2024 Guidelines on Patient Blood Management for Adult Cardiac Surgery Under Cardiopulmonary Bypass in China

被引：0

作者：

Yan, Shujie ^{[1
]}

Zhou, Li ^{[2
,3
]}

Chen, Chen ^{[4
]}

Teng, Yuan ^{[1
]}

Liu, Gang ^{[1
]}

Bian, Luyu ^{[1
]}

Su, Jingjing ^{[5
]}

Ji, Hongwen ^{[6
]}

Hei, Feilong ^{[7
]}

Wang, Sheng ^{[8
]}

Wang, Guyan ^{[9
]}

Ao, Hushan ^{[6
]}

Du, Lei ^{[2
,3
]}

Zhou, Chengbin ^{[4
]}

Ji, Bingyang ^{[1
]}

机构：

[1] Chinese Acad Med Sci & Peking Union Med Coll, Natl Ctr Cardiovasc Dis, Dept Cardiopulm Bypass, Natl Clin Res Ctr Cardiovasc Dis,Fuwai Hosp, Beijing 100037, Peoples R China

[2] Sichuan Univ, West China Hosp, Dept Anesthesiol, Chengdu 610041, Sichuan, Peoples R China

[3] Sichuan Univ, West China Hosp, Translat Neurosci Ctr, Chengdu 610041, Sichuan, Peoples R China

[4] Southern Med Univ, Guangdong Prov Peoples Hosp, Guangdong Prov Cardiovasc Inst, Guangdong Acad Med Sci,Dept Cardiovasc Surg, Guangzhou 510080, Guangdong, Peoples R China

[5] Harbin Med Univ, Dept Cardiac Surg, Affiliated Hosp 1, Harbin 150001, Heilongjiang, Peoples R China

[6] Chinese Acad Med Sci & Peking Union Med Coll, Natl Ctr Cardiovasc Dis, Dept Anesthesiol, Natl Clin Res Ctr Cardiovasc Dis,Fuwai Hosp, Beijing 100037, Peoples R China

[7] Capital Med Univ, Beijing Anzhen Hosp, Dept Cardiopulm Bypass, Beijing 100029, Peoples R China

[8] Capital Med Univ, Beijing Anzhen Hosp, Dept Anesthesiol, Beijing 100029, Peoples R China

[9] Capital Med Univ, Beijing Tongren Hosp, Dept Anesthesiol, Beijing 100005, Peoples R China

来源：

REVIEWS IN CARDIOVASCULAR MEDICINE | 2025年 / 26卷 / 06期

关键词：

guidelines; patient blood management; cardiac surgery; cardiopulmonary bypass; ACUTE NORMOVOLEMIC HEMODILUTION; EPSILON-AMINOCAPROIC ACID; PLATELET-RICH PLASMA; CLINICAL-PRACTICE GUIDELINES; HYDROXYETHYL STARCH 130/0.4; FRESH-FROZEN PLASMA; TRANEXAMIC ACID; CARDIOVASCULAR-ANESTHESIOLOGISTS; HEPARIN RESISTANCE; THORACIC-SURGEONS;

D O I：

10.31083/RCM31384

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The Working Group on Cardiopulmonary Bypass and Extracorporeal Life Support of China National Center for Cardiovascular Quality Improvement presents evidence-based guidelines on patient blood management for adult cardiac surgery under cardiopulmonary bypass. These guidelines aim to promote patient blood management programs, reduce blood loss and allogeneic transfusion, and improve patient outcomes. The Guidelines Panel includes multidisciplinary experts. Based on prior investigation and the patient, intervention, comparison, outcome (PICO) principles, thirteen questions from four aspects were selected, including priming and fluid management during cardiopulmonary bypass, anticoagulation and monitoring during cardiopulmonary bypass, peri-cardiopulmonary bypass blood product infusion, and autologous blood infusion. Systemic reviews of the thirteen questions were performed through literature research. Recommendations were generated using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system and reviewed and refined by all the Guideline Panel members. A total of 19 recommendations were finally approved after five expert meetings between 2023 and 2024. By implementing these recommendations, perfusionists and medical staff involved in cardiac surgery can optimize patient blood management, effectively decrease allogeneic blood transfusion rates, minimize perioperative bleeding, and ultimately improve the prognosis in adult patients undergoing cardiac surgery with cardiopulmonary bypass.

引用

页数：16

共 152 条

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