Challenges in Patient Blood Management for Cardiac Surgery: A Narrative Review.

Details

Serval ID
serval:BIB_DD1C7633EF06
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Challenges in Patient Blood Management for Cardiac Surgery: A Narrative Review.
Journal
Journal of clinical medicine
Author(s)
Rancati V., Scala E., Ltaief Z., Gunga M.Z., Kirsch M., Rosner L., Marcucci C.
ISSN
2077-0383 (Print)
ISSN-L
2077-0383
Publication state
Published
Issued date
01/06/2021
Peer-reviewed
Oui
Volume
10
Number
11
Pages
2454
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: epublish
Abstract
About 15 years ago, Patient Blood Management (PBM) emerged as a new paradigm in perioperative medicine and rapidly found support of all major medical societies and government bodies. Blood products are precious, scarce and expensive and their use is frequently associated with adverse short- and long-term outcomes. Recommendations and guidelines on the topic are published in an increasing rate. The concept aims at using an evidence-based approach to rationalize transfusion practices by optimizing the patient's red blood cell mass in the pre-, intra- and postoperative periods. However, elegant as a concept, the implementation of a PBM program on an institutional level or even in a single surgical discipline like cardiac surgery, can be easier said than done. Many barriers, such as dogmatic ideas, logistics and lack of support from the medical and administrative departments need to be overcome and each center must find solutions to their specific problems. In this paper we present a narrative overview of the challenges and updated recommendations for the implementation of a PBM program in cardiac surgery.
Keywords
cardiac surgery, anemia, transfusion, patient blood management
Pubmed
Web of science
Open Access
Yes
Create date
25/06/2021 18:09
Last modification date
13/07/2021 6:36
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