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Review Article| Volume 20, ISSUE 2, P187-212, April 2004

Physiologic aspects of anemia

      Many of the physiological concepts in oxygen (O2) transport and use were described in the early part of the 20th century and are still widely accepted [
      • Tuman K.J.
      Tissue oxygen delivery. The physiology of anemia.
      ]. In 1920, Barcroft [
      • Barcroft J.
      ] noted that tissue oxygenation was a function of hemoglobin concentration, oxygenation of blood by the lungs, and the cardiac output to deliver a supply of oxygenated blood to the tissues. Similarly, many of the principles underlying the transfer of O2 from the microcirculation to the mitochondria have been established and also have stood the test of time [
      • Tuman K.J.
      Tissue oxygen delivery. The physiology of anemia.
      ]. This article describes some of the basic principles of O2 transport that have been studied extensively and published in text books and review articles [
      • Tuman K.J.
      Tissue oxygen delivery. The physiology of anemia.
      ,
      • Finch C.A.
      • Lenfant C.
      Oxygen transport in man.
      ,
      • Snyder J.V.
      Oxygen transport: the model and reality.
      ,
      • Schumacker P.T.
      • Samsel R.W.
      Oxygen delivery and uptake by peripheral tissues: physiology and pathophysiology.
      ]. It emphasizes the physiological consequences of anemia to provide information relevant to red cell transfusion decisions.
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