Implementation of a patient blood management in an Italian City Hospital: is it effective in reducing the use of red blood cells? - Takeaways - MDSpire

Implementation of a patient blood management in an Italian City Hospital: is it effective in reducing the use of red blood cells?

  • By

  • Giorgio Ercolani

  • Leonardo Solaini

  • Fabrizio D’Acapito

  • Claudio Isopi

  • Carlo Alberto Pacilio

  • Cinzia Moretti

  • Vanessa Agostini

  • Alessandro Cucchetti

  • October 30, 2022

  • 0 min

Share

  • 1

    Patient blood management (PBM) was implemented in 2018 to reduce blood transfusions and improve anemia tolerance in surgical patients.

  • 2

    Analysis of 1302 patients showed a significant decrease in transfusion rates after PBM implementation, particularly in liver and pancreatic surgeries.

  • 3

    Patients receiving two or more units of packed red cells had increased post-operative morbidity and mortality, highlighting the risks of transfusion.

  • 4

    The PBM protocol included pre-operative, intra-operative, and post-operative strategies to manage blood loss and optimize transfusion practices.

  • 5

    Post-operative outcomes were similar between pre-PBM and post-PBM groups, indicating that PBM did not negatively impact surgical recovery.

Original Source(s)

Implementation of a patient blood management in an Italian City Hospital: is it effective in reducing the use of red blood cells?

  • by Giorgio Ercolani, Leonardo Solaini, Fabrizio D’Acapito, Claudio Isopi, Carlo Alberto Pacilio, Cinzia Moretti, Vanessa Agostini, Alessandro Cucchetti

  • October 30, 2022

Related Content

Nutritional Deficiencies 3 Years After Sleeve Gastrectomy Can Be Limited by a Specialized Multivitamin Supplement

The impact of anemia and blood transfusion on mortality after open abdominal surgery in the elderly

Temporal variation in nutritional status and preoperative anemia among patients with retroperitoneal soft tissue sarcoma: a retrospective longitudinal cohort study