April 19, 2017
The European Commission has published two guides on Patient Blood Management (PBM), one addressed to authorities and the other is a practical implementation guide for hospitals.
Patient blood management (PBM) is a patient-focused, evidence-based and systematic approach to improve patient outcomes through the safe and rational use of blood and blood products and avoiding unnecessary transfusions. Essential elements of PBM include: the prevention of conditions that might otherwise result in the need for transfusion (through health promotion and screening for early detection of anemia), appropriate diagnosis and optimal treatment, including the use of alternatives to transfusion, good surgical and anaesthetic techniques, the use of alternatives to blood transfusion and blood conservation.
The high prevalence of untreated pre-operative anaemia, the unmet need for improved bleeding management and a liberal transfusion practice, point towards huge potential to improve outcome through rationalisation of transfusion. The PBM approach has been endorsed and promoted by the World Health Organization and is widely accepted as current best practice.
The guides are available in the EC website