Patient blood management – past, present and future
Authors:
Josip Slipac
Authors‘ workplace:
Canadian Medical, s. r. o., Brno
Published in:
Čas. Lék. čes. 2025; 164: 32-34
Category:
Review Articles
Overview
Patient blood management (PBM) is a patient-centered, systematic, evidence-based, multidisciplinary, and multimodal approach to improve patient outcomes by managing and preserving the patient’s own blood. The history of PBM dates back to the 19th century, while modern practice has been shaped by programs such as Dr. Denton Cooley’s "bloodless surgery". Despite advances in transfusion medicine, the safety risks and side effects of transfusion have driven the development of PBM. Today, this program includes optimizing hematopoiesis, reducing blood loss, and improving the tolerance of anemia. PBM improves clinical outcomes and patient safety, and the World Health Organization recommends implementing this program in all countries of the world as a standard of care.
Keywords:
patient blood management, blood transfusion, blood health
Sources
- Hamberger B. Emil Theodor Kocher. Dostupné na: www.nobelprize.org/prizes/medicine/1909/kocher/article/
- Adams R, Lundy JS. Anesthesia in cases of poor surgical risk. Some suggestions for decreasing the risk. Surg Gynecol Obstet 1942; 74: 1011–1019.
- Shander A, Hardy JF, Ozawa S et al. A global definition of patient blood management. Anesth Analg 2022; 135: 476–488.
- Slipac J. Beskrvna medicina. Medix Zagreb 2003; 9: 84–88.
- Ott DA, Cooley DA. Cardiovascular surgery in Jehovah’s Witnesses. Report of 542 operations without blood transfusion. JAMA 1977; 238: 1256–1258.
- Thornton J. Infected blood report release marks a day of shame for the UK. Lancet 2024;403: 2276–2277.
- Ad N, Massimiano PS, Rongione AJ et al. Number and type of blood products are negatively associated with outcomes after cardiac surgery. Ann Thorac Surg 2022; 113: 748–756.
- Isbister JP. Roads travelled: the journey to patient blood management at 35 years. Best Pract Res Clin Anaesthesiol 2023; 37: 439–450.
- Gombotz H, Rehak PH, Shander A, Hofmann A. Blood use in elective surgery: the Austrian benchmark study. Transfusion 2007; 47: 1468–1480.
- Althoff FC, Neb H, Herrmann E et al. Multimodal patient blood management program based on a three-pillar strategy: a systematic review and meta-analysis. Ann Surg 2019; 269: 794–804.
- Slipac J. Evropská příručka osvědčených postupů patient blood management. Prakt Lék 2017; 97: 206–213.
- Slipac J. WHO vyzýva k urýchlenej implementácii programu patient blood management. Anestéziol Intenz Med 2022; 11: 73–74.
- Čundrle I. Dvacáté první století – století bezkrevní medicíny? Anest Intenziv Med 2009; 20: 71–72
- Slipac J. Bezkrevní medicína. 2., aktualizované vydání. Triton, Praha, 2011.
- Slipac J. Patient Blood Managment – Proč? Triton, Praha, 2020.
- Goobie SM, Faraoni D. Perioperative paediatric patient blood management: a narrative review. Br J Anaesth 2025; 134: 168–179.
- Slipac J. EÚ 2024: Patient blood management (PBM) pre lepšie „zdravie krvi“. Anestéziol Intenz Med 2024; 13: 33.
Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistArticle was published in
Journal of Czech Physicians
- Metamizole vs. Tramadol in Postoperative Analgesia
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- Advances in the Treatment of Myasthenia Gravis on the Horizon
- The Importance of Hydration in Wound Healing
Most read in this issue
- Modern approaches enhancing the efficiency of antibiotic therapy in hospital practice
- Patient blood management – past, present and future
- Preservation of antibiotics in Czech households and attitudes towards self-medication with antibiotics in the Czech population
- Health literacy in international recommendations and studies