MARCH 2018
ISSUE
Save the Dates
New York Marriott at the
Brooklyn Bridge
Brooklyn, New York
PBM Certificate Course
September 12, 2018
SABM Annual Meeting
September 13 - 15, 2018
The Society for the Advancement of Blood Management (SABM)
invites healthcare organizations worldwide to participate in this week dedicated to educating patients and healthcare professionals about patient blood management.
Please consider making a donation to your Society. Your donations will help us to improve the lives of people throughout the world through Patient Blood Management.
SABM 2018 Newsletter Publication Schedule
March | July | November
Carolyn Burns, MD
Editor
Tiffany Hall, RN
Associate Editor
Sherri Ozawa, RN
Kevin Wright
Contributors for This Issue
Dale Black
Deborah Didesch, CRNFA, BSN, BHA
Becky Rock, RN
Keith Samolyk, CCP
Aryeh Shander, MD
Stacie Smith, CLS
Pierre R. Tibi, MD
Jessica Varisco, RN
Marketing Director
Dale Black
Membership Services
Carmen Melseth
SABM Officers and
Directors
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Standards Showcase
SABM Standard #7: Perioperative Autologous Blood Collection For Administration
The hospital has the ability to collect, process, and reinfuse shed autologous blood. The hospital may also choose to collect blood from patients in the immediate preoperative period (Acute Normovolemic Hemodilution) for reinfusion in the perioperative period.
Perioperative blood collection may be performed before surgery, during surgery, and may extend into the postoperative period. The goal of perioperative blood collection and reinfusion is to decrease blood loss, preserve autologous blood cells, and minimize or avoid allogeneic blood transfusion.
Regarding the recent NEJM November article by SABM member C.D. Mazer entitled “Restrictive or Liberal Red-Cell Transfusion for Cardiac Surgery” we know that cardiovascular surgery is changing yet again. The focus is on limiting allogeneic blood component exposure with restrictive, evidence-based, and safe, transfusion practice.
Standard #7 reminds us that as part of a robust multimodal, multidisciplinary PBM program, we can incorporate multiple methods of salvaging the patient’s own blood in cardiovascular surgery which can also serve to limit transfusion exposure.
Autotransfusion techniques in cardiovascular surgery allow for the salvage, concentration and re-infusion of the patient’s own whole blood containing platelets, clotting factors, important plasma proteins, as well as the RBC’s. Hemofiltration of both “on” and “off-line” modified ultrafiltration help to stabilize fluid shifts at the microcirculatory level in patients and reduce dilutional bleeding/coagulopathy by concentrating the patient’s own whole blood.
Acute normovolemic hemodilution may also be considered in a subset of cardiovascular patients as a way to deliver fresh autologous whole blood. Some patients may not be candidates, particularly those with significant uncorrected preoperative anemia, aortic stenosis, or hypertrophic cardiomyopathy.
With regards to the SABM Standard #7, Perioperative autologous cell recovery for reinfusion of all available methods result in the production of a blood product for direct reinfusion that is subject to strict process control. The perioperative program must have policies, processes, training, and procedures identified, reviewed, and approved per hospital policy and consistent with the requirements of all regulatory agencies.
Contributor: Keith A. Samolyk Pres & CEO, PBMS, CCP Emeritus
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View the NEW Fourth Edition Clinical Standards for PBM
Check out the NEW Second Edition Quality Guide to Administrative and Clinical Standards
Check out the SABM Executive Guide for Patient Blood Management Programs
Consider submitting your future manuscripts in PBM for peer review and publication in this new section. The success of this endeavor will depend on the provision of material to make it lively and attractive to our colleagues and other professionals in the field.
Members Invited to Submit Papers CLICK HERE
Join SABM's Call to Action for Medicare to Expand Coverage for Treatment of Anemia!
Click HERE for detailed information about what you can do to get involved.
© 2018 Society for the Advancement of Blood Management
350 Engle Street Englewood, NJ 07631 USA Phone: (928) 551-6400 Fax: (877) 944-2272 EMAIL: [email protected] |
