๐Ÿฉธ ๐—ง๐—ต๐—ฒ ๐—ฆ๐—ถ๐—น๐—ฒ๐—ป๐˜ ๐—ฅ๐—ฒ๐˜ƒ๐—ผ๐—น๐˜‚๐˜๐—ถ๐—ผ๐—ป: ๐—ฅ๐—ฒ๐—ฑ๐—ฒ๐—ณ๐—ถ๐—ป๐—ถ๐—ป๐—ด ๐—–๐—ฎ๐—ฟ๐—ฒ ๐˜๐—ต๐—ฟ๐—ผ๐˜‚๐—ด๐—ต ๐—ฃ๐—ฎ๐˜๐—ถ๐—ฒ๐—ป๐˜ ๐—•๐—น๐—ผ๐—ผ๐—ฑ ๐— ๐—ฎ๐—ป๐—ฎ๐—ด๐—ฒ๐—บ๐—ฒ๐—ป๐˜ ๐Ÿฉธ
Itโ€™s not just about conserving blood, itโ€™s about conserving lives, improving outcomes, and building resilient health systems.

๐Ÿšจ ๐‘ป๐’‰๐’† ๐‘ฎ๐’๐’๐’ƒ๐’‚๐’ ๐‘ป๐’“๐’‚๐’๐’”๐’‡๐’–๐’”๐’Š๐’๐’ ๐‘ช๐’‰๐’‚๐’๐’๐’†๐’๐’ˆ๐’†
๐‘ฐ๐’๐’†๐’’๐’–๐’Š๐’•๐’š ๐’Š๐’ ๐‘บ๐’‚๐’‡๐’†๐’•๐’š: 40% of blood donations are collected in high income countries, which represent only 16% of the global population, leaving vast shortages in LMICs.
๐‘น๐’Š๐’”๐’Œ๐’” & ๐‘น๐’†๐’”๐’๐’–๐’“๐’„๐’† ๐‘บ๐’•๐’“๐’‚๐’Š๐’: While lifesaving, transfusions carry risks of reactions, infections, and errors. They are also a costly, finite resource that strains health systems.
๐‘ป๐’‰๐’† ๐‘ถ๐’๐’… ๐‘ท๐’‚๐’“๐’‚๐’…๐’Š๐’ˆ๐’Ž: A reactive focus on when to transfuse rather than a proactive plan to optimize the patient and avoid transfusion.

๐Ÿ’ก ๐‘ป๐’‰๐’† ๐‘ต๐’†๐’˜ ๐‘บ๐’•๐’‚๐’๐’…๐’‚๐’“๐’…: ๐‘พ๐’‰๐’‚๐’• ๐’Š๐’” ๐‘ท๐’‚๐’•๐’Š๐’†๐’๐’• ๐‘ฉ๐’๐’๐’๐’… ๐‘ด๐’‚๐’๐’‚๐’ˆ๐’†๐’Ž๐’†๐’๐’• (๐‘ท๐‘ฉ๐‘ด)?
Patient Blood Management (PBM) is a multidisciplinary, evidence based approach to optimizing the care of patients who might need a blood transfusion. It shifts the focus from the product (the blood unit) to the person (the patient). The World Federation of Societies of Anaesthesiologists (WFSA) outlines its three pillar framework for the perioperative period.

๐Ÿฉบ ๐‘ถ๐’‘๐’•๐’Š๐’Ž๐’Š๐’”๐’† ๐‘ท๐’‚๐’•๐’Š๐’†๐’๐’•โ€™๐’” ๐‘ถ๐’˜๐’ ๐‘ฉ๐’๐’๐’๐’… (๐‘ท๐’“๐’†๐’๐’‘๐’†๐’“๐’‚๐’•๐’Š๐’—๐’†)
Detect and treat anaemia, for example iron deficiency, weeks before surgery. Manage comorbidities to reduce bleeding risk.

