Patient blood management, what does this actually mean for neonates and infants?

被引：15
作者：
Crighton, G. L. [1 ,2 ]
New, H. V. [3 ,4 ]
Liley, H. G. [5 ,6 ]
Stanworth, S. J. [7 ,8 ,9 ,10 ]
机构：
[1] Royal Childrens Hosp, Melbourne, Vic, Australia
[2] Monash Univ, Dept Epidemiol & Prevent Med, Melbourne, Vic, Australia
[3] NHS Blood & Transplant, Clin Res, London, England
[4] Imperial Coll, Ctr Haematol, London, England
[5] Mater Mothers Hosp, Neonatol, Brisbane, Qld, Australia
[6] Mater Med Res Inst, Brisbane, Qld, Australia
[7] NHS Blood & Transplant Oxford, John Radcliffe Hosp, Clin Haematol, Oxford, England
[8] Oxford Univ Hosp NHS Fdn Trust, Haematol, Oxford, England
[9] Univ Oxford, Radcliffe Dept Med, Oxford, England
[10] Oxford BRC Haematol Theme, Oxford, England
来源：
TRANSFUSION MEDICINE | 2018年 / 28卷 / 02期
关键词：
neonate; paediatric; patient blood management; transfusion; LOW-BIRTH-WEIGHT; PEDIATRIC CRANIOSYNOSTOSIS SURGERY; FRESH-FROZEN PLASMA; PLATELET TRANSFUSIONS; CELL TRANSFUSION; NECROTIZING ENTEROCOLITIS; RANDOMIZED-TRIAL; PRETERM INFANTS; CARDIAC-SURGERY; PREMATURE-INFANTS;
D O I：
10.1111/tme.12525
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Patient blood management (PBM) refers to an evidence-based package of care that aims to improve patient outcomes by optimal use of transfusion therapy, including managing anaemia, preventing blood loss and improving anaemia tolerance in surgical and other patients who may need transfusion. In adults, PBM programmes are well established, yet the definition and implementation of PBM in neonates and children lags behind. Neonates and infants are frequently transfused, yet they are often under-represented in transfusion trials. Adult PBM programmes may not be directly applicable to these populations. We review the literature in neonatal (and applicable paediatric) transfusion medicine and propose specific neonatal PBM definitions and elements.
引用
收藏
页码：117 / 131
页数：15
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