Perioperative blood management: Current transfusion practices and challenges

S. Vinayagam, S. Dhanger
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引用次数: 0

Abstract

Perioperative blood management is a crucial aspect of the care of any surgical patient. A multidisciplinary approach involving anesthesiologists, surgeons, and transfusion specialists is needed for the safe transfusion practice. It should span the entire perioperative period from preoperative evaluation until discharge from the hospital. Even though the current practice of blood management is supported by scientific research and evidence-based knowledge, many challenges still need to be addressed. Planning about blood management should start from the patient's first visit to the hospital through careful assessment and optimal preparation, including preoperative anemia management, which is found to reduce the transfusion need in the intraoperative period. It is also possible to avoid allogeneic blood transfusions by taking stringent measures to minimize intraoperative blood loss and implementing blood conservation strategies. Every institution must have a protocol for initiating and managing massive transfusions in surgical patients. Implementing a patient blood management program in every hospital can significantly contribute to accomplishing this objective. The judicious use of blood products during the perioperative phase can be ensured by establishing a blood transfusion committee, developing institutional policies, conducting routine audits, and organizing frequent training sessions.
围手术期血液管理:当前输血实践和挑战
围手术期血液管理是任何外科患者护理的一个重要方面。安全输血需要麻醉师、外科医生和输血专家参与的多学科方法。它应该涵盖从术前评估到出院的整个围手术期。尽管目前的血液管理实践得到了科学研究和循证知识的支持,但仍有许多挑战需要解决。血液管理的规划应从患者第一次就诊开始,经过仔细评估和最佳准备,包括术前贫血管理,这可以减少术中的输血需求。通过采取严格措施尽量减少术中失血和实施血液保护策略,也可以避免异基因输血。每个机构都必须有一个方案来启动和管理外科患者的大量输血。在每家医院实施患者血液管理计划可以为实现这一目标做出重大贡献。通过建立输血委员会、制定机构政策、进行常规审计和组织频繁的培训课程,可以确保在围手术期明智地使用血液制品。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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4
审稿时长
27 weeks
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