Patient Blood Management, Anemia, and Transfusion Optimization Across Surgical Specialties.

Patient Blood Management, Anemia, and Transfusion Optimization Across Surgical Specialties.
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跨外科专业的患者血液管理、贫血和输血优化。

DOI:
10.1016/j.anclin.2022.10.003
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发表时间:
2023
影响因子:
--
通讯作者:
Warner,MatthewA
Warner,MatthewA
中科院分区:
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文献类型:
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作者:
Kiyatkin,MichaelE;Mladinov,Domagoj;Jarzebowski,MaryL;Warner,MatthewA

文献摘要

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认识到围手术期血液健康优化和同种异体输血减少的重要性,将PBM原则纳入围手术期护理至关重要。在这个过程中有几个关键步骤。首先,在择期手术之前,绝不能忽视术前贫血的存在,预计失血量至少为中等(即≥ 500 mL)。贫血在手术前很容易解决,有针对性的治疗可以改善血红蛋白浓度,
Recognizing the importance of perioperative blood health optimization and allogeneic transfusion reductions, it is essential to incorporate PBM principles into perioperative care. There are several key steps in this process. First, the presence of preoperative anemia must not go overlooked before elective surgery with at least moderate volume anticipated blood loss (ie,≥ 500 mL). Anemia is readily addressable before surgery, and targeted management improves hemoglobin concentration and may