Controversies in the Clinical Practice of Patient Blood

J. Cardiothorac. Vasc. Anesth. · Jul 2021

Controversies in the Clinical Practice of Patient Blood Management.

Patient blood management (PBM) has been proposed as a standard of care in modern perioperative medicine. PBM-related interventions usually are implemented as bundles, but randomized controlled trials on the implementation of PBM as a bundle are missing. ⋯ Strong evidence for many PBM-related interventions is limited because of missing studies or the poor quality of published findings and study endpoints. Restrictive blood transfusion and timely interventions to maintain hemoglobin concentration and to reduce blood loss potentially might result in improved patient outcome, although the latter has yet to be proven.

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- Daniel Bolliger, Joachim M Erb, and Andreas Buser.
- Department for Anesthesia, Prehospital Emergency Medicine and Pain Therapy, University Hospital Basel, Basel, Switzerland. Electronic address: daniel.bolliger@usb.ch.
- J. Cardiothorac. Vasc. Anesth. 2021 Jul 1; 35 (7): 1933-1941.
AbstractPatient blood management (PBM) has been proposed as a standard of care in modern perioperative medicine. PBM-related interventions usually are implemented as bundles, but randomized controlled trials on the implementation of PBM as a bundle are missing. This special article focuses on the current evidence and controversies in the clinical practice of PBM and on emerging data related to specific PBM-related interventions in patients undergoing cardiac surgery. Strong evidence for many PBM-related interventions is limited because of missing studies or the poor quality of published findings and study endpoints. Restrictive blood transfusion and timely interventions to maintain hemoglobin concentration and to reduce blood loss potentially might result in improved patient outcome, although the latter has yet to be proven.Copyright © 2020 Elsevier Inc. All rights reserved.

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Controversies in the Clinical Practice of Patient Blood Management.

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