Hemostasis Today
NewsFeed
Headlines Hematology Health Medicine VTE ASH Plasma Donation
August, 2026
August 2026
M T W T F S S
 12
3456789
10111213141516
17181920212223
24252627282930
31  
Retheesh Das: Avoiding Unnecessary Transfusions – Why Less Can Be Safer
Retheesh Das/LinkedIn
Feb 7, 2026, 12:46

Retheesh Das: Avoiding Unnecessary Transfusions – Why Less Can Be Safer

Retheesh Das, Nursing Officer at Madhya Pradesh Medical Science University (MPMSU), shared a post on LinkedIn:

”Avoiding Unnecessary Transfusions

Blood transfusion isn’t an automatic response – it’s a deliberate treatment.

Mastering the decision of when to hold back is essential in today’s healthcare.

The Importance of Caution

Extra transfusions aren’t harmless. They come with real dangers, such as:

  • TRALI: An immune-triggered lung damage causing sudden breathing problems.
  • TACO: Overloading the system with fluid, resulting in lung swelling.
  • Alloimmunization: Building antibodies that mess up later transfusions or births.
  • Infections: Uncommon spread of bugs like viruses or bacteria, even with checks.
  • Immunomodulation: Tweaking immunity, raising chances of infections or cancer return.
  • Elevated risks: More issues, longer recoveries, and higher death rates in those over-transfused.

Key Idea: Extra blood doesn’t mean superior results. Studies prove that conservative approaches often match or surpass aggressive ones.

Guidelines Backed by Research….

Red Blood Cells
• Below 7 g/dL Hb: Think about transfusing to avoid oxygen shortages.
• 7-8 g/dL Hb: Tailor to the individual’s age, health issues, and signs.
• Above 8 g/dL Hb: Usually skip it—risks typically eclipse benefits.
• Special Cases: Heart attacks, active bleeding, anemia symptoms, or risky operations.
• Reminder: Focus on the person’s condition, not just the lab result.

Plasma (FFP)
• Skip for: Slight INR rises or just needing more fluid.
• Use for: Actual bleeding tied to clotting problems.
• Instances: DIC from sepsis or injury, or huge blood loss scenarios.

Approaches to Blood Conservation (PBM)
• Boost Hb before surgery with checks and fixes like iron or vitamins.
• Cut down on needless blood draws using efficient methods.
• Embrace natural low Hb in steady patients—the body adjusts.
• Method: Give one unit, check progress, add more only if required.

Final Insight….

Holding off isn’t skimping – it’s wise practice. Strive for science-driven, individualized care that balances dangers and gains.”

Transfusions

Retheesh Das/LinkedIn

Stay updated with Hemostasis Today.

Alloimmunization Blood Risks Blood Transfusion Health Hematology Hemostasis Hemostasis Today Madhya Pradesh Medical Science University Medicine MPMSU Patient Care Retheesh Das TACO thrombosis TRALI Transfusion Medicine Transfusions Unnecessary Transfusions
NewsFeed