{"id":14149,"date":"2019-06-01T12:15:00","date_gmt":"2019-06-01T12:15:00","guid":{"rendered":"https:\/\/staging.awgp.pt\/testes\/?p=14149"},"modified":"2025-04-22T15:06:52","modified_gmt":"2025-04-22T15:06:52","slug":"patient-blood-management-in-the-cardiac-surgical-setting-an-updated-overview","status":"publish","type":"post","link":"https:\/\/staging.awgp.pt\/testes\/patient-blood-management-in-the-cardiac-surgical-setting-an-updated-overview\/","title":{"rendered":"Patient blood management in the cardiac surgical setting: An updated overview"},"content":{"rendered":"<style type=\"text\/css\"><\/style>[cmsmasters_row data_padding_bottom=&#8221;50&#8243; data_padding_top=&#8221;0&#8243; data_bg_parallax_ratio=&#8221;0.5&#8243; data_bg_size=&#8221;cover&#8221; data_bg_attachment=&#8221;scroll&#8221; data_bg_repeat=&#8221;no-repeat&#8221; data_bg_position=&#8221;top center&#8221; data_color=&#8221;default&#8221; data_bot_style=&#8221;default&#8221; data_top_style=&#8221;default&#8221; data_padding_right=&#8221;3&#8243; data_padding_left=&#8221;3&#8243; data_width=&#8221;boxed&#8221;][cmsmasters_column data_width=&#8221;1\/1&#8243;][cmsmasters_text animation_delay=&#8221;0&#8243;]<\/p>\n<p>Transfus Apher Sci.\u00a02019 Jun 25. pii: S1473-0502(19)30108-9. doi: 10.1016\/j.transci.2019.06.015. [Epub ahead of print]<\/p>\n<h2>Patient blood management in the cardiac surgical setting: An updated overview<\/h2>\n<p>Terwindt LE<sup>1<\/sup>,\u00a0Karlas AA<sup>1<\/sup>,\u00a0Eberl S<sup>1<\/sup>,\u00a0Wijnberge M<sup>1<\/sup>,\u00a0Driessen AHG<sup>1<\/sup>,\u00a0Veelo DP<sup>1<\/sup>,\u00a0Geerts BF<sup>1<\/sup>,\u00a0Hollmann MW<sup>1<\/sup>,\u00a0Vlaar APJ<sup>2<\/sup>.<\/p>\n<p><sup>1 Dept. of Anesthesiology, Academic Medical Center, University of Amsterdam, the Netherlands; Dept. of Intensive Care, Academic Medical Center, University of Amsterdam, the Netherlands.<\/sup><\/p>\n<p><sup>2 Dept. of Anesthesiology, Academic Medical Center, University of Amsterdam, the Netherlands; Dept. of Intensive Care, Academic Medical Center, University of Amsterdam, the Netherlands. Electronic address: a.p.vlaar@amc.uva.nl.<\/sup><\/p>\n<p><strong>Abstract<\/strong><\/p>\n<p>In cardiac surgical patients it is a complex challenge to find the ideal balance between anticoagulation and hemostasis. Preoperative\u00a0anemia and perioperative higher transfusion rates are related to increased morbidity and mortality. Patient blood management (PBM) is an evidence based patient specific individualized protocol used in the perioperative setting in order to reduce perioperative bleeding and transfusion rates and to improve patient outcomes. The three pillars of PBM in cardiac surgery consist of optimization of preoperative erythropoiesis and hemostasis, minimizing blood loss, and improving patient specific physiological reserves. This narrative review focuses on the challenges with special emphasis on PBM in the preoperative phase and intraoperative transfusion management and hemostasis in cardiac surgery patients. It is a &#8220;must&#8221; that PBM is a collaborative effort between anesthesiologists, surgeons, perfusionists, intensivists and transfusion laboratory teams. This review represents an up to date overview over &#8220;PBM in cardiac surgery patients&#8221;.