๐Ÿ”ฌ ๐‘ด๐’Š๐’๐’Š๐’Ž๐’Š๐’”๐’† ๐‘ฉ๐’๐’๐’๐’… ๐‘ณ๐’๐’”๐’” (๐‘ฐ๐’๐’•๐’“๐’‚๐’๐’‘๐’†๐’“๐’‚๐’•๐’Š๐’—๐’†)
Use meticulous surgical technique and haemostatic agents. Employ technologies like cell salvage, collecting and reinfusing the patientโ€™s own blood.

โš•๏ธ ๐‘ฏ๐’‚๐’“๐’๐’†๐’”๐’” & ๐‘ถ๐’‘๐’•๐’Š๐’Ž๐’Š๐’”๐’† ๐‘ท๐’‰๐’š๐’”๐’Š๐’๐’๐’๐’ˆ๐’Š๐’„๐’‚๐’ ๐‘น๐’†๐’”๐’†๐’“๐’—๐’† (๐‘ท๐’๐’”๐’•๐’๐’‘๐’†๐’“๐’‚๐’•๐’Š๐’—๐’†)
Use restrictive transfusion triggers based on robust evidence. Manage pain and prevent complications to avoid further blood loss.

๐•ณ๐–†๐–™๐–Ž๐–Š๐–“๐–™ ๐•ญ๐–‘๐–”๐–”๐–‰ ๐•ธ๐–†๐–“๐–†๐–Œ๐–Š๐–’๐–Š๐–“๐–™ ๐–Ž๐–˜ ๐–† ๐–˜๐–™๐–†๐–“๐–‰๐–†๐–—๐–‰ ๐–”๐–‹ ๐–ˆ๐–†๐–—๐–Š ๐–™๐–๐–†๐–™ ๐–Ž๐–’๐–•๐–—๐–”๐–›๐–Š๐–˜ ๐–•๐–†๐–™๐–Ž๐–Š๐–“๐–™ ๐–”๐–š๐–™๐–ˆ๐–”๐–’๐–Š๐–˜, ๐–—๐–Š๐–‰๐–š๐–ˆ๐–Š๐–˜ ๐–ˆ๐–”๐–˜๐–™๐–˜, ๐–†๐–“๐–‰ ๐–’๐–†๐–๐–Š๐–˜ ๐–๐–Š๐–†๐–‘๐–™๐– ๐–˜๐–ž๐–˜๐–™๐–Š๐–’๐–˜ ๐–’๐–”๐–—๐–Š ๐–˜๐–š๐–˜๐–™๐–†๐–Ž๐–“๐–†๐–‡๐–‘๐–Š. ๐•ด๐–™ ๐–Ž๐–˜ ๐–™๐–๐–Š ๐–›๐–Š๐–—๐–ž ๐–‰๐–Š๐–‹๐–Ž๐–“๐–Ž๐–™๐–Ž๐–”๐–“ ๐–”๐–‹ ๐–›๐–†๐–‘๐–š๐–Š ๐–‡๐–†๐–˜๐–Š๐–‰ ๐–ˆ๐–†๐–—๐–Š.
Adapted from the Society for the Advancement of Blood Management (SABM)

