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This could prove to be a restrictive strategy in the fast growing smartphone market.
It is plausible that a restrictive strategy increases the risk of anemia at PICU discharge.
In fact, a restrictive strategy can even be associated with a number of benefits.
All but one [23] reported that a restrictive strategy was as safe or safer than a liberal strategy.
First, in order to explore the early phase of septic shock, a restrictive strategy could be assessed with a RCT.
Since then, a restrictive strategy aiming for a moderately anaemic threshold (7 8 g/dL) is appropriate under most circumstances.
Only 12% in our audit had no clear justification for transfusion but it is arguable that a restrictive strategy should have been used in these subgroups.
Indeed, trials with positive conclusions were conducted almost 8 10 years ago when the beneficial effect of a restrictive strategy had not yet been established.
It is clear that a restrictive strategy is associated with a reduced exposure to red cell transfusions, allowing a reduction in transfusion-related adverse events.
Children included in our study were transfused according to a restrictive strategy, which recommends transfusion for stable non-cyanotic PICU patients only if their Hb level drops below 70g/LL.
Furthermore, a Brazilian monocenter randomized study reported that a liberal RBC transfusion strategy (hemoglobin >9 g/dL) versus a restrictive strategy (hemoglobin >7 g/dL) improved survival in critically ill patients admitted to the ICU following major cancer surgery [25].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com