“To Transfuse or Not to Transfuse” - A Neonatologist’s Daily
A neonatal intensive care unit (NICU) stay can be very complex and prolonged, especially for infants with birth weights of less than 1000 grams (Extremely Low Birthweight-ELBW). Before they graduate from the NICU, they end up receiving at least one, and frequently several blood transfusions. Because of lack of evidence- based transfusion guidelines, the indications for transfusions are often not clear to the health care team. This knowledge gap encourages variation in transfusion practices. Almost daily, a neonatologist faces the question of whether to transfuse packed red blood cells (PRBC) or not...