Patient Blood Management

Contributing to Patient Blood Management in blood gas testing

BETTER WITH BLOOD

Blood is a vital but limited resource. Conserving blood and optimizing the use of blood products is thus a growing concern among caregivers worldwide.

Patient Blood Management is key. It is an evidence-based approach to optimizing the care of patients’ blood. This includes opportunities to minimize blood loss and avoid the inappropriate use of blood. [1]

Patient Blood Management, worldwide and at Radiometer

Patient Blood Management is a holistic approach to handling blood. It covers patient evaluation and clinical management on transfusion decision-making processes. It addresses the aspects of minimizing blood loss and optimizing patient red cell mass. [1]

The World Health Organization (WHO) identifies practices that compromise patient safety. These include unsafe transfusion procedures and errors at the patient’s bedside. WHO urges member states to implement potential solutions in order to minimize transfusion errors and promote patient safety. [2]

Radiometer is stepping up to the plate with solutions for Patient Blood Management.

Automatic mixing on our ABL analyzers*

With a homogeneous sample, you get hemoglobin results to support evidence-based transfusion decisions.

*Automatic mixing can be found on the following analyzers: ABL90 FLEX, ABL90 FLEX PLUS and ABL800 FLEX with FLEXQ, and stand alone mixer.

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Transcutaneous monitoring

Get the oxygenation and ventilation status of a patient without drawing any blood.

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Capillary Tubes

Get the most critical parameters from a low volume neonatal sample with FLEXMODE on the ABL800 FLEX analyzer.

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The importance of minimizing blood loss

About two thirds of patients admitted to the Intensive Care Unit (ICU) are anemic, and the prevalence reaches up to 95% on their third day at the ICU. The exceptionally high transfusion rates among critically ill patients at the ICU are thus unsurprising. [3]

Red blood cell transfusion (RBCT) is the cornerstone in correcting anemia, but it is an overused procedure with its own risks and costs. A preventive approach is vital—anemia can be prevented by applying simple measures rather than resorting to transfusion. [3, 4]

A solution to this problem is to draw only the necessary amount of blood for the test. You can achieve reduced blood draws for lab analysis by lowering the frequency of sampling and by using the smallest collection tube size required for the analysis. [3, 4]

safePICO aspirator with fill volume of 1.0 mL

The safePICO aspirator with 1.0 mL label and integrated mixing ball clearly shows the amount of blood you need for correct automatic mixing. You only take what is necessary to get a full panel of results including accurate tHB results.

Not available for sale in China.

The importance of reducing blood transfusions

Blood transfusion is one of the most expensive treatments in practice, and it is usually underestimated in cost. [5]

98% of all cases of red blood cell transfusion can be predicted when analyzing preoperative hemoglobin level, blood loss and the transfusion trigger. Hence, these parameters are crucial. Getting accurate hemoglobin results is vital in making clinical decisions about RBCT. [6]

Through Radiometer’s Patient Blood Management solution, you get accurate hemoglobin results in order to support your clinical decisions on blood transfusions.

Let us help guide you in Patient Blood Management.

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References

1. The Joint Commission. About Patient Blood Management certification. https://www.jointcommission.org/certification/patient_blood_management_certification.aspx. Accessed January 2018.

2. World Health Organization. Availability, safety and quality of blood products. http://apps.who.int/gb/ebwha/pdf_files/WHA63/A63_R12-en.pdf. Accessed January 2018

3. Shander A, Javidroozi M, Lobel G. Patient Blood Management in the Intensive Care Unit. Transfusion Medicine Reviews; 2017: 31. 264–271

4. Meybohm P, Froessler B, Goodnough LT et al. Simplified International Recommendations for the Implementation of Patient Blood Management (SIR4PBM). Perioper Med (Lond) 2017; 6: 5.

5. Hofmann A, Ozawa S, Farrugia A, Farmer SL, Shander A. Economic considerations on transfusion medicine and patient blood management. Best Pract Res Clin Anaesthesiol 2013; 27, 1: 59–68.

6. Gombotz H. Patient Blood Management: A Patient-Orientated Approach to Blood Replacement with the Goal of Reducing Anemia, Blood Loss and the Need for Blood Transfusion in Elective Surgery. Transfus Med Hemother 2012; 39, 2: 67–72.