Key result
The 2022 ESC Guidelines highlight a Patient Blood Management programme based on preoperative hemoglobin optimization, minimizing blood loss, and harnessing tolerance to anemia for non-cardiac surgery.
Why the study?
To highlight the three pillars of the Patient Blood Management programme and recommendations introduced in the updated 2022 ESC Guidelines for patients undergoing non-cardiac surgery.
The 2022 ESC Guidelines emphasize a three-pillar Patient Blood Management programme to improve outcomes in patients undergoing non-cardiac surgery.
Supports PBM consideration in non-cardiac surgery; leaves open need for RCTs to confirm outcomes.
The 2022 Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery of the European Society of Cardiology are an update on the previous guidelines reported in 2014. The revised guidelines provide standardized perioperative cardiovascular management of surgical patients and emphasis on risk assessment of the patient combined with the inherent risk of the surgical procedure. One of the novelties in these guidelines is the Patient Blood Management programme, which is based on a three pillar concept: preoperative hemoglobin optimization, minimize iatrogenic blood loss and bleeding, and harness tolerance to anemia in an effort to improve patient outcome. In this review, we highlight the three pillars of Patient Blood Management and recommendations made by the 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery.
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Halvorsen et al. (2024) conducted a review in patients undergoing non-cardiac surgery. Patient Blood Management programme was evaluated. The 2022 ESC Guidelines highlight a Patient Blood Management programme based on preoperative hemoglobin optimization, minimizing blood loss, and harnessing tolerance to anemia for non-cardiac surgery.
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