Chinese Medical Sciences Journal ›› 2022, Vol. 37 ›› Issue (3): 246-260.doi: 10.24920/004035

• All for People’s Health——Our Decade:Special Reports • Previous Articles     Next Articles

Patient Blood Management: Single Center Evidence and Practice at Fuwai Hospital

Yuntai Yao1, *(), Xin Yuan2, Lixian He1, Yiping Yu1, Yu Du3, Gang Liu4, Lijuan Tian1, Zuxuan Ma5, Yongbao Zhang6, Jie Ma7   

  1. 1Department of Anesthesiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China
    2Department of Adult Cardiac Surgery, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China
    3Department of Surgical Intensive Care Unit, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China
    4Department of Cardiopulmonary Bypass, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China
    5Department of Transfusion, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China
    6Department of Vascular Surgery, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China
    7Department of Pharmacy Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China
  • Received:2021-11-01 Accepted:2022-01-06 Published:2022-09-30 Online:2022-01-26
  • Contact: Yuntai Yao E-mail:yuntaiyao@126.com
There is a great burden on the blood supply in China. Over the past decade, Fuwai Hospital has established a multidisciplinary strategy in patient blood management (PBM) which has been demonstrated effective in decreasing transfusion rates and blood consumption, and also contributes to shortening the length of in-hospital stay and lowering the in-hospital mortalities. This paper introduces the strategy of PBM, highlights the evidence and practice of patient blood management at Fuwai Hospital.

Blood loss and blood transfusion requirement are important quality control indicators of cardiovascular surgery and cardiovascular anesthesia. Patient blood management (PBM) is an evidence-based, multidisciplinary approach to optimizing the care of patients who may need transfusion, which encompasses anemia management, hemodilution, cell salvage, hemostatic treatment, and other approaches to reducing bleeding and minimizing blood transfusion. PBM in cardiovascular surgery is a “team sport” that involves cardiac and vascular surgeons, anesthesiologists, perfusionist, intensivists, and other health care providers. The current work provides an overview of evidence and practice of PBM at Fuwai Hospital. Implementation of PBM should also take local resource availability and cost-effectiveness of different devices, drugs, technologies, and techniques into consideration.

Key words: bleeding, blood transfusion, blood management, cardiovascular surgery, anesthesia

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