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Review
. 2021 Dec 1;27(6):709-716.
doi: 10.1097/MCC.0000000000000880.

Patient Blood Management in intensive care patients

Lotta Hof  1 , Suma Choorapoikayil  1 , Patrick Meybohm  2 , Kai Zacharowski  1
Affiliations
Review

Patient Blood Management in intensive care patients

Lotta Hof et al. Curr Opin Crit Care. .

Abstract

Purpose of review: Patients admitted to ICUs are a heterogeneous group, displaying multiple anaemia risk factors and comorbidities. Clinicians should therefore take all possible measures to identify modifiable risks. Patient Blood Management (PBM) is an approach promoting the timely application of evidence-based interventions designed to maintain patients own blood mass.

Recent findings: Within ICU-patients, anaemia is highly prevalent. Generally, anaemia is associated with impaired outcome and need of blood transfusion. Currently, with ICUs working at full capacity and the global blood reserves exhausted, the SARS-CoV-2 pandemic reinforces the need for PBM implementation. For instance, implementation of a comprehensive coagulation management and measures to avoid iatrogenic blood loss may prevent bleeding-associated complications and adherence to blood transfusion guidelines may reduce adverse events associated with transfusion.

Summary: Critically ill patients display various morbidities often requiring individualized treatment. PBM offers patient-centred measures to improve outcome any time during hospital stay.

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References

    1. World Health Organization. Nutritional anaemias: tools for effective prevention and control. Geneva: World Health Organization; 2017.
    1. Vincent J, Baron J, Reinhart K, et al. Anemia and blood transfusion in critically ill patients. JAMA 2002; 288:1499–1507.
    1. Corwin HL, Gettinger A, Pearl RG, et al. The CRIT study: anemia and blood transfusion in the critically ill – current clinical practice in the United States. Crit Care Med 2004; 32:39–52.
    1. Warner MA, Hanson AC, Frank RD, et al. Prevalence of and recovery from anemia following hospitalization for critical illness among adults. JAMA Network Open 2020; 3:e2017843.
    1. Walsh TS, Lee RJ, Maciver CR, et al. Anemia during and at discharge from intensive care: the impact of restrictive blood transfusion practice. Intensive Care Med 2006; 32:100–109.