A Review of New Findings Regarding Blood Transfusion “Strategy” in Sever Burn Patients what is the Optimal Hemoglobin Threshold for Transfusion in Burn Patients?

Acute anemia is a common occurrence in burn patients. Most of these patients need to receive blood transfusion during acute burn care. Blood transfusion may cause serious complications. It is essential to consider an optimum threshold for blood transfusion in sever burn patients to reduce complications without side effects on outcome measurements. Some randomized clinical trials have been done to compare liberal blood transfusion strategy (9g/dL to10g/dL) with restrictive blood transfusion strategy (7g/dL to 8g/dL) in recent years. Based on the data of these trials, usage of restrictive blood transfusion strategy compare to liberal blood transfusion strategy in sever burn patients did not increase the mortality rate، blood stream infection, duration of hospital and ICU stay. A restrictive transfusion policy also reduced the number of blood transfusions and as a result caused a reduction in transfusion-associated complications and costs.