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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
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Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management
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Perioperative Anemia Management.

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Preoperative anemia management through Patient Blood Management (PBM) reduces blood transfusions and improves surgical outcomes. PBM is a crucial, evidence-based approach for optimizing patient care before major operations.

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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.