Perioperative Anemia Management.

Area of Science:

• Hematology
• Surgical Patient Care
• Transfusion Medicine

Background:

• Preoperative anemia is linked to increased perioperative blood transfusions, longer hospital stays, and poorer patient outcomes.
• Patient Blood Management (PBM) is a globally recognized, evidence-based strategy to optimize surgical patients.
• PBM addresses anemia, blood loss prevention, and transfusion practices.

Purpose of the Study:

• To review the evidence supporting the three core pillars of Patient Blood Management.
• To highlight key PBM strategies with the strongest impact on patient outcomes.
• To emphasize the importance of PBM in managing preoperative anemia and transfusion risk.

Main Methods:

• Systematic review of current evidence on Patient Blood Management.
• Analysis of PBM guidelines and their implementation.
• Focus on evidence supporting anemia management, blood loss prevention, and transfusion practices.

Main Results:

• Implementation of PBM guidelines is associated with reduced blood transfusion requirements.
• PBM strategies have demonstrated improved patient outcomes and reduced complications.
• Evidence supports the efficacy of PBM in managing patients with preoperative anemia.

Conclusions:

• Patient Blood Management is an essential, evidence-based approach for optimizing surgical patients, particularly those with anemia.
• Adherence to PBM principles leads to better patient outcomes and reduced transfusion needs.
• PBM programs should be initiated for all patients with preoperative anemia or at risk of transfusion.