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[Transfusion practice: what's new?]

Gilles Folléa1

  • 1Société française de transfusion sanguine, Paris, France.

La Revue Du Praticien
|March 15, 2019
PubMed
Summary

Patient blood management optimizes transfusion practices, reducing risks and improving patient safety. New guidelines emphasize restrictive policies, alternatives, and infectious agent mitigation for safer blood component therapy.

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Patient Blood Management: Recommendations From the 2018 Frankfurt Consensus Conference.

JAMA·2019

Area of Science:

  • Hematology
  • Transfusion Medicine
  • Patient Safety

Background:

  • Advances in transfusion medicine are crucial for enhancing patient care and safety.
  • Optimizing blood component management is an ongoing clinical challenge.
  • Emerging strategies aim to minimize transfusion-related risks.

Purpose of the Study:

  • To highlight significant advancements in transfusion practices.
  • To discuss the impact of new strategies on patient blood management.
  • To outline key developments improving transfusion safety.

Main Methods:

  • Review of current evidence-based transfusion guidelines.
  • Analysis of multidisciplinary approaches to patient blood management.
  • Evaluation of infectious agent mitigation techniques and transfusion protocols.

Main Results:

  • Patient blood management (PBM) is an evidence-based, multidisciplinary approach to optimize transfusion.
  • Restrictive transfusion policies and alternatives reduce exposure and risks.
  • Infectious agent mitigation is standard for platelets and plasma; combined transfusion is standard for shock.

Conclusions:

  • Patient blood management represents a paradigm shift in transfusion practice.
  • Multidisciplinary training, haemovigilance, and research are vital for PBM implementation.
  • Enhanced safety measures and optimized transfusion strategies improve patient outcomes.
Keywords:
blood componentshaemovigilancetransfusiontransfusion counselling

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