Why the study?
Preoperative anemia is common and linked to adverse outcomes, but blood transfusion carries risks, prompting the need to describe patient blood management and its integration into ERAS protocols.
This narrative review describes Patient Blood Management (PBM) and its integration into Enhanced Recovery After Surgery (ERAS) protocols to address perioperative anemia.
May inform anemia strategies within ERAS; leaves open prospective trials to confirm benefit.
Preoperative anemia is very common and is related to adverse clinical outcomes, including mortality. The immediate and most widely used treatment for postoperative anemia is blood transfusion. However, also blood transfusion carries some risks. Patient blood management (PBM) is defined as the timely application of evidence-based medical and surgical concepts designed to maintain a patient’s hemoglobin concentration, optimize hemostasis, and minimize blood loss in an effort to improve the outcome. The aim of this narrative review is to describe in detail what is PBM and how it should be part of the Enhanced Recovery After Surgery (ERAS) protocols.
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Catarci et al. (2022) conducted a review in Perioperative anemia. Patient blood management (PBM) was evaluated.
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