Critical Care Society of Southern Africa adult patient blood management guidelines: 2019 Round-table meeting, CCSSA Congress, Durban, 2018.
Journal
The Southern African journal of critical care : the official journal of the Critical Care Society
ISSN: 2078-676X
Titre abrégé: South Afr J Crit Care
Pays: South Africa
ID NLM: 8801525
Informations de publication
Date de publication:
2020
2020
Historique:
accepted:
28
05
2020
medline:
4
8
2020
pubmed:
4
8
2020
entrez:
7
7
2023
Statut:
epublish
Résumé
The CCSSA PBM Guidelines have been developed to improve patient blood management in critically ill patients in southern Africa. These consensus recommendations are based on a rigorous process by experts in the field of critical care who are also practicing in South Africa (SA). The process comprised a Delphi process, a round-table meeting (at the CCSSA National Congress, Durban, 2018), and a review of the best available evidence and international guidelines. The guidelines focus on the broader principles of patient blood management and incorporate transfusion medicine (transfusion guidelines), management of anaemia, optimisation of coagulopathy, and administrative and ethical considerations. There are a mix of low-middle and high-income healthcare structures within southern Africa. Blood products are, however, provided by the same not-for-profit non-governmental organisations to both private and public sectors. There are several challenges related to patient blood management in SA due most notably to a high incidence of anaemia, a frequent shortage of blood products, a small donor population, and a healthcare system under financial strain. The rational and equitable use of blood products is important to ensure best care for as many critically ill patients as possible. The summary of the recommendations provides key practice points for the day-to-day management of critically ill patients. A more detailed description of the evidence used to make these recommendations follows in the full clinical guidelines section.
Identifiants
pubmed: 37415775
doi: 10.7196/SAJCC.2020.v36i1b.440
pmc: PMC10321416
doi:
Types de publication
Journal Article
Langues
eng
Informations de copyright
Copyright © 2020, Wise et al. Copyright of published material remains in the Authors’ name. This allows authors to use their work for their own non-commercial purposes without seeking permission from the Publisher, subject to properly acknowledging the Journal as the original place of publication.
Déclaration de conflit d'intérêts
Conflicts of interest: None.
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