Implementation of blood sparing programs in Spain: results of a survey of departments of anesthesiology and resuscitation

Revista española de anestesiología y reanimación
Maria J ColominaE Bisbe Vives

Abstract

The objective of this article is to determine the availability of a perioperative transfusion management program (Patient Blood Management [PBM]) in various hospitals through a survey that included a description of the preanesthesia visit, the availability and use of the various blood-sparing techniques and the factors limiting their implementation in elective surgery. The survey included 42 questions, directed at the representative departments of anesthesiology of hospitals in Spain (n=91). The survey was conducted from September to November 2012. We analyzed the 82 surveys in which all the questions were answered (90%). Preoperative consultations are routinely performed (>70%) in 87% of the hospitals. The time from the consultation to surgery varied between 1 week and 2 months for 74% of the patients scheduled for orthopedic or trauma surgery, 78% of those scheduled for oncologic surgery and 77% of those scheduled for cardiac surgery. Almost all hospitals (77, 94%) had a transfusion committee, and 90% of them had an anesthesiologist on the committee. Seventy-nine percent of the hospitals had a blood-sparing program, and the most widely used technique was the use of antifibrinolytic agents (75% of hospitals), followed by intra...Continue Reading

References

Nov 26, 2003·Anesthesiology·Gregory A NuttallUNKNOWN American Society of Anesthesiologists Committee on Transfusion Medicine
Jul 28, 2007·Transfusion·Hans GombotzAxel Hofmann
Dec 22, 2011·British Journal of Anaesthesia·A ShanderG M T Hare
May 26, 2012·British Journal of Anaesthesia·A ShanderD R Spahn
Nov 28, 2012·Revista española de anestesiología y reanimación·M Basora Macaya
Apr 18, 2013·Best Practice & Research. Clinical Anaesthesiology·Aryeh ShanderHugo Van Aken

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Citations

Sep 26, 2020·Journal of Healthcare Quality Research·A Garcia-CasanovasJ Varela

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