Patient blood management: where's the bottom?

Patient blood management

Patient blood management--the new frontier.

As one of the oldest and most common procedures in clinical practice, allogeneic blood transfusions face many issues including questionable safety and efficacy, increasing costs and limited supply. The need to provide effective care for a relatively small population of patients who could not be transfused for various reasons gave rise to 'bloodless medicine and surgery', which was subsequently ...

Patient blood management in Europe

Preoperative anaemia is common in patients undergoing orthopaedic and other major surgery. Anaemia is associated with increased risks of postoperative mortality and morbidity, infectious complications, prolonged hospitalization, and a greater likelihood of allogeneic red blood cell (RBC) transfusion. Evidence of the clinical and economic disadvantages of RBC transfusion in treating perioperativ...

Preoperative anaemia and patient blood management

Patient Blood Management (PBM) employs a patient-specific peri-operative multi-disciplinary, multimodal team approach to optimize, conserve and manage patients’ own blood [1,2]. PBM aims to identify patients at risk of anaemia and provide a managed plan aimed at reducing or even eliminating the need for allogeneic transfusion with an acceptable risk of anaemia and, as a consequence, at improvin...

Patient Blood Management in Hip Replacement Arthroplasty

Perioperative blood transfusions are common in total hip arthroplasty because of preoperative anemia and perioperative blood loss. Perioperative anemia and the need for allogeneic blood transfusion are related with increased morbidity. To reduce perioperative allogeneic blood transfusion, keeping the preoperative hemoglobin level above 12.0 g/dL is important in orthopedic patients. By using the...