Zacharowski K, Meybohm P

Language: English
References: 3
Page: 228-229
PDF size: 84.81 Kb.

Text Extraction

Patient blood management (PBM) is a multimodal concept that aims to detect, prevent and treat anemia, optimize hemostasis, minimize iatrogenic blood loss, and support a patient-centered decision to provide optimal use of allogeneic blood products. PBM is intended to reduce three major risks as follows:

1. Anemia. Before surgery, about 30% of non-cardiac surgery patients have anemia with an increased risk of RBC transfusions, complications and postoperative mortality. Consequently, the diagnostics and (if medically possible) the therapy of anemia are important elements of PBM. Since anemia in many of these patients is based on a treatable iron deficiency, it is fundamentally crucial to identify anemic patients and/or iron deficient patients at an early stage (two to four weeks before surgery). The preoperative diagnosis and therapy of anemia should also be proceed even if the time interval before surgery is shorter in order to enable a more rapid hemoglobin increase after surgery, whenever necessary.

REFERENCES

1. Meybohm P, Schmitz-Rixen T, Steinbicker A, Schwenk W, Zacharowski K. The patient blood management concept: Joint recommendation of the German Society of Anaesthesiology and Intensive Care Medicine and the German Society of Surgery. Chirurg. 2017;88:867-870.

2. Meybohm P, Richards T, Isbister J, Hofmann A, Shander A, Goodnough LT, et al. Patient blood management bundles to facilitate implementation. Transfus Med Rev. 2017;31:62-71.

3. Meybohm P, Herrmann E, Steinbicker AU, Wittmann M, Gruenewald M, Fischer D, et al. Patient blood management is associated with a substantial reduction of red blood cell utilization and safe for patient’s outcome: a prospective, multicenter cohort study with a noninferiority design. Ann Surg. 2016;264:203-211.