지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Perioperative anemia is common during surgery and is an important risk factor for the transfusion of RBC, morbidity and mortality. Blood transfusion has been a common practice for a long time, and has been a traditionally accepted solution to perioperative anemia. However, increasing evidence is now showing that this traditional treatment may actually do more harm than good. Research has shown that transfusion is independently associated with morbidity and mortality. A paradigm shift is currently taking place towards patient-oriented blood management and patient blood management, PBM. PBM consists of 3 pillars: the optimization of the red blood cell mass, reduction of blood loss and bleeding, and optimization of the patients’ physiological tolerance toward anemia. Of the three fillers, perioperative management is mainly included in the second pillar, but integration of these 3 pillars and strategies into perioperative pathways should improve care processes and patient outcome. Bleeding during surgery and efforts to stop it continue, and treatment for bleeding and many hemostatic methods have been developed. In recent decades, minimally invasive surgical techniques have led to a reduction of bleeding, where hemostatic agents, surgical instruments and new techniques have played an important role in the perioperative field of PBM. This paper summarized why PBM is needed, and the strategy during surgery simply and easily. This paper focuses on the surgeons’ role in PBM. The main PBM protocol is not discussed, but rather the paper focuses on selective clinical practice. (Korean J Blood Transfus 2020;31:21-33)
목차
등록된 정보가 없습니다.
참고문헌 (54)
참고문헌 신청
Musallam KM / 2011 / Preoperative anaemia and postoperative outcomes in non-cardiac surgery : a retrospective cohort study / Lancet 378:1396~1407
Ferraris VA / 2012 / Surgical outcomes and transfusion of minimal amounts of blood in the operating room / Arch Surg 147:49~55
Hofmann A / 2011 / Five drivers shifting the paradigm from product-focused transfusion practice to patient blood management / Oncologist 16(Suppl 3):3~11
Spahn DR / 2012 / Patient blood management is a win-win : a wake-up call / Br J Anaesth 108:889~892
Goodnough LT / 2011 / Detection, evaluation, and management of preoperative anaemia in the elective orthopaedic surgical patient : NATA guidelines / Br J Anaesth 106:13~22
Ferraris VA / 2012 / Surgical outcomes and transfusion of minimal amounts of blood in the operating room / Arch Surg 147:49~55
Hofmann A / 2011 / Five drivers shifting the paradigm from product-focused transfusion practice to patient blood management / Oncologist 16(Suppl 3):3~11
Spahn DR / 2012 / Patient blood management is a win-win : a wake-up call / Br J Anaesth 108:889~892
Goodnough LT / 2011 / Detection, evaluation, and management of preoperative anaemia in the elective orthopaedic surgical patient : NATA guidelines / Br J Anaesth 106:13~22
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