Patient Blood Management in Cardiac Surgery
This book provides a multidisciplinary approach to the maintenance of hemostasis and minimisation of blood loss in patients undergoing cardiac surgery. All aspects of patient blood management are covered that may contribute to a reduction in perioperative
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Patient Blood Management in Cardiac Surgery
Christian von Heymann • Christa Boer Editors
Patient Blood Management in Cardiac Surgery
Editors Christian von Heymann Vivantes Klinikum im Friedrichshain Berlin Germany
Christa Boer Amsterdam University Medical Center VU University Amsterdam The Netherlands
ISBN 978-3-030-15341-0 ISBN 978-3-030-15342-7 (eBook) https://doi.org/10.1007/978-3-030-15342-7 © Springer Nature Switzerland AG 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Preface
Patient blood management (PBM) is an evidence-based, multidisciplinary approach that aims for a more conscious practice of hemotherapy, i.e., transfusion of blood products, in clinical medicine. This is, in particular, important for cardiac surgery where a relatively high percentage of blood resources are used. PBM may contribute to a reduction in allogeneic blood transfusion requirements and healthcare costs and furthermore to a reduced number of postoperative complications and improved patient outcome. PBM transcends individual medical disciplines and consists of a chain of care that spans the preoperative, intraoperative, and postoperative period. It, among others, involves the treatment of risk factors for blood transfusions (e.g., preoperative anemia or anticoagulant treatment), maintenance of hemostasis, minimization of blood loss, and conscious reservation of blood transfusions to patients who are at ischemic risk due to acute or chronic anemia. PBM in cardiac surgery requires teamwork and a multidisciplinary approach. Without involvement of all members of the surgical team, including the surgeon, anesthesiologist, clinical perfusionist, nurses and intensive care specialist, the benef
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