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Review
. 2023 Mar;41(1):161-174.
doi: 10.1016/j.anclin.2022.10.003.

Patient Blood Management, Anemia, and Transfusion Optimization Across Surgical Specialties

Michael E Kiyatkin  1 , Domagoj Mladinov  2 , Mary L Jarzebowski  3 , Matthew A Warner  4
Affiliations
Review

Patient Blood Management, Anemia, and Transfusion Optimization Across Surgical Specialties

Michael E Kiyatkin et al. Anesthesiol Clin. 2023 Mar.

Abstract

Patient blood management (PBM) is a systematic, evidence-based approach to improve patient outcomes by managing and preserving a patient's own blood and minimizing allogenic transfusion need and risk. According to the PBM approach, the goals of perioperative anemia management include early diagnosis, targeted treatment, blood conservation, restrictive transfusion except in cases of acute and massive hemorrhage, and ongoing quality assurance and research efforts to advance overall blood health.

Keywords: Allogenic blood product; Anemia; Patient blood management; Perioperative; Transfusion threshold; Transfusion-associated circulatory overload; Transfusion-related acute lung injury; Transfusion-related immunomodulation.

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Conflict of interest statement

Disclosure statement: None of the authors have any conflicts of interests to disclose.

Figures

Figure 1.
Figure 1.
Recommended management of anemia in perioperative medicine and critical care according to the principles of patient blood management. Abbreviations: ECG – electrocardiogram; Hgb – hemoglobin; MBT – massive blood transfusion; PCC – prothrombin complex concentrate; POC – point-of-care; RBC – red blood cell.
See this image and copyright information in PMC

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