STS/SCA/AmSECT/SABM Update to the Clinical Practice Guidelines on Patient Blood Management.
URL: https://www.jcvaonline.com/action/showPdf?pii=S1053-0770%2821%2900253-6
DOI: https://doi.org/10.1053/j.jvca.2021.03.011
Published: Journal of Cardiothoracic and Vascular Anesthesia 35 (2021) 2569?2591
Authors: Pierre Tibi, R. Scott McClure, Jiapeng Huang, Robert A. Baker, David Fitzgerald, C. David Mazer, Marc Stone, Danny Chu, Alfred H. Stammers, Tim Dickinson, Linda Shore-Lesserson, Victor Ferraris, Scott Firestone, Kalie Kissoon, Susan Moffatt-Bruce.
Article description
- PBM is the broad implementation of many factors in a multidisciplinary fashion with considering the four central tenets of PBM, including (1) correcting anaemia, (2) optimizing coagulation, (3) blood conservation modalities, and (4) patient-centred decision making to achieve improved patient outcomes.
- A collaborative project of STS, SCA, AmSECT, and SABM included reviewing the current literature, revising previous 2011 guidelines, and developing a series of practice guidelines that reflect the existing evidence and practice portfolios used in cardiothoracic surgery North America.
- They aimed to present the most comprehensive set of guidelines possible.
- The participating societies developed these guidelines without commercial support and will be reviewed for a potential update within five years of publication.
Summary:
- All current recommendations for patient blood management, classified by intervention type and in descending order of class of recommendation and level of evidence, are presented in the table below.