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Table 8 Cases requiring red blood cell transfusion

From: 2015 Japanese Society for Dialysis Therapy: Guidelines for Renal Anemia in Chronic Kidney Disease

Patients with severe anemia with signs/symptoms related to anemia
Patients with acute blood loss associated with unstable hemodynamics
Patients undergoing surgery with excessive blood loss
Patients with extreme ESA hyporesponsiveness
Patients who cannot receive a sufficient dose of ESA because of side effects