“To Transfuse or Not to Transfuse”-A Neonatologist’s Daily DilemmaRaja Nandyal*
Department of Pediatrics, Oklahoma University Health Sciences Center (OUHSC), Oklahoma City, OK, USA
- *Corresponding Author:
- Raja Nandyal
Department of Pediatrics, University of Oklahoma Health Sciences
Center, P.O. Box: 26901, Oklahoma City, OK 73190, USA
E-mail: [email protected]
Received date: July 27, 2016; Accepted date: August 12, 2016; Published date: August 19, 2016
Citation: Nandayal R (2016) “To Transfuse or Not to Transfuse”-A Neonatologist’s Daily Dilemma. J Hematol Thrombo Dis 4:250. doi:10.4172/2329-8790.1000250
Copyright: © 2016 Nandayal R. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Evidence based guidelines for the neonatal transfusions are still emerging. It is always a conundrum for a pediatrician, to decide when to give packed red blood cells to a growing premature infant with or without signs and symptoms of chronic neonatal anemia. It is further complicated, as some of that clinical picture can be explained by co-morbidities like neonatal sepsis, apnea of prematurity and caffeine therapy. So, that physician needs to weigh the risks and benefits for such seemingly benign procedure and also rule out conditions that can mimic the signs and symptoms of anemia of prematurity.
Here, an attempt was made to provide suggestions for giving neonatal transfusion, using an algorithm approach. A review of recent literature was done and a short review was provided.