Patient blood management, what does this actually mean for neonates and infants?
Gemma L CrightonH V NewH G LileyS J StanworthPublished in: Transfusion medicine (Oxford, England) (2018)
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.
Keyphrases
- cardiac surgery
- sickle cell disease
- low birth weight
- healthcare
- case report
- systematic review
- acute kidney injury
- quality improvement
- intensive care unit
- primary care
- young adults
- palliative care
- emergency department
- preterm infants
- mesenchymal stem cells
- chronic pain
- iron deficiency
- pain management
- red blood cell
- cell therapy
- smoking cessation
- preterm birth