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Patient blood management (PBM) refers to an evidence-based package of care that aims to improve patient outcomes by optimal use of transfusion therapy, including managing anaemia, preventing blood loss and improving anaemia tolerance in surgical and other patients who may need transfusion. In adults, PBM programmes are well established, yet the definition and implementation of PBM in neonates and children lags behind. Neonates and infants are frequently transfused, yet they are often under-represented in transfusion trials. Adult PBM programmes may not be directly applicable to these populations. We review the literature in neonatal (and applicable paediatric) transfusion medicine and propose specific neonatal PBM definitions and elements.

Original publication

DOI

10.1111/tme.12525

Type

Journal article

Journal

Transfus Med

Publication Date

04/2018

Volume

28

Pages

117 - 131

Keywords

neonate, paediatric, patient blood management, transfusion, Anemia, Blood Loss, Surgical, Blood Transfusion, Delivery of Health Care, Female, Humans, Infant, Infant, Newborn, Male