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Critical Care Focus 8: Blood and Blood Transfusion

The art of fluid administration and haemodynamic support is one of the most challenging aspects of current critical care practice. Although more than half the patients in intensive care units (ICU) receive blood transfusions there is little in the way of data to guide decisions on when to give transfusions. The American College of Physicians, among others, has published a transfusion algorithm.1 However, this is based, not on controlled clinical trials, but on expert opinion. Despite these guidelines, transfusion practice varies widely | Critical Care Focus 8 Blood and Blood Transfusion EDITOR DR HELEN F GALLEY Senior Lecturer in Anaesthesia and Intensive Care University of Aberdeen EDITORIAL BOARD PROFESSOR NIGEL R WEBSTER Professor of Anaesthesia and Intensive Care University of Aberdeen DR PAUL G P LAWLER Clinical Director of Intensive Care South Cleveland Hospital DR NEIL SONI Consultant in Anaesthesia and Intensive Care Chelsea and Westminster Hospital DR MERVYN SINGER Reader in Intensive Care University College Hospital London BMJ Books 2002 BMJ Books is an imprint of the BMJ Publishing Group All rights reserved. No part of this publication may be reproduced stored in a retrieval system or transmitted in any form or by any means electronic mechanical photocopying recording and or otherwise without the prior written permission of the publishers. First published in 2002 by BMJ Books BMA House Tavistock Square London WC1H 9JR www.bmjbooks.com www.ics.ac.uk British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library ISBN 0-7279-1657-2 Typeset by Newgen Imaging Systems P Ltd Chennai. Printed and bound in Spain by GraphyCems .