Patient blood management: recommendations rrom the 2018 Frankfurt consensus conference
JAMA
; 321(10)Mar. 2019.
Article
in English
| BIGG - GRADE guidelines
| ID: biblio-1026217
Responsible library:
BR1.1
ABSTRACT
What is the current evidence base for patient blood management (PBM) in adults, and what international clinical recommendations can be derived for preoperative anemia, red blood cell transfusion thresholds, and PBM implementation strategies? Diagnosis and management of preoperative anemia is crucial, and iron-deficient anemia should be treated with iron supplementation. Red blood cell transfusion thresholds for critically ill, clinically stable patients (hemoglobin concentration <7 g/dL), patients undergoing cardiac surgery (hemoglobin concentration <7.5 g/dL), patients with hip fractures and cardiovascular disease or risk factors (hemoglobin concentration <8 g/dL), and hemodynamically stable patients with acute gastrointestinal bleeding (hemoglobin concentration 7-8 g/dL) are relatively well defined, although the quality of evidence is moderate to low. Further high-quality research to support PBM is required for a range of clinical scenarios and implementation of PBM programs.
Full text:
Available
Collection:
Tematic databases
Database:
BIGG - GRADE guidelines
Main subject:
Blood Loss, Surgical
/
Erythrocyte Transfusion
/
Anemia, Iron-Deficiency
/
Anemia
Type of study:
Practice guideline
/
Risk factors
Language:
English
Journal:
JAMA
Year:
2019
Document type:
Article
Institution/Affiliation country:
4European Blood Alliance (EBA)/NL
/
Canadian Blood Services/CA
/
Centre for Evidence-Based Practice (CEBaP)/BE
/
Duke University Medical Centre/US
/
Etablissement Français du Sang (EFS)/FR
/
Fairview Health Services/US
/
Intensive Care/AU
/
International Society of Blood Transfusion (ISBT)/NL
/
KU Leuven/BE
/
OneBlood/US