Anemia is common in patients with cardiac disease. Iron deficiency is the cause of
anemia in about 80% of all cases. Preoperative anemia is associated with an increased
morbidity and mortality in patients undergoing cardiac surgery. The risk of receiving
red blood cell transfusions, which are potentially associated with severe side effects,
is very high in these patients. Patient Blood Management (PBM) is a multidisciplinary
approach to manage anemia, minimize unnecessary blood loss, and optimize transfusion
therapy. PBM comprises 3 pillars: (1) detection and treatment of preoperative anemia,
(2) reduction of perioperative blood loss, and (3) optimization of allogeneic blood
therapy.
The World Health Organization has urged all Member States to implement PBM. This narrative
review focuses on pre-, intra-, and postoperative strategies to detect, prevent, and
treat anemia as part of PBM in cardiac surgery.
Key Words
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Article Info
Publication History
Published online: August 06, 2019
Footnotes
A consensus paper from the Hemostasis and Transfusion subcommittee endorsed by EACTA.
Identification
Copyright
© 2019 Elsevier Inc. All rights reserved.
