Etablierung eines Patient Blood Managements als Behandlungsstandard

Anämien zählen zu den häufigsten Krankheiten weltweit und stellen unbehandelt eine gesundheitliche Belastung dar. Insbesondere bei chirurgischen Patienten ist eine präoperative Anämie kombiniert mit operativem Blutverlust mit einem erhöhten Bedarf an Blutkonserven und schweren postoperativen Komplikationen assoziiert. Ein Patient Blood Management beinhaltet evidenzbasierte patientenorientierte Therapien und Präventionsmaßnahmen für Anämien.

Abstract

Anaemia is among the most common co-morbidity in surgical patients. However, it often remains unrecognized and untreated, which results in an increased requirement for allogeneic blood products and complications. Patient Blood Management offers patient-centred and evidence-based therapies and preventive measures for anaemia. Patient Blood Management is composed of 3 main pillars: pre-operative anaemia management, blood loss reduction and the rational use of allogeneic blood products. The World Health Organization demands the implementation of Patient Blood Management measures since 2010. However, a comprehensive implementation of Patient Blood Management as a standard-of-care is still not achieved. Here, we describe the need for a comprehensive Patient Blood Management implementation and highlight several specific Patient Blood Management measures.

Kernaussagen

• Anämien zählen zu den häufigsten Krankheiten weltweit und stellen unbehandelt eine gesundheitliche Belastung dar.

• Patient Blood Management als Standardbehandlungskonzept kann die Patientensicherheit fördern und zu einer Reduktion des Einsatzes von allogenen Blutprodukten führen.

• Die WHO empfiehlt die Umsetzung von Patient Blood Management.

• Die Maßnahmen des Patient Blood Managements umfassen folgende Bereiche: die Erkennung und Behandlung von Anämien, die Reduktion von Blutverlusten und den evidenzbasierten Einsatz von Blutkonserven.

• Das Konzept des Patient Blood Managements erfordert eine multidisziplinäre Zusammenarbeit und wird kontinuierlich weiterentwickelt, indem die einzelnen Maßnahmen patientenorientiert individualisiert werden.

Schlüsselwörter

Anämiemanagement - Eisenmangel - Blutverlust - Transfusionen - Patient Blood Management

Keywords

anaemia management - iron deficiency - blood loss - transfusion - Patient Blood Management

Publication History

Article published online:
12 April 2023

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