Preoperative anaemia and patient blood management
نویسنده
چکیده
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 improving postoperative outcome. Evaluating the peri-operative period of elective surgical interventions, 98% of all cases of red blood cell transfusions can be predicted if 3 parameters are analysed. These parameters are the pre-operative haemoglobin, blood loss and individual transfusion trigger [3]. Therefore, PBM is fundamentally based on 3 pillars (Figure 1) [3]: 1. Optimization of the (pre-operative) red cell count Preoperative anaemia and patient blood management
منابع مشابه
Patient blood management to reduce surgical risk.
BACKGROUND Preoperative anaemia and perioperative blood transfusion are both identifiable and preventable surgical risks. Patient blood management is a multimodal approach to address this issue. It focuses on three pillars of care: the detection and treatment of preoperative anaemia; the reduction of perioperative blood loss; and harnessing and optimizing the patient-specific physiological rese...
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In major surgery, the implementation of multidisciplinary, multimodal and individualized strategies, collectively termed Patient Blood Management, aims to identify modifiable risks and optimise patients' own physiology with the ultimate goal of improving outcomes. Among the various strategies utilized in Patient Blood Management, timely detection and management of preoperative anaemia is most i...
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BACKGROUND There are few data on the associations between anaemia, allogeneic blood transfusion (ABT), patient blood management, and outcome after arthroplasty in the UK. National agencies nevertheless instruct NHS Trusts to implement blood conservation measures including preoperative anaemia management. Internationally, blood management programmes show encouraging results. METHODS We retrosp...
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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...
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