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    Patient Blood Management. Three pillar strategy to improve outcome through avoidance of allogeneic blood products

    Access Status
    Fulltext not available
    Authors
    Gombotz, Hans
    Hofmann, Axel
    Date
    2013
    Type
    Journal Article
    
    Metadata
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    Citation
    Gombotz, Hans and Hofmann, Axel. 2013. Three pillar strategy to improve outcome through avoidance of allogeneic blood products. Patient Blood Management. Der Anaesthesist. 62 (7): pp. 519-527.
    Source Title
    Der Anaesthesist: Zeitschrift fuer Anaesthesie, Intensivmedizin, Notfall- und Katastrophenmedizin, Schmerzmedizin
    DOI
    10.1007/s00101-013-2199-1
    ISSN
    0003-2417
    URI
    http://hdl.handle.net/20.500.11937/14192
    Collection
    • Curtin Research Publications
    Abstract

    Blood transfusions are commonly viewed as life-saving interventions; however, current evidence shows that blood transfusions are associated with a significant increase of morbidity and mortality in a dose-dependent relationship. Not only explanatory models of basic research but also the results from randomized controlled trials suggest a causal relationship between blood transfusion and adverse outcome. Therefore, it can be claimed that the current state of science debunks the long held belief in the so-called life-saving blood transfusion by exposing the potential for promoting disease and death. Adherence to the precautionary principle and also the fact that blood transfusions are more costly than previously assumed require novel approaches in the treatment of anemia and bleeding. Patient Blood Management (PBM) allows transfusion rates to be dramatically reduced through correcting anemia by stimulating erythropoiesis, minimization of perioperative blood loss and harnessing and optimizing the physiological tolerance of anemia. A resolution of the World Health Assembly has endorsed PBM and therefore morbidity and mortality should be significantly reduced by lowering of the currently high blood utilization rate of allogeneic blood products in Austria, Germany and Switzerland.

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