Reducing blood transfusions.

We congratulate Cronin et al for the significant reduction in the number of blood transfusions that they achieved by implementing a perioperative surgical home (PSH) strategy during spinal fusion procedures . However, as the authors themselves admit, the exact causes for this well achieved target remain unclear, as the PSH is a multi-faceted strategy. Clearly, the implementation of various blood-conservation strategies even in the absence of a low pre-defined haemoglobin (Hb) value as a transfusion threshold is expected to lead to fewer blood transfusions. If one strives to give less blood, less blood will be given. This article is protected by copyright. All rights reserved.