Implement of patient blood management in elective orthopedic surgery

国际输血及血液学杂志 Pub Date : 2019-09-20 DOI:10.3760/CMA.J.ISSN.1673-419X.2019.05.002

Yaxin Fan, Xiaolin Bi, Shuang Xu, Molin Wang, Zhi-Yan Qi

引用次数: 0

Abstract

The patient blood management (PBM) is an evidence-based care policy made by the multi-disciplinary teams designed to maintain hemoglobin(Hb) concentration, optimize hemostasis and minimize blood loss in an effort to improve patients′ outcomes. Patients undergoing elective orthopedic surgery usually suffer from large blood loss and high incidence of blood transfusion. Therefore, the PBM in elective orthopedic surgery has become a common concern of clinical multi-disciplinary teams such as transfusion, anesthesiology and surgery. This article reviews the research status of the implement of PBM in elective orthopedic surgery in 3 aspects including anemia management, decrease of blood loss and reasonable blood transfusion. Key words: Blood transfusion; Blood transfusion, autologous; Anemia; Blood loss, surgical; Patient blood management; Orthopedic surgery

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择期骨科手术患者血液管理的实施

患者血液管理(PBM)是由多学科团队制定的循证护理政策，旨在维持血红蛋白(Hb)浓度，优化止血和减少失血，以改善患者的预后。择期骨科手术患者通常出血量大，输血发生率高。因此，择期骨科手术的PBM已成为输血、麻醉学、外科等临床多学科团队共同关注的问题。本文从贫血管理、减少失血量、合理输血3个方面综述了PBM在骨科择期手术中实施的研究现状。关键词:输血;输血，自体;贫血;失血，外科手术;患者血液管理;整形外科手术

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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来源期刊

国际输血及血液学杂志

自引率

0.00%

发文量

10610

期刊介绍： The International Journal of Transfusion and Hematology was founded in September 1978. It is a comprehensive academic journal in the field of transfusion and hematology, supervised by the National Health Commission and co-sponsored by the Chinese Medical Association, West China Second Hospital of Sichuan University, and the Institute of Transfusion Medicine of the Chinese Academy of Medical Sciences. The journal is a comprehensive academic journal that combines the basic and clinical aspects of transfusion and hematology and is publicly distributed at home and abroad. The International Journal of Transfusion and Hematology mainly reports on the basic and clinical scientific research results and progress in the field of transfusion and hematology, new experiences, new methods, and new technologies in clinical diagnosis and treatment, introduces domestic and foreign research trends, conducts academic exchanges, and promotes the development of basic and clinical research in the field of transfusion and hematology.