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Shiny K. Kajal: Transfusion Decisions are Still Often Reduced to a Single Number in Daily Practice
Shiny K. Kajal/LinkedIn
Apr 3, 2026, 11:44

Shiny K. Kajal: Transfusion Decisions are Still Often Reduced to a Single Number in Daily Practice

Shiny K. Kajal, Senior Resident at Adesh University, shared a post on LinkedIn:

“Post 35- We don’t transfuse hemoglobin. We transfuse patients.

Yet in daily practice, transfusion decisions are still often reduced to a single number.

  • A ‘low’ Hb without symptoms
  • An ‘elevated’ INR without bleeding
  • A ‘normal’ platelet count without function

These numbers, in isolation, can be misleading—and sometimes harmful.

Before you prescribe blood, ask:

Is this anemia physiologically significant?

Is there evidence of bleeding risk, or just an abnormal lab?

Am I correcting a number… or improving patient outcome?

Because:

  • Ferritin guides long-term consequences in repeated transfusions
  • INR does not reliably predict bleeding in stable patients
  • Platelet count does not reflect platelet function

Transfusion is a clinical decision—not a laboratory reflex.

The shift from number-based to patient-centered transfusion is the essence of modern Patient Blood Management.

Would you transfuse this patient based on Hb alone?

Or do you integrate clinical context and physiology into your decision?”

Shiny K. Kajal: Transfusion Decisions are Still Often Reduced to a Single Number in Daily Practice

Other posts featuring Shiny K. Kajal on Hemostasis Today.

anemia Ferritin Health Hematology Hemoglobin Hemostasis News Hemostasis Today Medicine Shiny K Kajal transfusion
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