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- M Muñoz, S Gómez-Ramírez, and S Kozek-Langeneker.
- Peri-operative Transfusion Medicine, School of Medicine, University of Málaga, Málaga, Spain.
- Anaesthesia. 2016 Jan 1; 71 Suppl 1: 19-28.
AbstractPeri-operative anaemia, blood loss and allogeneic blood transfusion are associated with increased postoperative morbidity and mortality, and prolonged hospital stay. A multidisciplinary, multimodal, individualised strategy, collectively termed 'patient blood management', may reduce or eliminate allogeneic blood transfusion and improve outcomes. This approach has three objectives: the detection and treatment of peri-operative anaemia; the reduction of peri-operative bleeding and coagulopathy; and harnessing and optimising the physiological tolerance of anaemia. This review focuses on the pre-operative evaluation of erythropoiesis, coagulation status and platelet function. Where possible, evidence is graded systematically and recommended therapies follow recently published consensus guidance. © 2015 The Association of Anaesthetists of Great Britain and Ireland.
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