New RBC transfusion indication codes

Effective February 2013, there will be new Transfusion Indication codes for Red Blood cells (RBC). These evidence based pediatric guidelines have been approved by the Transfusion Committee in collaboration with NICU, PICU, Heme-Onc, Surgery/Anesthesia, and CVCC. New indication codes for platelets, fresh frozen plasma, and cryoprecipitate will be revised and implemented later this year. Please feel free to contact This e-mail address is being protected from spambots. You need JavaScript enabled to view it. , or This e-mail address is being protected from spambots. You need JavaScript enabled to view it. , with any questions or concerns.

New RBC transfusion indication codes

1.      Acute blood loss >15%(Bleeding/Surgery)

2.      ECMO Hgb <13 gm/dl

3.      Congenital CV disease, Hgb < 15.0 gm/dl

4.      Shock, Hgb < 10.0 gm/dl

5.      Hgb < 7.0 gm/dl

6.      Hemoglobinopathy: Therapy or Anesthesia

7.      Prime device /Exchange Transfusion

8.      Neo 0-7d RespSupport Hgb <11.5

9.      Neo 8-14d RespSupport Hgb <10

10.     Neo >14d RespSupport Hgb <8.5

11.     Neo 0-7d NO RespSupport Hgb<10.0

12.     Neo 8-14d NO RespSupport Hgb<8.5

13.     Neo >14d NO RespSupport Hgb<7.5

14.     Neonate Preop Hgb <10 gm/dl

15.     Neonate shock, Hgb 11.5 gm/dl