Allowable Blood Loss Calculator
Calculate maximum allowable blood loss before transfusion using weight, hemoglobin, and patient category.
What Is Allowable Blood Loss?
Allowable blood loss (ABL) estimates how much blood a patient can lose before hemoglobin falls below a target level. Surgeons use it to plan transfusion thresholds during procedures. Related tools: Blood Donor Calculator and Adjusted Body Weight Calculator.
Allowable Blood Loss Formula
$$\mathrm{ABL} = \mathrm{weight} \times f \times \frac{H_{\mathrm{initial}} - H_{\mathrm{final}}}{H_{\mathrm{initial}}}$$
Weight is in kilograms. $f$ is the blood volume factor in mL/kg, which varies by patient category. Hemoglobin values are in g/dL. The result is in milliliters.
Patient Category Factors
Adult males use 75 mL/kg. Adult females use 65 mL/kg. Children and babies use higher factors because their blood volume per kilogram is greater. Premature infants use 100 mL/kg.
Frequently Asked Questions
What is the allowable blood loss formula?
ABL equals weight times the category factor times (initial hemoglobin minus target hemoglobin) divided by initial hemoglobin.
What factor should I use for an adult male?
Use 75 mL/kg for adult males. Adult females use 65 mL/kg.
What is a typical lowest acceptable hemoglobin?
Many protocols use 7 to 10 g/dL depending on patient age, comorbidities, and surgical context. Enter your clinical target.
Why do babies have a higher blood volume factor?
Infants and premature babies have proportionally larger blood volume per kilogram than adults, so the factor is higher.
Is ABL the same as estimated blood volume?
No. Estimated blood volume is weight times the category factor. ABL is the portion that can be lost before reaching the hemoglobin target.