Patient Blood Management: Single Center Evidence and Practice at Fuwai Hospital.

Yun-tai Yao; Xin Yuan; Li-xian HE; Yi-ping YU; Yu DU; Gang Liu; Li-juan Tian; Zu-xuan MA; Yong-bao Zhang; Jie MA

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Patient Blood Management: Single Center Evidence and Practice at Fuwai Hospital.

Author: Yun-Tai YAO ¹ ; Xin YUAN ² ; Li-Xian HE ¹ ; Yi-Ping YU ¹ ; Yu DU ³ ; Gang LIU ⁴ ; Li-Juan TIAN ¹ ; Zu-Xuan MA ⁵ ; Yong-Bao ZHANG ⁶ ; Jie MA ⁷
Author Information

1. Department of Anesthesiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China.
2. Department of Adult Cardiac Surgery, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China.
3. Department of Surgical Intensive Care Unit, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China.
4. Department of Cardiopulmonary Bypass, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China.
5. Department of Transfusion, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China.
6. Department of Vascular Surgery, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China.
7. Department of Pharmacy Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China.
Publication Type:Journal Article
Keywords: anesthesia; bleeding; blood management; blood transfusion; cardiovascular surgery
MeSH: Humans; Blood Transfusion/methods*; Anemia/therapy*; Hemorrhage; Hospitals; Blood Loss, Surgical
From: Chinese Medical Sciences Journal 2022;37(3):246-260
CountryChina
Language:English
Abstract: Blood loss and blood transfusion requirement are important quality control indicators of cardiovascular surgery and cardiovascular anesthesia. Patient blood management (PBM) is an evidence-based, multidisciplinary approach to optimizing the care of patients who may need transfusion, which encompasses anemia management, hemodilution, cell salvage, hemostatic treatment, and other approaches to reducing bleeding and minimizing blood transfusion. PBM in cardiovascular surgery is a "team sport" that involves cardiac and vascular surgeons, anesthesiologists, perfusionist, intensivists, and other health care providers. The current work provides an overview of evidence and practice of PBM at Fuwai Hospital. Implementation of PBM should also take local resource availability and cost-effectiveness of different devices, drugs, technologies, and techniques into consideration.