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[Patient blood mana...
[Patient blood management - to transfuse blood on appropriate indications]. : Transfusionsstrategi – att ge blod på rätt indikation - I Sverige ges fler blodtransfusioner än i jämförbara länder – restriktiv policy ger inte sämre vårdresultat.
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- Wikman, Agneta (author)
- Karolinska University Hospital
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- Egenvall, Monika (author)
- Karolinska University Hospital
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- Jansson, Karl-Åke (author)
- Karolinska University Hospital
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- Jeppsson, Anders, 1960 (author)
- University of Gothenburg,Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Sahlgrenska University Hospital
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- Lindgren, Stefan (author)
- Lund University,Lunds universitet,Gastroenterologi,Forskargrupper vid Lunds universitet,Gastroenterology,Lund University Research Groups,Skåne University Hospital
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- Nilsson, Maria (author)
- Karolinska University Hospital
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- Van der Linden, Jan (author)
- Karolinska University Hospital
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- Aspevall Diedrich, Beatrice (author)
- Karolinska University Hospital
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(creator_code:org_t)
- 2020
- 2020
- Swedish.
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In: Läkartidningen. - 1652-7518 .- 0023-7205. ; 117
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Abstract
Subject headings
Close
- During the last decade, the varying use and the lack of consistent indications for blood transfusions have been questioned. Comparisons of liberal and restrictive transfusion policies, most often support a restrictive policy. This has led to an evidence-based approach to optimizing the care of patients who might need transfusion, Patient Blood Management (PBM). There is evidence that both anemia and allogeneic blood transfusions are independently associated with increased morbidity and mortality. In elective surgery it is possible to adapt the three pillars of PBM in a structured way; i.e. optimization of red blood cell mass, reduction of blood loss and bleeding, and optimization of the patient's physiological tolerance towards anemia. These activities should be included in the pre-peri- and postoperative routines, in all surgical units.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Hematologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Hematology (hsv//eng)
Keyword
- Anemia
- therapy
- Blood Transfusion
- Hemorrhage
- therapy
- Humans
Publication and Content Type
- ref (subject category)
- art (subject category)
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