Anest. intenziv. Med. 2024;35(1):19-30 | DOI: 10.36290/aim.2023.079

Advanced bloodless clinical procedures proven in practiceReview Article

Slipac J.

Canadian Medical, s. r. o., Brno

A better understanding of risks associated with allogeneic blood transfusions along with a growing population of patients seeking surgical care without the use of blood transfusion has led to the development of complex clinical strategies, intending to minimize blood loss, conserve autologous blood, enhance hematopoiesis, and augment tolerance of anemia. Advances in surgical technique, current technology, knowledge, and perioperative management significantly contributed to the fact that successful treatment without transfusion is a realistic option but it does require a concerted patient-centered effort from the multidisciplinary team. In this review, we discuss effective bloodless strategies in the setting of perioperative management, acute blood loss, trauma, and postpartum hemorrhage. Additionally, the valuable experience gained from bloodless care has paved the way to develop the concept of Patient Blood Management as a standard care to benefit all patients, and not only those for whom blood is not an option.

Keywords: bloodless clinical strategies, anemia, hemorrhage, Patient Blood Management.

Received: July 25, 2023; Revised: November 28, 2023; Accepted: December 14, 2023; Prepublished online: January 29, 2024; Published: March 28, 2024  Show citation