tetano
Editor, Senior Moderator
Anaesthesia. 2020 Apr 27. doi: 10.1111/anae.15095. [Epub ahead of print]
Patient blood management during the COVID-19 pandemic - a narrative review.
Baron DM[SUP]1[/SUP], Franchini M[SUP]2[/SUP], Goobie SM[SUP]3[/SUP], Javidroozi M[SUP]4[/SUP], Klein AA[SUP]5[/SUP], Lasocki S[SUP]6[/SUP], Liumbruno GM[SUP]7[/SUP], Mu?oz M[SUP]8[/SUP], Shander A[SUP]9[/SUP], Spahn DR[SUP]10[/SUP], Zacharowski K[SUP]11[/SUP], Meybohm P[SUP]12[/SUP].
Author information
Abstract
As COVID-19 disease escalates globally, optimising patient outcome during this catastrophic health care crisis is the number one priority. The principles of patient blood management are fundamental strategies to improve patient outcomes and should be given high priority in this crisis situation. The aim of this expert review is to provide clinicians and health care authorities with information regarding how to apply established principles of patient blood management during the COVID-19 pandemic. In particular, this review considers the impact of the COVID-19 pandemic on the blood supply and specifies important aspects of donor management. We further discuss how preventative and control measures implemented during the COVID-19 crisis could affect the prevalence of anaemia, and highlight issues regarding the diagnosis and treatment of anaemia in patients requiring elective or emergency surgery. In addition, we review aspects related to patient blood management of critically ill patients with known or suspected COVID-19, and discuss important alterations of the coagulation system in patients hospitalised due to COVID-19. Finally, we address special considerations pertaining to supply-demand and cost-benefit issues of patient blood management during the COVID-19 pandemic.
This article is protected by copyright. All rights reserved.
KEYWORDS:
COVID-19; anaemia; coagulation; coronavirus; patient blood management
PMID:32339260DOI:10.1111/anae.15095
Patient blood management during the COVID-19 pandemic - a narrative review.
Baron DM[SUP]1[/SUP], Franchini M[SUP]2[/SUP], Goobie SM[SUP]3[/SUP], Javidroozi M[SUP]4[/SUP], Klein AA[SUP]5[/SUP], Lasocki S[SUP]6[/SUP], Liumbruno GM[SUP]7[/SUP], Mu?oz M[SUP]8[/SUP], Shander A[SUP]9[/SUP], Spahn DR[SUP]10[/SUP], Zacharowski K[SUP]11[/SUP], Meybohm P[SUP]12[/SUP].
Author information
Abstract
As COVID-19 disease escalates globally, optimising patient outcome during this catastrophic health care crisis is the number one priority. The principles of patient blood management are fundamental strategies to improve patient outcomes and should be given high priority in this crisis situation. The aim of this expert review is to provide clinicians and health care authorities with information regarding how to apply established principles of patient blood management during the COVID-19 pandemic. In particular, this review considers the impact of the COVID-19 pandemic on the blood supply and specifies important aspects of donor management. We further discuss how preventative and control measures implemented during the COVID-19 crisis could affect the prevalence of anaemia, and highlight issues regarding the diagnosis and treatment of anaemia in patients requiring elective or emergency surgery. In addition, we review aspects related to patient blood management of critically ill patients with known or suspected COVID-19, and discuss important alterations of the coagulation system in patients hospitalised due to COVID-19. Finally, we address special considerations pertaining to supply-demand and cost-benefit issues of patient blood management during the COVID-19 pandemic.
This article is protected by copyright. All rights reserved.
KEYWORDS:
COVID-19; anaemia; coagulation; coronavirus; patient blood management
PMID:32339260DOI:10.1111/anae.15095