Patient Blood Management in Europe

Patient Blood Management is Associated With a Substantial Reduction of Red Blood Cell Utilization and Safe for Patient's Outcome

“…Possible reasons might be high personal and financial resources and expertise to implement anemia screening and treatment. 8,36,37 In our study, RBC utilization showed moderate variability before implementation, but the implementation of PBM resulted in a substantial, statistical significant decrease of RBC utilization. But still most of the selected PBM measures have been shown to reduce RBC utilization in surgical patients such as autologous red cell recovery, 31 reducing blood collection tubes, 32 pointof-care diagnostic in coagulopathy, 33 hemotherapy algorithm, 34 and standardization of transfusion practice using checklists.…”

“…6 Main principles are early detection, appropriate treatment of anemia, and multidisciplinary concepts designed to maintain hemoglobin concentration to optimize blood hemostasis and to minimize blood loss. 6,8 Only a few of these initiatives were designed to provide data in terms of safety issues. 6,8 Only a few of these initiatives were designed to provide data in terms of safety issues.…”

Patient Blood Management Bundles to Facilitate Implementation

“…The PBM bundles encompass 107 different PBM measures, divided into 6 bundle blocks. The PBM bundles are based not only on the aforementioned guidelines/ recommendations [3,[6][7][8]10,11,[37][38][39][40][41][42], reviews [5,12,[34][35][36], and the Australian "National Patient Blood Management Guidelines Implementation Strategy" [9] but also on the authors' experiences gleaned from recent PBM activities in Australia [34,44], Europe [18,22,41,[45][46][47][48], and United States [14][15][16]49] and launching the German PBM Network [50]. Having success in PBM does not follow an "all-or-non-law," but rather a different grading of successful PBM implementation based on the total number of measures achieved.…”

Preparing a Jehovah's Witness for major elective surgery

“…Haemorrhage and postoperative anaemia may result in increased rates of mortality, morbidity, and infection, as well as increased length of hospital stay. 2 The mainstay of treatment of severe anaemia is blood transfusion, and the consequences of not receiving this should be discussed in a non-judgmental way.…”