Controversies in the Clinical Practice of Patient Blood Management
| Autor: | Joachim Erb, Andreas Buser, Daniel Bolliger |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Blood transfusion Blood management Anemia medicine.medical_treatment Psychological intervention chemical and pharmacologic phenomena Hemorrhage 030204 cardiovascular system & hematology law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial 030202 anesthesiology law medicine Clinical endpoint Humans Blood Transfusion Cardiac Surgical Procedures Intensive care medicine Perioperative medicine business.industry fungi medicine.disease Cardiac surgery Anesthesiology and Pain Medicine Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of cardiothoracic and vascular anesthesia. 35(7) |
| ISSN: | 1532-8422 |
| Popis: | Patient blood management (PBM) has been proposed as a standard of care in modern perioperative medicine. PBM-related interventions usually are implemented as bundles, but randomized controlled trials on the implementation of PBM as a bundle are missing. This special article focuses on the current evidence and controversies in the clinical practice of PBM and on emerging data related to specific PBM-related interventions in patients undergoing cardiac surgery. Strong evidence for many PBM-related interventions is limited because of missing studies or the poor quality of published findings and study endpoints. Restrictive blood transfusion and timely interventions to maintain hemoglobin concentration and to reduce blood loss potentially might result in improved patient outcome, although the latter has yet to be proven. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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