Patient Blood Management Program Implementation: Comprehensive Recommendations and Practical Strategies.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
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Céspedes Isabel Cristina, Figueiredo Maria Stella, Hossne Nelson Americo, Suriano Ítalo Capraro, Rodrigues Rita de Cássia, Barros Melca Maria Oliveira, Paiva Manoel Antonio de, Atallah Fernanda Chohfi, Benini Bárbara Burza, Gonzalez Adriano Miziara, Sparapani Fábio Veiga de Castro, Barros Newton de, Carneiro Ieda Aparecida, Sarto Celina Mayumi Morita, Motoyama Caio Sussumu de Macedo, Sacchi Leonardo, Piovezan Victor, Almeida Simone Luna de, Pereira-Rufino Laís da Silva, Guizilini Solange, Rocco Isadora Salvador, Mansur Nacime Salomão, Arakaki Jaquelina Sonoe Ota, Santos Antonio Alceu Dos, Panfilio Carlos Eduardo
Аннотация
METHODS: In this context, acknowledging that blood transfusions are essentially heterologous cell transplantations, the use of therapeutic options has gained strength and is collectively known as the patient blood management (PBM) program. PBM is an approach based on three main pillars: (1) treating anemias and coagulopathies in an optimized manner, especially in the preoperative period; (2) optimizing perioperative hemostasis and the use of blood recovery systems to avoid the loss of the patient's blood; (3) anemia tolerance, with improved oxygen delivery and reduced oxygen demand, particularly in the postoperative period.
RESULTS: Current scientific evidence supports the effectiveness of PBM by reducing the need for blood transfusions, decreasing associated complications, and promoting more efficient and safer blood management. Thus, PBM not only improves clinical outcomes for patients but also contributes to the economic sustainability of healthcare systems.
CONCLUSION: The aim of this review was to summarize PBM strategies in a comprehensive, evidence-based approach through a systematic and structured model for PBM implementation in tertiary hospitals. The recommendations proposed herein are from researchers and experts of a high-complexity university hospital in the network of the Sistema Único de Saúde, presenting itself as a strategy that can be followed as a guideline for PBM implementation in other settings.