Perioperative Anemia Management as Part of PBM in Cardiac Surgery - A Narrative Updated Review.
Patient Blood Management
anemia
cardiac surgery
ferritin
iron supplementation
Journal
Journal of cardiothoracic and vascular anesthesia
ISSN: 1532-8422
Titre abrégé: J Cardiothorac Vasc Anesth
Pays: United States
ID NLM: 9110208
Informations de publication
Date de publication:
Apr 2020
Apr 2020
Historique:
received:
04
02
2019
revised:
18
06
2019
accepted:
29
06
2019
pubmed:
11
8
2019
medline:
28
4
2021
entrez:
11
8
2019
Statut:
ppublish
Résumé
Anemia is common in patients with cardiac disease. Iron deficiency is the cause of anemia in about 80% of all cases. Preoperative anemia is associated with an increased morbidity and mortality in patients undergoing cardiac surgery. The risk of receiving red blood cell transfusions, which are potentially associated with severe side effects, is very high in these patients. Patient Blood Management (PBM) is a multidisciplinary approach to manage anemia, minimize unnecessary blood loss, and optimize transfusion therapy. PBM comprises 3 pillars: (1) detection and treatment of preoperative anemia, (2) reduction of perioperative blood loss, and (3) optimization of allogeneic blood therapy. The World Health Organization has urged all Member States to implement PBM. This narrative review focuses on pre-, intra-, and postoperative strategies to detect, prevent, and treat anemia as part of PBM in cardiac surgery.
Identifiants
pubmed: 31399306
pii: S1053-0770(19)30639-1
doi: 10.1053/j.jvca.2019.06.047
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1060-1073Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.