Patient Blood Management

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Patient Blood Management - the example University Hospital Frankfurt

In July 2013, the Patient Blood Management (PBM) was introduced at the University Hospital Frankfurt. The aim of the project is to build up, conserve and exploit patient's own blood resources using the latest methods. The project was initiated under the direction of Professor Dr. Dr. Kai Zacharowski, FRCA, Professor Dr. Patrick Meybohm and Dr. Dania Fischer of the Department of Anesthesiology, Intensive Care and Pain Therapy and the Institute for Transfusion Medicine and Immunohematology, Red Cross Blood Donor Service Baden-Württemberg-Hessen gGmbH under the direction of Professor Dr. Dr. Erhard Seifried and staff Dr. Christof Geisenand Dr. Markus Müller. Background of the PBM project is that anaemia is a strong risk factor for increased hospital mortality and accounts for numerous health complications. Through detailed preparation of the patient for surgery anaemia can be treated in many cases, so that the patient's own blood resources are strengthened. In addition, more attention will be given to patient's own blood resources before, during and after surgery. The overall goal is to establish optimal conditions allowing the patient to recover on its own. However, it must be noted in this context that allogenic blood is often lifesaving and therefore it is not possible to completely dispense the use of blood transfusions. Specifically, the University Hospital Frankfurt investigates before each major elective surgery whether the patient is anaemic and treatable. A special PBM walk-in clinic was founded for the preoperative diagnosis and treatment of anaemia. A common form of anaemia is based e.g. to iron deficiency. In this case, it is possible through administration of iron to boost body's own blood production. Thus the patient is strengthened for surgery. In addition, surgery techniques improved in that less blood loss is observed compared to earlier methods, e.g. optimization of coagulopathy, re-transfusion of treated shed blood.

Likewise, the volume of blood collection tubes hospital was far greatly reduced. With the same diagnostic quality approximately 1,000-2,000 L less blood are taken for laboratory use each year. Thus, the blood stays where it belongs: in the body of the patient which allow better recovery!