For physicians

For physicians - blood transfusion

In patients with severe anemia or thrombocytopenia, transfusion of red blood cell units (RBC) or platelet concentrates may be indicated.

The indication for a transfusion of red-blood cells (RBC) is given in most cases when the hemoglobine level drops below 7 g/dl. In patients with a hemoglobine level of 7-10 g/dl transfusion may also be indicated, particularly when other criteria such as cardiac or pulmonary disease are present. In case of a hemoglobine level of 10 g/dl or more, transfusion is not indicated. Apart from transfusion as a symptomatic measure, the cause of anemia has always to be clarified to establish the best treatment strategy.  

Transfusion of platelet concentrates may be indicated when the platelet count is below 10.000/µl. It may also be indicated when the platelet count is between 10.000-20.000/µl if additional risk factors for bleeding complications are present. The cause of thrombocytopenia has always to allow an optimal treatment. It has to be kept in mind that non-immunologic factors such as splenomegaly and immunologic factors such as the presence of antiplatelt antibodies can impair the efficacy of platelt transfusions. In patients with immune thrombocytopenia (ITP) platelet transfusions are not performed except for emergencies, in affected patients other treatment strategies such as immunsuppression and thromboietin receptor agonists are used.

In our department, we offer transfusion of red-blood cells and platelet concentrates for patients. If repetitive transfusions are necessary, these can also pe performed in our institution.

Please notice, that we do not perform emergency transfusions.