The term “patient blood management (PBM)” refers to the multi-disciplinary collaboration among health care providers (physicians, nurses, pharmacists, pump techs, and other physician extenders) to provide clinical patient management in various clinical scenarios without transfusion. This session will focus on strategies to avoid red blood cell (RBC) transfusions.
To be successful in minimizing or avoiding entirely the need for transfusion, a proactive approach is necessary. This is best illustrated by the presentation “Preoperative anemia screening clinics” by Dr. Yulia Lin; the single most important determinant for the need for RBC transfusions in surgical patients, is the preoperative RBC circulating volume; so that the identification and management of anemia patients preoperatively should be a cornerstone of PBM programs.
In the second presentation, Dr. Mike Murphy will review the current status of PBM as “best practices” or “standard of care” in patients receiving health care that will put them at risk for receiving transfusion therapy.
Finally, Dr. Lawrence Tim Goodnough will review his own program’s experience at Stanford University with the use of clinical decision support (CDS) to promote restrictive RBC transfusion practices in order to improve blood utilization.
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