organ dysfunction persists.

The goal: interrupt sickling, reverse organ injury and prevent irreversible damage.

Stay connected with the ISBT Clinical Transfusion Working Party for more educational content and updates in clinical transfusion.”

When to Escalate Treatment in Sickle Cell Crisis - ISBT

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