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POSITION ARTICLE

Perioperative Patient Blood Management Programme. Multidisciplinary recommendations from the Patient Blood Management Initiative Group

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DOI: http://dx.doi.org/10.21454/rjaic.7518.242.fil

Daniela Filipescu, Răzvan Bănăţeanu, Mircea Beuran, Traean Burcoş, Dan Corneci, Dan Cristian, Mircea Diculescu, Alina Dobrotă, Gabriela Droc, Dănuţ Isacoff, Doina Goşa, Ioana Grinţescu, Anca Lupu, Liliana Mirea, Corina Posea, Oana Stanca, Mihai Ştefan, Dana Tomescu, Cristina Tudor, Daniela Ungureanu, Gabriel Mircescu

Patient Blood Management Initiative Group

Chairs: Professor Daniela Filipescu, MD, PhD, ‘Prof. Dr. C.C. Iliescu’ Emergency Institute for Cardiovascular Diseases, Bucharest; Professor Gabriel Mircescu, MD, PhD, ‘Dr. Carol Davila’ Clinical Nephrology Hospital, Bucharest
Secretary: Mihai Ştefan, MD, ‘Prof. Dr. C.C. Iliescu’ Emergency Institute for Cardiovascular Diseases, Bucharest
Members: Professor Traean Burcoş, MD, PhD, ‘Colţea’ Clinical Hospital, Bucharest; Associate Professor Dan Cristian, MD, PhD, ‘Colţea’ Clinical Hospital, Bucharest; Associate Professor Dănuţ Isacoff, MD, PhD, ‘Colţea’ Clinical Hospital, Bucharest; Professor Anca Lupu, MD, PhD, ‘Colţea’ Clinical Hospital, Bucharest; Oana Stanca, MD, ‘Colţea’ Clinical Hospital, Bucharest; Răzvan Bănăţeanu, MD, ‘Floreasca’ Clinical Emergency Hospital, Bucharest; Professor Mircea Beuran, MD, PhD, ‘Floreasca’ Clinical Emergency Hospital, Bucharest; Professor Ioana Grinţescu, MD, PhD, ‘Floreasca’ Clinical Emergency Hospital, Bucharest; Associate Professor Liliana Mirea, MD, PhD, ‘Floreasca’ Clinical Emergency Hospital, Bucharest; Cristina Tudor, MD, ‘Floreasca’ Clinical Emergency Hospital, Bucharest; Professor Mircea Diculescu, MD, PhD, ‘Fundeni’ Clinical Institute, Bucharest; Associate Professor Gabriela Droc,MD, PhD,‘Fundeni’ Clinical Institute, Bucharest; Associate Professor Dana Tomescu, MD, PhD, ‘Fundeni’ Clinical Institute, Bucharest; Daniela Ungureanu, MD, ‘Fundeni’ Clinical Institute, Bucharest; Associate Professor Dan Corneci, MD, PhD, ‘Elias’ Emergency University Hospital, Bucharest; Doina Goşa, MD, Blood Transfusion Centre, Bucharest; Alina Dobrotă, MD, ‘Prof. Dr. C. T. Nicolau’ National Institute of Transfusion Haematology; Corina Posea, MD, ‘Prof. Dr. C. T. Nicolau’ National Institute of Transfusion Haematology

Abstract
Patients with untreated anaemia or iron deficiency who undergo surgical procedures have an increased risk for mortality and morbidity. Patient Blood Management programmes address this issue worldwide and try to improve patient outcomes through a complex set of measures targeting anaemia correction, minimisation of bleeding and improvement of anaemia tolerance, in all phases of perioperative care.
The Patient Blood Management Initiative Group is a multidisciplinary team of physicians from specialties including anaesthesiology, nephrology, surgery, orthopaedics, haematology, gastroenterology and transfusion medicine. The team has elaborated ten recommendations, divided into five categories, in order to implement a Patient Blood Management programme in Romania, using the most recent and relevant evidence. The document was discussed during three meetings which took place during October 2016 and May 2017 and the result was modified and updated via e-mail.
Keywords: anaemia, iron, transfusion