If you've decided an exchange transfusion is necessary for a sickler (ACS), at what Hgb number do you pull the trigger on it?
Obviously, if the Hgb is 4, you'd do a simple transfusion first, right? So what if it were 6, or 9, is there a particular number where you can go straight to exchange? (or do you go straight to exchange, irrespective of the number, given the clinically necessity?).
Obviously, if the Hgb is 4, you'd do a simple transfusion first, right? So what if it were 6, or 9, is there a particular number where you can go straight to exchange? (or do you go straight to exchange, irrespective of the number, given the clinically necessity?).