Patient blood management during the COVID-19 pandemic: a narrative review.
Anemia
/ complications
Betacoronavirus
Blood Coagulation Disorders
/ diagnosis
Blood Donors
/ supply & distribution
COVID-19
Coronavirus Infections
/ complications
Elective Surgical Procedures
Emergencies
Humans
Operative Blood Salvage
Pandemics
/ prevention & control
Pneumonia, Viral
/ complications
Preoperative Care
/ methods
SARS-CoV-2
COVID-19
anaemia
coagulation
coronavirus
patient blood management
Journal
Anaesthesia
ISSN: 1365-2044
Titre abrégé: Anaesthesia
Pays: England
ID NLM: 0370524
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
accepted:
17
04
2020
pubmed:
28
4
2020
medline:
25
7
2020
entrez:
28
4
2020
Statut:
ppublish
Résumé
As COVID-19 disease escalates globally, optimising patient outcome during this catastrophic healthcare crisis is the number one priority. The principles of patient blood management are fundamental strategies to improve patient outcomes and should be given high priority in this crisis situation. The aim of this expert review is to provide clinicians and healthcare authorities with information regarding how to apply established principles of patient blood management during the COVID-19 pandemic. In particular, this review considers the impact of the COVID-19 pandemic on blood supply and specifies important aspects of donor management. We discuss how preventative and control measures implemented during the COVID-19 crisis could affect the prevalence of anaemia, and highlight issues regarding the diagnosis and treatment of anaemia in patients requiring elective or emergency surgery. In addition, we review aspects related to patient blood management of critically ill patients with known or suspected COVID-19, and discuss important alterations of the coagulation system in patients hospitalised due to COVID-19. Finally, we address special considerations pertaining to supply-demand and cost-benefit issues of patient blood management during the COVID-19 pandemic.
Identifiants
pubmed: 32339260
doi: 10.1111/anae.15095
pmc: PMC7497056
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1105-1113Informations de copyright
© 2020 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists.
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