Blood Management Flashcards
blood management uses what quoted concept?
“right patient, right product, right amount, right time”
why is “patient” often added to “patient blood management”?
to clarify that blood management is not confused with outcome oriented transfusion therapy – patient denotes that it is not the blood in the blood bank that is managed but the patient’s own blood
WHO endorses blood management as:
preoperative anemia management
reduction of blood loss
improvement of anemia tolerance
goal of blood management
ensure safe and efficient use of the many resources involved in the complex process of blood component therapy
goal of transfusion consent
encourages patients’ active involvement in their own care as a patient safety strategy
iatrogenic anemia
blood loss due to lab draws
intensive care patients lose how much blood per week from routine lab draws?
1-2 units
purpose of audits
identify areas of gaps between transfusion guidelines and actual practice and apply interventions to close that gap
use of retrospective audits and dedicated feedback to clinicians has been effective in:
reducing total number of units transfused
reducing number of units transfused per patient
reducing proportion of patients transfused
reducing number of inappropriate transfusions
prospective blood utilization auditing
real-time
concurrent blood utilization auditing
12-24 hours after transfusion
most common type of blood utilization auditing
retrospective
intervention steps in addition to audits
dissemination of evidence-based guidelines
clinician education
specifically designed transfusion request form
examples of preoperative anemia management
iron replacement
recombinant EPO
anabolic steroids
autotransfusion options as alternatives to allogeneic red cells
preoperative donation
preoperative hemodilution
intraoperative salvage
postoperative blood recovery
