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

Détails

ID Serval
serval:BIB_DD1C7633EF06
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Challenges in Patient Blood Management for Cardiac Surgery: A Narrative Review.
Périodique
Journal of clinical medicine
Auteur(s)
Rancati V., Scala E., Ltaief Z., Gunga M.Z., Kirsch M., Rosner L., Marcucci C.
ISSN
2077-0383 (Print)
ISSN-L
2077-0383
Statut éditorial
Publié
Date de publication
01/06/2021
Peer-reviewed
Oui
Volume
10
Numéro
11
Pages
2454
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: epublish
Résumé
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.
Mots-clé
cardiac surgery, anemia, transfusion, patient blood management
Pubmed
Web of science
Open Access
Oui
Création de la notice
25/06/2021 17:09
Dernière modification de la notice
13/07/2021 5:36
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