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Der Klinikarzt 2015; 44(3): 134-139
DOI: 10.1055/s-0035-1549408
Schwerpunkt
© Georg Thieme Verlag Stuttgart · New York

Patient Blood Management – Das Konzept

Patient Blood Management – The concept
Alexander A Hanke
1   Klinik für Anästhesiologie und Intensivmedizin, Medizinische Hochschule Hannover, Hannover
,
Felix Flöricke
1   Klinik für Anästhesiologie und Intensivmedizin, Medizinische Hochschule Hannover, Hannover
,
Hendrik Eismann
1   Klinik für Anästhesiologie und Intensivmedizin, Medizinische Hochschule Hannover, Hannover
,
Kai Johanning
1   Klinik für Anästhesiologie und Intensivmedizin, Medizinische Hochschule Hannover, Hannover
› Author Affiliations
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Publication History

Publication Date:
01 April 2015 (online)

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Patient Blood Management umfasst ein multimodales und interdisziplinäres Konzept zur Verbesserung der Patientenversorgung durch Reduktion der Exposition allogener Blutprodukte. Hierbei basiert das Konzept auf 3 Säulen: 1. Diagnostik/Therapie einer präoperativen Anämie, 2. dem rationalen Einsatz von Erythrozytenkonzentraten und Ausschöpfung der individuellen Anämietoleranz und 3. der Reduktion des Blutverlustes.

Durch Einführung des Patient Blood Managements ist es möglich, die Transfusionsraten zu senken und damit unmittelbaren Einfluss auf unerwünschte Nebenwirkungen zu haben. Pneumonierate, Krankenhausverweildauer und auch Mortalität sinken. Im folgenden Beitrag werden die Grundsätze erklärt und Hilfestellungen anhand von Checklisten angeboten.

Patient blood management comprises a multimodal and interdisciplinary concept for improving patient care by reducing exposure to allogeneic blood products. The concept is based hereby on three pillars: 1) diagnostics of/therapy for preoperative anemia, 2) the rational use of erythrocyte concentrates and full exploitation of the individual tolerance to anemia and 3) the reduction of blood loss.

By introduction of patient blood management it is possible to lower the rate of transfusion and thus to have a direct influence on undesired side effects. Rates of pneumonia, length of hospital stay and also mortality can be reduced. In the present contribution the basic principles are explained assistance provided in the form of checklists.

Key words

Patient blood management - preoperative anemia - erythrocyte concentrates - individual tolerance to anemia - blood loss - transfusion rate - mortality
 

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