The first pillar of patient blood management. Types of anemia and diagnostic parameters

Revista española de anestesiología y reanimación
M Basora Macaya, E Bisbe Vives

Abstract

Patient Blood Management (PBM) is the design of a personalized, multimodal multidisciplinary plan for minimizing transfusion and simultaneously achieving a positive impact on patient outcomes. The first pillar of PBM consists of optimizing the erythrocyte mass. The best chance for this step is offered by preoperative preparation. In most cases, a detailed medical history, physical examination and laboratory tests will identify the cause of anemia. A correct evaluation of parameters that assess the state and function of iron, such as ferritin levels, and the parameters that measure functional iron, such as transferrin saturation and soluble transferrin receptor levels, provide us with essential information for guiding the treatment with iron. The new blood count analyzers that measure hypochromia (% of hypochromic red blood cells and reticulocyte hemoglobin concentrations) provide us useful information for the diagnosis and follow-up of the response to iron treatment. Measuring serum folic acid and vitamin B12 levels is essential for treating deficiencies and thereby achieving better hemoglobin optimization.

References

Feb 9, 2002·American Journal of Hematology·Etienne JoostenWalter Pelemans
Oct 22, 2002·JAMA : the Journal of the American Medical Association·Gro Harlem Brundtland
Mar 11, 2005·The New England Journal of Medicine·Guenter Weiss, Lawrence T Goodnough
Oct 20, 2005·Clinical Chemistry and Laboratory Medicine : CCLM·Lothar ThomasChristian Thomas
Nov 6, 2008·Clinics in Geriatric Medicine·Ajay Kumar, Jeffrey L Carson
Nov 28, 2009·Anesthesiology Clinics·Manish S Patel, Jeffrey L Carson
Feb 14, 2013·British Journal of Anaesthesia·M BasoraE Ciercoles
Mar 29, 2013·BMJ Case Reports·John Ross Crawford, Daphne Say
Apr 12, 2013·British Journal of Haematology·D Wayne ThomasUNKNOWN British Committee for Standards in Haematology
Apr 18, 2013·Best Practice & Research. Clinical Anaesthesiology·Aryeh ShanderHugo Van Aken

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