Traditional transfusion practice evolved from historical beliefs and was not evidence-based. Patient Blood Management (PBM) challenges these ideas and has become the new standard in blood transfusion practice. PBM aims to improve clinical outcomes by avoiding unnecessary exposure to blood components. It includes the three pillars of:
These principles apply in the management of any haematological disorder. The decision on whether to transfuse should be carefully considered, taking into account the full range of available therapies, and balancing the evidence for efficacy and improved clinical outcome against the potential risks.
Since October 2012 Sir Charles Gairdner Hospital has had a multidiscplinary team identifying and treating anaemic patients and promoting PBM principles. In the first year over 700 patients were evaluated for anaemia or iron deficiency prior to elective surgery with 252 (36%) requiring treatment. Overall, the numbers of transfusions at the hospital reduced by 21% (1044 red cell units), with a 43% reduction in red cell transfusions on the haematology and oncology ward.
This talk will give an overview of PBM and the SCGH program.