Packed red blood cells Whereas in high-income countries, most blood transfusions are given to people over 65 years of age (up to 76%). In these countries transfusion are most commonly used for supportive care in heart surgery, transplant surgery, massive trauma, and therapy for solid and blood cancers. Due to changes in surgical practices, medical use of blood is now the major use of red blood cells in high-income countries. Blood transfusion is typically recommended when hemoglobin levels reach 70 g/L (7 g/dL) in those who have stable vital signs. For those with heart disease it is recommended at 80g/L (8 g/dL). RBCs are
Red blood cell blood circulation for about 100 to 120 days (and 80 to 90 days in a full term infant). At the end of their lifespan, they are removed from circulation. In many chronic diseases, the lifespan of the red blood cells is reduced. Erythropoiesis is the process by which new red blood cells are produced; it lasts about 7 days. Through this process red blood cells are continuously produced in the red bone marrow of large bones. (In the embryo, the liver is the main site of red blood cell production.) The production can be stimulated by the hormone erythropoietin (EPO),