๐ŸŒ ๐‘ป๐’‰๐’† ๐‘ฎ๐’๐’๐’ƒ๐’‚๐’ ๐‘ฐ๐’Ž๐’‘๐’†๐’“๐’‚๐’•๐’Š๐’—๐’† & ๐‘ป๐‘ถ๐‘น๐‘ฎโ€™๐’” ๐‘น๐’๐’๐’†
The World Health Organization (WHO) has formally endorsed PBM as a critical policy for all member states, highlighting its role in safety, sustainability, and universal health coverage.
๐‘พ๐’‰๐’š ๐‘ท๐‘ฉ๐‘ด ๐’Š๐’” ๐’‚ ๐’‘๐’†๐’“๐’‡๐’†๐’„๐’• ๐’‡๐’Š๐’• ๐’‡๐’๐’“ ๐‘ป๐‘ถ๐‘น๐‘ฎโ€™๐’” ๐’Ž๐’Š๐’”๐’”๐’Š๐’๐’ ๐’Š๐’ ๐‘ณ๐‘ด๐‘ฐ๐‘ช๐’”: ๐‘ฌ๐’’๐’–๐’Š๐’•๐’š, reduces dependency on scarce, often unsafe blood supplies. ๐‘บ๐’‚๐’‡๐’†๐’•๐’š, directly reduces transfusion related adverse events and infections. ๐‘บ๐’š๐’”๐’•๐’†๐’Ž ๐‘น๐’†๐’”๐’Š๐’๐’Š๐’†๐’๐’„๐’†, saves costs and conserves a vital national resource. ๐‘ช๐’๐’๐’๐’‚๐’ƒ๐’๐’“๐’‚๐’•๐’Š๐’๐’, embodies the multidisciplinary operating room team approach ๐‘ป๐‘ถ๐‘น๐‘ฎ champions.
๐‘ป๐‘ถ๐‘น๐‘ฎ is positioned to lead by creating educational content and protocols for LMIC settings on SURGhub, advocating for national PBM policy adoption alongside partners like the WHO and WFSA, and building a community of practice for anaesthetists, surgeons, and nurses to share PBM strategies.

๐Ÿ” ๐‘ช๐’‚๐’๐’ ๐’•๐’ ๐‘จ๐’„๐’•๐’Š๐’๐’
Can Patient Blood Management be the single most effective quality improvement project for an operating room in a resource limited setting? What is the first step your hospital should take?

๐‘ฉ๐’† ๐’‚ ๐‘ท๐’‚๐’“๐’• ๐’๐’‡ ๐’•๐’‰๐’† ๐‘บ๐’๐’๐’–๐’•๐’Š๐’๐’. ๐‘ถ๐’‘๐’•๐’Š๐’Ž๐’Š๐’”๐’† ๐‘ช๐’‚๐’“๐’†.
๐‘ป๐’‰๐’† ๐‘ถ๐’‘๐’†๐’“๐’‚๐’•๐’Š๐’๐’ˆ ๐‘น๐’๐’๐’Ž ๐‘ฎ๐’๐’๐’ƒ๐’‚๐’ (๐‘ป๐‘ถ๐‘น๐‘ฎ), Advancing safe, equitable, and sustainable surgical practice worldwide.

๐ŸŒ๐‰๐จ๐ข๐ง ๐Ž๐ฎ๐ซ ๐†๐ฅ๐จ๐›๐š๐ฅ ๐‚๐จ๐ฆ๐ฆ๐ฎ๐ง๐ข๐ญ๐ฒ!
The Operating Room Global (TORG)
๐‘‡โ„Ž๐‘’ ๐ฟ๐‘Ž๐‘Ÿ๐‘”๐‘’๐‘ ๐‘ก ๐‘๐‘’๐‘ก๐‘ค๐‘œ๐‘Ÿ๐‘˜ ๐‘œ๐‘“ ๐‘Ž๐‘™๐‘™ ๐‘‚๐‘๐‘’๐‘Ÿ๐‘Ž๐‘ก๐‘–๐‘›๐‘” ๐‘…๐‘œ๐‘œ๐‘š ๐‘ƒ๐‘Ÿ๐‘œ๐‘“๐‘’๐‘ ๐‘ ๐‘–๐‘œ๐‘›๐‘Ž๐‘™๐‘  ๐‘–๐‘› ๐‘‚๐‘›๐‘’ ๐‘ƒ๐‘™๐‘Ž๐‘๐‘’!
Learn More:
https://linktr.ee/operatingroomissues

#TORG #theoperatingroomglobal #operatingroomissues #PatientBloodManagement #PBM #BloodSafety #WFSA #WHO

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