Perioperative Anemia Management as Part of PBM in Cardiac Surgery - A Narrative Updated Review.
Study Goal
The researchers aimed to evaluate the role of iron in managing anemia in cardiac surgery patients as part of Patient Blood Management (PBM).
Results Summary
The study highlights that iron deficiency is a major cause of anemia in cardiac surgery patients and emphasizes the importance of PBM strategies, including iron treatment, to reduce transfusion risks and improve outcomes.
Population
Patients with cardiac disease undergoing cardiac surgery.
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
Iron deficiency | neutral | anemia | patients with cardiac disease | about 80% of all cases | is the cause of | #1 |
Preoperative anemia | increase | morbidity and mortality | patients undergoing cardiac surgery | - | is associated with an increased | #2 |
Patient Blood Management (PBM) | neutral | anemia | patients | - | is a multidisciplinary approach to manage | #3 |
Patient Blood Management (PBM) | decrease | unnecessary blood loss | patients | - | minimize | #4 |
Patient Blood Management (PBM) | neutral | transfusion therapy | patients | - | optimize | #5 |
Anemia is common in patients with cardiac disease. Iron deficiency is the cause of anemia in about 80% of all cases. Preoperative anemia is associated with an increased morbidity and mortality in patients undergoing cardiac surgery. The risk of receiving red blood cell transfusions, which are potentially associated with severe side effects, is very high in these patients. Patient Blood Management (PBM) is a multidisciplinary approach to manage anemia, minimize unnecessary blood loss, and optimize transfusion therapy. PBM comprises 3 pillars: (1) detection and treatment of preoperative anemia, (2) reduction of perioperative blood loss, and (3) optimization of allogeneic blood therapy. The World Health Organization has urged all Member States to implement PBM. This narrative review focuses on pre-, intra-, and postoperative strategies to detect, prevent, and treat anemia as part of PBM in cardiac surgery.