Perioperative blood management: Current transfusion practices and challenges

Perioperative blood management is a crucial aspect of the care of any surgical patient. A multidisciplinary approach involving anesthesiologists, surgeons, and transfusion specialists is needed for the safe transfusion practice. It should span the entire perioperative period from preoperative evalua...

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Main Authors: Stalin Vinayagam, Sangeeta Dhanger
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:International Journal of Advanced Medical and Health Research
Subjects:
Online Access:http://www.ijamhrjournal.org/article.asp?issn=2349-4220;year=2023;volume=10;issue=1;spage=4;epage=11;aulast=Vinayagam
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author Stalin Vinayagam
Sangeeta Dhanger
author_facet Stalin Vinayagam
Sangeeta Dhanger
author_sort Stalin Vinayagam
collection DOAJ
description Perioperative blood management is a crucial aspect of the care of any surgical patient. A multidisciplinary approach involving anesthesiologists, surgeons, and transfusion specialists is needed for the safe transfusion practice. It should span the entire perioperative period from preoperative evaluation until discharge from the hospital. Even though the current practice of blood management is supported by scientific research and evidence-based knowledge, many challenges still need to be addressed. Planning about blood management should start from the patient's first visit to the hospital through careful assessment and optimal preparation, including preoperative anemia management, which is found to reduce the transfusion need in the intraoperative period. It is also possible to avoid allogeneic blood transfusions by taking stringent measures to minimize intraoperative blood loss and implementing blood conservation strategies. Every institution must have a protocol for initiating and managing massive transfusions in surgical patients. Implementing a patient blood management program in every hospital can significantly contribute to accomplishing this objective. The judicious use of blood products during the perioperative phase can be ensured by establishing a blood transfusion committee, developing institutional policies, conducting routine audits, and organizing frequent training sessions.
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spelling doaj.art-073bc00e33fa45e3aca22dd5e80969b92023-07-23T11:13:23ZengWolters Kluwer Medknow PublicationsInternational Journal of Advanced Medical and Health Research2349-42202350-02982023-01-0110141110.4103/ijamr.ijamr_113_23Perioperative blood management: Current transfusion practices and challengesStalin VinayagamSangeeta DhangerPerioperative blood management is a crucial aspect of the care of any surgical patient. A multidisciplinary approach involving anesthesiologists, surgeons, and transfusion specialists is needed for the safe transfusion practice. It should span the entire perioperative period from preoperative evaluation until discharge from the hospital. Even though the current practice of blood management is supported by scientific research and evidence-based knowledge, many challenges still need to be addressed. Planning about blood management should start from the patient's first visit to the hospital through careful assessment and optimal preparation, including preoperative anemia management, which is found to reduce the transfusion need in the intraoperative period. It is also possible to avoid allogeneic blood transfusions by taking stringent measures to minimize intraoperative blood loss and implementing blood conservation strategies. Every institution must have a protocol for initiating and managing massive transfusions in surgical patients. Implementing a patient blood management program in every hospital can significantly contribute to accomplishing this objective. The judicious use of blood products during the perioperative phase can be ensured by establishing a blood transfusion committee, developing institutional policies, conducting routine audits, and organizing frequent training sessions.http://www.ijamhrjournal.org/article.asp?issn=2349-4220;year=2023;volume=10;issue=1;spage=4;epage=11;aulast=Vinayagamblood conservationblood managementperioperativetransfusion
spellingShingle Stalin Vinayagam
Sangeeta Dhanger
Perioperative blood management: Current transfusion practices and challenges
International Journal of Advanced Medical and Health Research
blood conservation
blood management
perioperative
transfusion
title Perioperative blood management: Current transfusion practices and challenges
title_full Perioperative blood management: Current transfusion practices and challenges
title_fullStr Perioperative blood management: Current transfusion practices and challenges
title_full_unstemmed Perioperative blood management: Current transfusion practices and challenges
title_short Perioperative blood management: Current transfusion practices and challenges
title_sort perioperative blood management current transfusion practices and challenges
topic blood conservation
blood management
perioperative
transfusion
url http://www.ijamhrjournal.org/article.asp?issn=2349-4220;year=2023;volume=10;issue=1;spage=4;epage=11;aulast=Vinayagam
work_keys_str_mv AT stalinvinayagam perioperativebloodmanagementcurrenttransfusionpracticesandchallenges
AT sangeetadhanger perioperativebloodmanagementcurrenttransfusionpracticesandchallenges