DOI: https://doi.org/10.25284/2519-2078.1(90).2020.193725

КРОВОЗБЕРЕЖЕННЯ У ПАЦІЄНТІВ ХІРУРГІЧНОГО ПРОФІЛЮ. PATIENT BLOOD MANAGEMENT. ОГЛЯД СУЧАСНИХ РЕКОМЕНДАЦІЙ

С. О. Дубров, В. Р. Баляк

Анотація


Зменшення використання препаратів крові є актуальним напрямком в світовій медичній науці та практиці, оскільки все більше даних свідчать про погіршення результатів лікування у пацієнтів, яким було проведено гемотрансфузію. В даній статті представлено короткий огляд та аналіз літератури щодо стратегій кровозбереження у хворих, які підлягають хірургічному лікуванню. Висвітлено концепцію, завдання та структуру поняття Patient Blood Management, яка набуває все більшої актуальності в розвинених країнах світу.

В публікації наводиться доказова база та клінічні рекомендації провідних світових фахових організацій з питань PBM щодо алгоритмів визначення анемії, методів лабораторних досліджень, стратегій гемотрансфузії, заходів спрямованих на зниження крововтрати та використання препаратів крові на всіх етапах терапії.


Ключові слова


кровозбереження; Patient Blood Management; передопераційна анемія; стратегії гемотрансфузії

Повний текст:

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Посилання


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