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What is Patient Blood Management?

Patient Blod Management (PBM) also known as Blood Conservation is an evidence-based,  multidisciplinary approach aimed at optimizing the care of patients who might need transfusion. It puts the patient at the heart of decisions made around blood transfusion, promoting appropriate use of blood and blood components and blood products, and the timely use of alternatives where available. PBM represents an international  initiative in best practice for transfusion medicine.and is endorsed by the World Health Organization (WHO) 







Benefits  of Patient Blood Management

  • Improved patient outcomes including  prevention of transfusion-related complications
  • Increased patient satisfaction  
  • Helps with the sustainability of the blood supply
  • Healthcare cost savings



The Three Pillars of Patient Blood Management

In elective surgery the principles of PBM  have been described as the three pillars and they align with the pre-operative, operative and post-operative care.These three pillars of PBM in the surgical setting align with pre-operative, perioperative and post-operative care.These three pillars of PBM in the surgical setting align with pre-operative, perioperative and post-operative care.

  • Optimizing the patient's own blood  (e.g. pre-operative optimization of hemoglobin and hemostasis)
  • Minimizing surgical blood loss
  • Optimizing the patient's physiological reserve in relation  to anemia (including use of restrictive transfusion triggers).
These stratgies should be applied throughout the entire period of care of the surgical patient beginning preoperatively and then contunied intraoperatively and postoperatively.
   

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