Abstract
BACKGROUND CONTEXT: Over the past decade, the use of restrictive transfusion criteria have become common place in intensive care settings of most institutions due to claims of decreased patient morbidity and mortality with more restrictive use of blood transfusions. Although based upon studies of post-traumatic patients in an intensive care setting, restrictive transfusion criteria use has been extended to the care of other types of patients in a variety of care settings. In adult spine surgery, the ongoing post-operative blood losses and soft-tissue trauma may make these patients not appropriate for restrictive transfusion practices.
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