<\/p>\n<p><strong>KEYWORDS<\/strong>: Anticoagulation; Blood transfusion; Cardiac surgery; Coagulation factors; Fibrinogen; Hemostasis; Point of care tests; Prothrombin complex concentrates; Transfusion thresholds<\/p>\n<p>[\/cmsmasters_text][cmsmasters_button button_type=&#8221;regular&#8221; button_link=&#8221;https:\/\/www.trasci.com\/article\/S1473-0502(19)30108-9\/fulltext&#8221; button_target=&#8221;blank&#8221; button_text_align=&#8221;center&#8221; button_style=&#8221;cmsmasters_but_bg_slide_left&#8221; button_font_weight=&#8221;normal&#8221; button_font_style=&#8221;normal&#8221; button_border_style=&#8221;solid&#8221; animation_delay=&#8221;0&#8243;]Trans &amp; Aferes Science[\/cmsmasters_button][\/cmsmasters_column][\/cmsmasters_row]\n","protected":false},"excerpt":{"rendered":"<p>[cmsmasters_row data_padding_bottom=&#8221;50&#8243; data_padding_top=&#8221;0&#8243; data_bg_parallax_ratio=&#8221;0.5&#8243; data_bg_size=&#8221;cover&#8221; data_bg_attachment=&#8221;scroll&#8221; data_bg_repeat=&#8221;no-repeat&#8221; data_bg_position=&#8221;top center&#8221; data_color=&#8221;default&#8221; data_bot_style=&#8221;default&#8221; data_top_style=&#8221;default&#8221; data_padding_right=&#8221;3&#8243; data_padding_left=&#8221;3&#8243; data_width=&#8221;boxed&#8221;][cmsmasters_column data_width=&#8221;1\/1&#8243;][cmsmasters_text animation_delay=&#8221;0&#8243;] Transfus Apher Sci.\u00a02019 Jun 25. pii: S1473-0502(19)30108-9. doi: 10.1016\/j.transci.2019.06.015. [Epub ahead of print] Patient blood management in the cardiac surgical setting: An updated overview Terwindt LE1,\u00a0Karlas AA1,\u00a0Eberl S1,\u00a0Wijnberge M1,\u00a0Driessen AHG1,\u00a0Veelo DP1,\u00a0Geerts BF1,\u00a0Hollmann MW1,\u00a0Vlaar APJ2. 1 Dept. of Anesthesiology,&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[97,111],"tags":[154,167,156,157,159,165,158,160,161,163,162,164,166,113,168,155],"class_list":["post-14149","post","type-post","status-publish","format-standard","hentry","category-artigo-cientifico","category-patient-blood-management","tag-anticoagulation","tag-blool-transfusion","tag-cardiac-surgery","tag-cirurgia-cardiaca","tag-coagulation-factores","tag-complexo-de-protrombina","tag-fatores-de-coagulacao","tag-fibrinogen","tag-fibrinogenio","tag-hemostase","tag-hemostasis","tag-point-of-care-tests","tag-prothrombin-complex-concentrates","tag-red-blood-cells-transfusion","tag-transfusao-de-sangue","tag-transfusion"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Patient blood management in the cardiac surgical setting: An updated overview - AWGP - Testes<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"pt_PT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Patient blood management in the cardiac surgical setting: An updated overview - AWGP - Testes\" \/>\n<meta property=\"og:description\" content=\"[cmsmasters_row data_padding_bottom=&#8221;50&#8243; data_padding_top=&#8221;0&#8243; data_bg_parallax_ratio=&#8221;0.5&#8243; data_bg_size=&#8221;cover&#8221; data_bg_attachment=&#8221;scroll&#8221; data_bg_repeat=&#8221;no-repeat&#8221; data_bg_position=&#8221;top center&#8221; data_color=&#8221;default&#8221; data_bot_style=&#8221;default&#8221; data_top_style=&#8221;default&#8221; data_padding_right=&#8221;3&#8243; data_padding_left=&#8221;3&#8243; data_width=&#8221;boxed&#8221;][cmsmasters_column data_width=&#8221;1\/1&#8243;][cmsmasters_text animation_delay=&#8221;0&#8243;] Transfus Apher Sci.\u00a02019 Jun 25. pii: S1473-0502(19)30108-9. doi: 10.1016\/j.transci.2019.06.015. 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