Perioperative Blood Management Protocols Improve Outcomes: What Does the Future Hold?

Author:

Mehta Sachin,McCartney Sharon L.,Guinn Nicole R.,Bennett-Guerrero Elliott

Publisher

Springer Science and Business Media LLC

Subject

Anesthesiology and Pain Medicine

Reference77 articles.

1. Shander A, Hardy JF, Ozawa S, Farmer SL, Hofmann A, Frank SM, Kor DJ, Faraoni D, Freedman J, Collaborators. A global definition of patient blood management. Anesth Analg. 2022;135(3):476–88 A multinational group of patient blood management experts proposed a PBM definition and created an overview of its scope and possible best practices.

2. WHO. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. In: Vitamin and Mineral Nutrition Information System. Geneva, Switzerland: World Health Organization; 2011. Available at:http://www.who.int/vmnis/indicators/haemoglobin.pdf. Accessed 31 May 2023.

3. Spahn DR, Schoenrath F, Spahn GH, et al. Effect of ultra- short-term treatment of patients with iron deficiency or anaemia undergoing cardiac surgery: a prospective randomized trial. Lancet. 2019;393:2201–12.

4. Kong R, Hutchinson N, Hill A, Ingoldby F, Skipper N, Jones C, Bremner S, Bruce C, Wright J, Lewis M, Newman S, Chevassut T, Hildick-Smith D. Randomised open-label trial comparing intravenous iron and an erythropoiesis-stimulating agent versus oral iron to treat preoperative anaemia in cardiac surgery (INITIATE trial). Br J Anaesth. 2022;128(5):796–805. https://doi.org/10.1016/j.bja.2022.01.034. This single-center pragmatic randomized trial (INITIATE) by Kong et al. illustrated that preoperative treatment with a single dose of intravenous iron and erythropoiesis-stimulating agents decreased the chance of perioperative blood transfusions in cardiac surgery compared to patients who only received oral iron.

5. Richards T, Baikady RR, Clevenger B, Butcher A, Abeysiri S, Chau M, Macdougall IC, Murphy G, Swinson R, Collier T, Van Dyck L, Browne J, Bradbury A, Dodd M, Evans R, Brealey D, Anker SD, Klein A. Preoperative intravenous iron to treat anaemia before major abdominal surgery (PREVENTT): a randomised, double-blind, controlled trial. Lancet. 2020;396(10259):1353–61.

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