Patient blood management, what does this actually mean for neonates and infants?

SUMMARY Patient blood management (PBM) refers to an evidence‐based package of care that aims to improve patient outcomes by optimal use of transfusion therapy, including managing anaemia, preventing blood loss and improving anaemia tolerance in surgical and other patients who may need transfusion. I...

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Published inTransfusion medicine (Oxford, England) Vol. 28; no. 2; pp. 117 - 131
Main Authors Crighton, G. L., New, H. V., Liley, H. G., Stanworth, S. J.
Format Journal Article
LanguageEnglish
Published Oxford, UK Blackwell Publishing Ltd 01.04.2018
Subjects
neonate
paediatric
patient blood management
transfusion
neonate
transfusion
patient blood management
paediatric
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Summary:SUMMARY Patient blood management (PBM) refers to an evidence‐based package of care that aims to improve patient outcomes by optimal use of transfusion therapy, including managing anaemia, preventing blood loss and improving anaemia tolerance in surgical and other patients who may need transfusion. In adults, PBM programmes are well established, yet the definition and implementation of PBM in neonates and children lags behind. Neonates and infants are frequently transfused, yet they are often under‐represented in transfusion trials. Adult PBM programmes may not be directly applicable to these populations. We review the literature in neonatal (and applicable paediatric) transfusion medicine and propose specific neonatal PBM definitions and elements.
Bibliography:ObjectType-Article-2
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ObjectType-Review-1
ISSN:0958-7578
1365-3148
DOI:10.1111/tme.12525