alexa The scientific basis for patient blood management.
Nursing

Nursing

Journal of Perioperative & Critical Intensive Care Nursing

Author(s): Murphy MF, Goodnough LT

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Abstract Patient blood management is an increasingly used term to describe an evidence-based, multidisciplinary approach to optimising the care of patients who might need transfusion. It encompasses measures to avoid transfusion such as anaemia management without transfusion, cell salvage and the use of anti-fibrinolytic drugs to reduce bleeding as well as restrictive transfusion. It ensures that patients receive the optimal treatment, and that avoidable, inappropriate use of blood and blood components is reduced. This paper provides an overview of the scientific basis for patient blood management with a focus on the increasing evidence for restrictive rather than liberal transfusion practice and the use of electronic blood ordering and decision support to facilitate its implementation. Copyright © 2015 Elsevier Masson SAS. All rights reserved. This article was published in Transfus Clin Biol and referenced in Journal of Perioperative & Critical Intensive Care Nursing

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