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Augustina Isioma Ikusemoro: Transfusion Should Be Based on Clinical Need, Not Just Numbers
Augustina Isioma Ikusemoro/LinkedIn
Apr 9, 2026, 14:26

Augustina Isioma Ikusemoro: Transfusion Should Be Based on Clinical Need, Not Just Numbers

Augustina Isioma Ikusemoro, Hematology and Transfusion Medicine Specialist at Sharjah Blood Transfusion and Research Center, shared a post on LinkedIn:

“Transfuse the patient – not the number

A laboratory value alone should never be the reason a patient receives blood.

Blood transfusion is a powerful, life-saving therapy – but it is not risk – free, and it is not routine care.

Every unit transfused must answer one critical question:

Does this patient truly need it right now?

Clinical transfusion decisions should always consider:

  • Symptoms of inadequate oxygen delivery
  • Ongoing or active bleeding
  • Cardiovascular risk status
  • Acute clinical conditions (ACS, stroke, major surgery)
  • Physiological reserve and comorbidities
  • Hemoglobin thresholds in stable/hospitalized patients ( less than seven grams per deciliter)

Because unnecessary transfusions expose patients to real risks:

  • Transfusion reactions
  • Trali
  • Taco
  • Immunomodulation
  • Iron overload
  • Residual infection risk
  • Loss of scarce blood resources for those in urgent need

Good transfusion practice is not about correcting numbers.

It is about protecting patients.

Safe transfusion starts with:

  • The right patient
  • The right indication
  • The right timing

Better outcomes happen when transfusion decisions are clinically justified, evidence-guided, and patient-centered.

Signature of Blood Doki

  • Educate.
  • Empower.
  • Elevate.”

Augustina Isioma Ikusemoro: Transfusion Should Be Based on Clinical Need, Not Just Numbers

Other posts featuring Augustina Isioma Ikusemoro on Hemostasis Today.

Augustina Isioma Ikusemoro Health Hematology Hemophilia Hemostasis Hemostasis News Hemostasis Today Immunomodulation iron overload Medicine Transfusion Medicine Transfusion Reactions
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