Patient Blood Management, Anemia, and Transfusion Optimization Across Surgical Specialties

Michael E Kiyatkin; Domagoj Mladinov; Mary L Jarzebowski; Matthew A Warner

doi:10.1016/j.anclin.2022.10.003

Patient Blood Management, Anemia, and Transfusion Optimization Across Surgical Specialties

Anesthesiol Clin. 2023 Mar;41(1):161-174. doi: 10.1016/j.anclin.2022.10.003.

Authors

Michael E Kiyatkin¹, Domagoj Mladinov², Mary L Jarzebowski³, Matthew A Warner⁴

Affiliations

¹ Department of Anesthesiology, Albert Einstein College of Medicine, Montefiore Medical Center, 111 East 210th Street, Bronx, NY 10467, USA. Electronic address: [email protected].
² Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
³ Department of Anesthesiology, University of Michigan, 1540 East Hospital Drive, Ann Arbor, MI 48109, USA.
⁴ Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, 200 1st Street, Rochester, MN 55905, USA.

Abstract

Patient blood management (PBM) is a systematic, evidence-based approach to improve patient outcomes by managing and preserving a patient's own blood and minimizing allogenic transfusion need and risk. According to the PBM approach, the goals of perioperative anemia management include early diagnosis, targeted treatment, blood conservation, restrictive transfusion except in cases of acute and massive hemorrhage, and ongoing quality assurance and research efforts to advance overall blood health.

Keywords: Allogenic blood product; Anemia; Patient blood management; Perioperative; Transfusion threshold; Transfusion-associated circulatory overload; Transfusion-related acute lung injury; Transfusion-related immunomodulation.

Publication types

Review

MeSH terms

Anemia*
Blood Transfusion
Humans
Specialties, Surgical*

Grants and funding

K23 HL153310/HL/NHLBI NIH HHS/United States