A Global Definition of Patient Blood Management

被引：127

作者：

Shander, Aryeh ^{[1
,2
]}

Hardy, Jean-Francois ^{[3
,4
]}

Ozawa, Sherri ^{[2
,5
]}

Farmer, Shannon L. ^{[6
,7
,8
,9
]}

Hofmann, Axel ^{[6
,8
,10
]}

Frank, Steven M. ^{[11
]}

Kor, Daryl J. ^{[12
,13
]}

Faraoni, David ^{[4
,14
]}

Freedman, John ^{[15
,16
]}

机构：

[1] Englewood Hlth, Dept Anesthesiol Crit Care & Hyperbar Med, Englewood, NJ USA

[2] Soc Adv Patient Blood Management SABM, Mt Royal, NJ USA

[3] Univ Montreal, Dept Anaesthesiol & Pain Med, Montreal, PQ, Canada

[4] Network Adv Patient Blood Management Haemostasis, Paris, France

[5] Englewood Hlth, Inst Patient Blood Management & Bloodless Med & S, Englewood, NJ USA

[6] Univ Western Australia, Med Sch, Discipline Surg, Perth, WA, Australia

[7] Royal Perth Hosp, Dept Haematol, Perth, WA, Australia

[8] Int Fdn Patient Blood Management, Basel, Switzerland

[9] Univ Western Australia, Western Australia Patient Blood Management Grp, Perth, WA, Australia

[10] Univ Hosp Zurich, Dept Anesthesiol, Zurich, Switzerland

[11] Johns Hopkins Med, Dept Anesthesiol, Crit Care Med,Armstrong Inst Patient Safety & Qua, Johns Hopkins Hlth Syst Patient Blood Management, Baltimore, MD USA

[12] Mayo Clin, Div Crit Care Med, Dept Anesthesiol & Perioperat Med, Rochester, MI USA

[13] Mayo Clin, Patient Blood Management Program, Rochester, MI USA

[14] Hosp Sick Children, Dept Anesthesiol, Toronto, ON, Canada

[15] Ontario Nurse Transfus Coordinators Program ONTra, Toronto, ON, Canada

[16] Univ Toronto, Dept Med, Toronto, ON, Canada

来源：

ANESTHESIA AND ANALGESIA | 2022年 / 135卷 / 03期

基金：

美国国家卫生研究院;

关键词：

MAJOR ABDOMINAL-SURGERY; ACTIVITY-BASED COSTS; CELL TRANSFUSION; PREOPERATIVE ANEMIA; JEHOVAH-WITNESSES; INTRAVENOUS IRON; CARDIAC-SURGERY; STANDARD CARE; CONSERVATION; EXPERIENCE;

D O I：

10.1213/ANE.0000000000005873

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

While patient blood management (PBM) initiatives are increasingly adopted across the globe as part of standard of care, there is need for a clear and widely accepted definition of PBM. To address this, an expert group representing PBM organizations from the International Foundation for Patient Blood Management (IFPBM), the Network for the Advancement of Patient Blood Management, Haemostasis and Thrombosis (NATA), the Society for the Advancement of Patient Blood Management (SABM), the Western Australia Patient Blood Management (WAPBM) Group, and OnTrac (Ontario Nurse Transfusion Coordinators) convened and developed this definition: "Patient blood management is a patient-centered, systematic, evidence-based approach to improve patient outcomes by managing and preserving a patient's own blood, while promoting patient safety and empowerment." The definition emphasizes the critical role of informed choice. PBM involves the timely, multidisciplinary application of evidence-based medical and surgical concepts aimed at (1) screening for, diagnosing, and appropriately treating anemia; (2) minimizing surgical, procedural, and iatrogenic blood losses and managing coagulopathic bleeding throughout the care; and (3) supporting the patient while appropriate treatment is initiated. We believe that having a common definition for PBM will assist all those involved including PBM organizations, hospital administrators, individual clinicians, and policy makers to focus on the appropriate issues when discussing and implementing PBM. The proposed definition is expected to continue to evolve, making this endeavor a work in progress.

引用

页码：476 / 488

页数：13

共 127 条

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