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Introduction Approximately 40% of patients undergoing cardiac surgery will require a blood transfusion. Whilst this may be life-saving, there is also a morbidity and mortality associated with it. In recent years Patient Blood Management (PBM) has evolved to integrate peri-operative haemostasis care in an attempt to drive down transfusion. However, it has evolved in different ways across the different health care systems across Europe (1). This has led to discrepancies between guidelines (2,3) and actual clinical practice across countries. The objective of this study is to understand how PBM strategies differ throughout Europe. Methods A 10-minute long online survey was developed with a group of European anesthesiologists. Between January and July 2019 the survey was disseminated by the National and European scientific societies of Austria, Finland, France, Germany, Ireland, Switzerland, the Netherlands and United Kingdom. Its first seven questions provide epidemiological data about transfusion need and local patient blood management practice depending of guidelines. Following this, we present two clinical cases and ask questions about how these patients would be managed by the respondent. Results Results are expected for Summer 2019. These pictures of the local practices will serve as a basis of discussion for the European working group of experts involved in PBM. Discussion This description and analysis of the differences among countries and against current guidelines will help to improve the existing guidelines for PBM (2,3). |
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