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Patient Blood Management Program Implementation: Comprehensive Recommendations and Practical Strategies.
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.
Afiliación
  • Céspedes IC; Department of Morphology and Genetics, Discipline of Genetics, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brazil.
  • Figueiredo MS; Department of Clinical and Experimental Oncology, Discipline of Hematology and Hemotherapy, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brazil.
  • Hossne NA; Department of Surgery, Discipline of Cardiovascular Surgery, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brazil.
  • Suriano ÍC; Department of Neurology and Neurosurgery, Discipline of Neurosurgery, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brazil.
  • Rodrigues RC; Department of Anesthesiology, Pain and Intensive Care, Discipline of Anesthesiology, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brazil.
  • Barros MMO; Department of Clinical and Experimental Oncology, Discipline of Hematology and Hemotherapy, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brazil.
  • Paiva MA; Department of Neurology and Neurosurgery, Discipline of Neurosurgery, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brazil.
  • Atallah FC; Department of Anesthesiology, Pain and Intensive Care, Discipline of Intensive Care, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brazil.
  • Benini BB; Department of Surgery, Discipline of Surgical Gastroenterology, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brazil.
  • Gonzalez AM; Department of Surgery, Discipline of Surgical Gastroenterology, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brazil.
  • Sparapani FVC; Department of Neurology and Neurosurgery, Discipline of Neurosurgery, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brazil.
  • Barros N; Department of Surgery, Discipline of Cardiovascular Surgery, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brazil.
  • Carneiro IA; Hospital São Paulo, Hospital Universitário da Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brazil.
  • Sarto CMM; Hospital São Paulo, Hospital Universitário da Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brazil.
  • Motoyama CSM; Hospital São Paulo, Hospital Universitário da Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brazil.
  • Sacchi L; Departments of Inventory and Pharmacy, Associação Paulista para o Desenvolvimento da Medicina (SPDM), São Paulo, São Paulo, Brazil.
  • Piovezan V; Hospital São Paulo, Hospital Universitário da Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brazil.
  • Almeida SL; Departments of Inventory and Pharmacy, Associação Paulista para o Desenvolvimento da Medicina (SPDM), São Paulo, São Paulo, Brazil.
  • Pereira-Rufino LDS; Department of Morphology and Genetics, Discipline of Genetics, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brazil.
  • Guizilini S; Department of Surgery, Discipline of Cardiovascular Surgery, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brazil.
  • Rocco IS; Department of Surgery, Discipline of Cardiovascular Surgery, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brazil.
  • Mansur NS; Hospital São Paulo, Hospital Universitário da Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brazil.
  • Arakaki JSO; Department of Medicine, Discipline of Pulmonology, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brazil.
  • Santos AAD; Department of Clinical and Experimental Oncology, Postgraduate Program in Medicine - Hematology and Oncology, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brazil.
  • Panfilio CE; Escola da Saúde, Universidade Municipal de São Caetano do Sul (USCS), São Caetano do Sul, São Paulo, Brazil.
Braz J Cardiovasc Surg ; 39(5): e20240205, 2024 Aug 02.
Article en En | MEDLINE | ID: mdl-39094093
ABSTRACT

INTRODUCTION:

Blood transfusion is one of the most common medical practices worldwide. However, current scientific literature has shown that the immunomodulatory effects of blood transfusion are associated with an increased likelihood of infection, prolonged hospitalization, and morbimortality. Also, it means high costs for healthcare systems.

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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Transfusión Sanguínea / Anemia Límite: Humans Idioma: En Revista: Braz J Cardiovasc Surg Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Transfusión Sanguínea / Anemia Límite: Humans Idioma: En Revista: Braz J Cardiovasc Surg Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil