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IBCC Episode 88 - Sickle Cell Acute Chest Syndrome

The Internet Book of Critical Care Podcast

CHAPTER

Exchange Transfusions - What Are the Indications?

Sickle arithrocites are more viscous ther less deformable than normal rithr so if you have a patient with single cell nemia, and you push their hemoglobin over around ten or 11, they can get this hyper viscosity center. In order to really push down the patient's % hemoglobin in really sick patients, what you need to do is remove blood and then give them additional blood.

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