Shiny K. Kajal/LinkedIn
Feb 12, 2026, 15:29
Shiny K. Kajal: The Most Ignored Skill in Clinical Practice
Shiny K. Kajal, Senior Resident at Adesh University, shared a post on LinkedIn:
”Restraint is not an under-treatment but a pillar of evidence based, patient-centred modern medicine!
When Not to Transfuse: The Most Ignored Skill in Clinical Practice
Transfusion is a therapy, not a reflex. Knowing when not to transfuse is just as important as knowing when to.
Key Takeaways:
- Unnecessary transfusion is not harmless — it increases morbidity, mortality, and complications.
- Red cells, platelets, and plasma should be given based on evidence-based thresholds, not just numbers.
- Patient Blood Management (PBM) is the cornerstone of modern transfusion practice: optimize hemoglobin, minimize iatrogenic loss, and follow a single-unit strategy.
So, the safest transfusion is the one you didn’t give after patient-centred analysis.”
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