Patient Blood Management: A 68-Year-Old Woman Contemplating Autologous Blood Donation Before Elective Surgery

Globally, more than 81 million units of red blood cells are transfused annually. Of the 15 million red blood cell components transfused annually in the United States, approximately 40% are transfused to patients undergoing elective surgical procedures. Because of concerns about limited blood availab...

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Bibliographic Details
Published inJAMA Vol. 306; no. 17; pp. 1902 - 1910
Main Author Uhl, Lynne
Format Journal Article Conference Proceeding
LanguageEnglish
Published Chicago, IL American Medical Association 02.11.2011
Subjects
Aged
Anemia - etiology
Arthroplasty, Replacement, Knee
Biological and medical sciences
Blood & organ donations
Blood Loss, Surgical
Blood Transfusion, Autologous
Blood transfusions
Decision Making
Elective Surgical Procedures
Erythrocytes
Female
General aspects
Hemorrhage - prevention & control
Humans
Medical sciences
Patients
Postoperative Care
Surgery
Human
Medicine
Clinical management
Treatment
Surgery
Blood donation
Adult
Female
Patient
Autologous system
Woman
Blood
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Summary:Globally, more than 81 million units of red blood cells are transfused annually. Of the 15 million red blood cell components transfused annually in the United States, approximately 40% are transfused to patients undergoing elective surgical procedures. Because of concerns about limited blood availability as well as risks of transfusion-related adverse events, blood products should be used judiciously. Using the case of Ms C, a 68-year-old woman considering autologous blood donation prior to knee replacement surgery, the concept of patient blood management is discussed. This approach entails a complete evaluation of the patient in the preoperative period to assess for bleeding risks and anemia, with a goal to optimize a patient's condition prior to surgery; use of various strategies in the operative period to mitigate the need for allogeneic blood transfusion; and meticulous postoperative care to again avoid the need for blood transfusion.
Bibliography:ObjectType-Case Study-3
ObjectType-Conference Proceeding-1
SourceType-Conference Papers & Proceedings-1
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ISSN:0098-7484
1538-3598
DOI:10.1001/jama.2011.1526