{"id":14749,"date":"2012-05-12T15:23:13","date_gmt":"2012-05-12T15:23:13","guid":{"rendered":"https:\/\/staging.awgp.pt\/testes\/?p=14749"},"modified":"2025-04-22T15:10:04","modified_gmt":"2025-04-22T15:10:04","slug":"temporary-title-14749","status":"publish","type":"post","link":"https:\/\/staging.awgp.pt\/testes\/temporary-title-14749\/","title":{"rendered":"Patient blood management in Europe"},"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 class=\"p1\">British Journal of Anaesthesia 109 (1): 55\u201368 (2012)<\/p>\n<h2 class=\"p1\">Patient blood management in Europe<\/h2>\n<p class=\"p2\">A. Shander<span class=\"s1\">1<\/span>*, H. Van Aken<span class=\"s1\">2<\/span>, M. J. Colomina<span class=\"s1\">3<\/span>, H. Gombotz<span class=\"s1\">4<\/span>, A. Hofmann<span class=\"s1\">5<\/span>, R. Krauspe<span class=\"s1\">6<\/span>, S. Lasocki <span class=\"s1\">7<\/span>, T. Richards<span class=\"s1\">8<\/span>, R. Slappendel <span class=\"s1\">9 <\/span>and D. R. Spahn<span class=\"s1\">10<\/span><\/p>\n<p class=\"p3\"><sup><span class=\"s2\">1 <\/span>Department of Anaesthesiology, Critical Care Medicine, Pain Management and Hyperbaric Medicine, Englewood Hospital and Medical Center, 350 Engle Street, Englewood, NJ, USA<\/sup><\/p>\n<p class=\"p3\"><sup><span class=\"s2\">2 <\/span>Department of Anaesthesiology and Intensive Care, University Hospital, Mu\u00a8 nster, Germany<\/sup><\/p>\n<p class=\"p3\"><sup><span class=\"s2\">3 <\/span>Department of Anaesthesia, Hospital Universitario Vall D\u2019Hebron, Barcelona, Spain<\/sup><\/p>\n<p class=\"p3\"><sup><span class=\"s2\">4 <\/span>Department of Anaesthesiology and Intensive Care, General Hospital, Linz, Austria<\/sup><\/p>\n<p class=\"p3\"><sup><span class=\"s2\">5 <\/span>Centre for Population Health Research, Curtin Health Innovation Research Institute, Curtin University, Perth, Western Australia, Australia<\/sup><\/p>\n<p class=\"p3\"><sup><span class=\"s2\">6 <\/span>Department of Orthopaedics, University Hospital Du\u00a8 sseldorf, Heinrich-Heine-University Du\u00a8 sseldorf, Du\u00a8 sseldorf, Germany<\/sup><\/p>\n<p class=\"p3\"><sup><span class=\"s2\">7 <\/span>Division of Anaesthesiology and Reanimation, University Hospital Angers, France<\/sup><\/p>\n<p class=\"p3\"><sup><span class=\"s2\">8 <\/span>Division of Surgery and Interventional Science, University College London Hospital, London, UK<\/sup><\/p>\n<p class=\"p3\"><sup><span class=\"s2\">9 <\/span>Department of Quality and Safety, Amphia Hospital, Breda, The Netherlands<\/sup><\/p>\n<p class=\"p3\"><sup><span class=\"s2\">10 <\/span>Institute of Anaesthesiology, University Hospital and University of Zurich, Zurich, Switzerland<\/sup><\/p>\n<p>&nbsp;<\/p>\n<p class=\"p1\"><strong><span class=\"s1\">Summary<\/span><\/strong><\/p>\n<p class=\"p1\">Preoperative anaemia is common in patients undergoing orthopaedic and other major surgery. Anaemia is associated with increased risks of postoperative mortality and morbidity, infectious complications, prolonged hospitalization, and a greater likelihood of allogeneic red blood cell (RBC) transfusion. Evidence of the clinical and economic disadvantages of RBC transfusion in treating perioperative anaemia has prompted recommendations for its restriction and a growing interest in approaches that rely on patients\u2019 own (rather than donor) blood. These approaches are collectively termed \u2018patient blood management\u2019 (PBM). PBM involves the use of multidisciplinary, multimodal, individualized strategies to minimize RBC transfusion with the ultimate goal of improving patient outcomes. PBM relies on approaches (pillars) that detect and treat perioperative anaemia and reduce surgical blood loss and perioperative coagulopathy to harness and optimize physiological tolerance of anaemia. After the recent resolution 63.12 of the World Health Assembly, the implementation of PBM is encouraged in all WHO member states. This new standard of care is now established in some centres in the USA and Austria, in Western Australia, and nationally in the Netherlands. However, there is a pressing need for European healthcare providers to integrate PBM strategies into routine care for patients undergoing orthopaedic and other types of surgery in order to reduce the use of unnecessary transfusions and improve the quality of care. After reviewing current PBM practices in Europe, this article offers recommendations supporting its wider implementation, focusing on anaemia management, the first of the three pillars of PBM.<\/p>\n<p class=\"p1\"><span class=\"s2\"><strong>Keywords<\/strong>: <\/span>anaemia; outcome; patient blood management; transfusion<\/p>\n<p>[\/cmsmasters_text][cmsmasters_text animation_delay=&#8221;0&#8243;]<\/p>\n<p>[pdf-embedder url=&#8221;https:\/\/staging.awgp.pt\/testes\/wp-content\/uploads\/2019\/09\/Patient-blood-management-in-Europe.pdf&#8221; title=&#8221;Patient blood management in Europe&#8221;]<\/p>\n<p>[\/cmsmasters_text][\/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;] British Journal of Anaesthesia 109 (1): 55\u201368 (2012) Patient blood management in Europe A. Shander1*, H. Van Aken2, M. J. Colomina3, H. Gombotz4, A. Hofmann5, R. Krauspe6, S. Lasocki 7, T. Richards8, R. Slappendel 9 and D. R&#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":[187,76,77,113,112,155],"class_list":["post-14749","post","type-post","status-publish","format-standard","hentry","category-artigo-cientifico","category-patient-blood-management","tag-outcome","tag-pateint-blood-management","tag-pbm","tag-red-blood-cells-transfusion","tag-transfusao-de-eritrocitos","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 Europe - 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 Europe - 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;] British Journal of Anaesthesia 109 (1): 55\u201368 (2012) Patient blood management in Europe A. Shander1*, H. Van Aken2, M. J. Colomina3, H. Gombotz4, A. Hofmann5, R. Krauspe6, S. Lasocki 7, T. Richards8, R. Slappendel 9 and D. 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AWGP - Testes","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"pt_PT","og_type":"article","og_title":"Patient blood management in Europe - AWGP - Testes","og_description":"[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;] British Journal of Anaesthesia 109 (1): 55\u201368 (2012) Patient blood management in Europe A. 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