کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5664774 1591029 2017 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Patient Blood Management in the Intensive Care Unit
ترجمه فارسی عنوان
مدیریت خون بیمار در بخش مراقبت های ویژه
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی هماتولوژی
چکیده انگلیسی


- Anemia is commonly encountered in the ICU and often continues during the ICU stay and persists beyond discharge.
- Anemia and transfusion are independent significant predictors of worse outcomes.
- Patient blood management provides a multidisciplinary framework for patient-centered decision making with strategies centered on the management of anemia, optimization of coagulation and hemostasis, and utilization of blood conservation modalities.

Patient Blood Management underscores a fundamental shift from a product-centered approach to a patient-centric approach through timely application of evidence-based medical and surgical concepts designed to maintain hemoglobin concentration, optimize hemostasis, and minimize blood loss in an effort to improve patient outcome. In this concept, allogeneic blood transfusion is not viewed as the treatment of default for anemic patients, but one among many treatment modalities that should be weighed based on its merits-potentials risks and benefits-for the individual patient in the context of other alternatives. Patient blood management provides a multidisciplinary framework for patient-centered decision making with strategies focusing on the management of anemia, optimization of coagulation and hemostasis, and utilization of blood conservation modalities. Among the critically ill patients, Patient Blood Management can be particularly effective given the extremely high prevalence of anemia, variable and unjustified transfusion practices, high frequency of coagulation disorders, and avoidable sources of blood loss such as unnecessary diagnostic blood draws. Proper management of anemia-prevention, screening/monitoring, diagnostic workup, and treatment including hematinic agents-is the key to effective implementation of patient blood management. Blood transfusions should be used in accordance of current guidelines, which are supportive of more restrictive transfusion strategies in most critically ill patients. Emerging studies report on the success of Patient Blood Management programs in reducing transfusion utilization, reducing the burden of anemia in patients, and improving patient outcomes including shortened length of hospital stays, less frequency of complications and lower risk of mortality.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Transfusion Medicine Reviews - Volume 31, Issue 4, October 2017, Pages 264-271
نویسندگان
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