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Related Concept Videos

Blood Transfusion01:15

Blood Transfusion

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Blood transfusion is a critical medical procedure that saves lives and treats various medical conditions. It involves transferring blood from a donor to a recipient. This process requires a thorough understanding of the ABO blood group system and its associated antigens and antibodies.
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...
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Blood Studies I: ABG and VBG01:26

Blood Studies I: ABG and VBG

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Blood studies are critical in the medical field, enabling healthcare professionals to assess a patient's health status accurately. This page will focus on two significant blood studies: Arterial Blood Gas (ABG) and Venous Blood Gas (VBG).
Arterial Blood Gas (ABG)
Arterial Blood Gas (ABG) studies are crucial for assessing the lungs' ability to supply oxygen and remove carbon dioxide, reflecting the patient's ventilation status. They also help understand the kidneys' capacity to...
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Pre-Procedural Guidelines for Assessing Blood Pressure01:10

Pre-Procedural Guidelines for Assessing Blood Pressure

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Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
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SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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Pulse Oximetry01:24

Pulse Oximetry

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Pulse oximetry, or SpO2, is a non-invasive method for continuously monitoring arterial oxygen saturation (SaO2). This procedure involves attaching a probe or sensor to the patient's fingertip, forehead, earlobe, or nose bridge. The sensor works by detecting changes in oxygen saturation levels through light signals generated by the oximeter and reflected by the pulsing blood under the probe.
Purpose
Average SpO2 values are greater than 95%. If the readings fall below 90%, it indicates that...
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Blood Transfusion and Agglutination02:45

Blood Transfusion and Agglutination

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Blood transfusion is a therapeutic measure to restore the blood volume after extensive blood loss due to an accident or a medical procedure. Blood transfusion involves drawing a certain amount of blood from a suitable donor and infusing it into the recipient.
History
The history of blood transfusion dates back to the 17th century, when early attempts were made in animals. In 1818 James Blundell, a British doctor, performed the first successful human blood transfusion. Later in 1900, Karl...
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Percutaneous Hepatic Perfusion PHP with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver
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Perioperative Blood Management.

Shruti Parikh1, Taylor Bentz1, Samuel Crowley1

  • 1Department of Anesthesiology, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY 11794, USA.

Journal of Clinical Medicine
|June 13, 2025
PubMed
Summary
This summary is machine-generated.

Patient blood management optimizes surgical outcomes by addressing anemia and minimizing blood loss. This approach uses evidence-based guidelines to improve patient safety, reduce transfusions, and lower costs throughout the perioperative period.

Keywords:
TACOTRALIblood managementblood productsenhanced recoverymassive transfusion protocolperioperative guidelinesperioperative outcomespreoperative evaluationpreoperative optimizationsurgical optimization

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Area of Science:

  • Anesthesiology
  • Hematology
  • Surgical Patient Care

Background:

  • Anemia is frequently under-recognized and inadequately treated before surgery, impacting patient outcomes.
  • Patient blood management (PBM) provides a framework for optimizing surgical patients.

Purpose of the Study:

  • To review perioperative blood product management strategies.
  • To highlight the importance of early anemia correction and evidence-based transfusion guidelines.

Main Methods:

  • Discussion of PBM principles, including anemia management, blood loss reduction, and coagulopathy treatment.
  • Review of liberal versus restrictive transfusion strategies and hemoglobin thresholds.
  • Inclusion of intraoperative viscoelastic testing (e.g., rotational thromboelastometry, thrombelastography) for real-time clotting analysis.

Main Results:

  • PBM aims to improve patient safety, reduce complications from transfusions, and lower healthcare costs.
  • Specific transfusion thresholds exist for stable patients (7-8 g/dL) and those with cardiac disease (>8 g/dL).
  • Viscoelastic tests guide targeted transfusions of blood products and antifibrinolytic drugs.

Conclusions:

  • Comprehensive perioperative blood management is crucial for surgical patient care.
  • Addressing anemia and employing evidence-based strategies minimizes blood loss and transfusion risks.
  • Effective management of blood products enhances patient outcomes and reduces overall costs.