Are the transfusion goals for a premature infant the same as for a 7-year-old?

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Abstract

A 26-week-old ex-28-week premature infant presents for the resection of a congenital pulmonary adenomatous malformation (CPAM). He is intubated and sedated in the Neonatal Intensive Care Unit (NICU). You notice that the patient’s hemoglobin is 7 and his hematocrit is 21. The NICU fellow giving you the report informs you that in preparation for the upcoming surgery the patient was transfused with fresh frozen plasma "just to give him volume" (which doesn’t seem like a good reason to you) and is ready for the operation. You tell the fellow that this critically ill neonate needs to have hemoglobin of at least 10.

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Albert, O. N. (2016). Are the transfusion goals for a premature infant the same as for a 7-year-old? In You’re Wrong, I’m Right: Dueling Authors Reexamine Classic Teachings in Anesthesia (pp. 131–132). Springer International Publishing. https://doi.org/10.1007/978-3-319-43169-7_39

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