About this trial
This clinical trial aims to personalise red blood cell transfusion strategies in the crtitically ill patients. The amount of transfusions needs to be minimised in order to prevent adverse events and organ dysfunctions linked to high amounts of red blood cell transfusions.
The researchers aim to investigate the efficacy and safety of measuring the central venous oxygen saturation (ScvO2) (oxygen content in a venous blood sample taken from a central line) to guide clinicians if transfusion is necessary.
The researchers aim to compare the ScvO2 guided transfusion strategy with transfusion based on the clinician's judgment (taking into consideration the patients' comorbidities and actual vital parameters).
Eligibility criteria
Qualifiers
Patient in medical/surgical/trauma ICU
Hemoglobin level between 7g/dl and 9g/dl
Written informed consent by patient or next of kin
CRT normal
Disqualifiers
ScvO2>80%
Acid-base imbalance (pH<7.3 or pH>7.5)
Chronic kidney disease (KDIGO Stage 3-4-5)
Acute heart failure (ESC 2021 definition)
Trial design
Treatments tested in this trial
- Measurement of central venous saturation