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Janssens U et al. – In intensive care unit patients, anemia is observed regularly, both in patients with and without heart failure. Blood transfusions in critically ill patients carry a significant risk and are also statistically associated with increased mortality. Moreover, robust data that recommend a restrictive transfusion trigger with a target Hb range of 7 g/dl to 9 g/dl exist. Owing to the lack of specific investigations, the decision of whether to transfuse blood in the critically ill with heart failure remains an individual decision which currently has to be based mainly on pathophysiological reasoning.



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