20.500.12556/DKUM-91700 Skrb za bolnikovo kri kje smo in kako naprej Patient blood management Where are we now and what should we do? Program »Skrb za bolnikovo kri« (angl. Patient Blood Management,PBM) temelji na interdisciplinarnem pristopu, osredotočenem na pacienta in je zasnovan kot niz ukrepov, ki temeljijo na treh stebrih: 1. celovito obvladovanje anemije; 2. zmanjšanje izgube krvi in optimizacija koagulacije perioperativno; 3. izkoristek in optimizacija bolnik- ove specifične fiziološke tolerance anemije. Zaradi učinkovitosti in varnosti tega pristopa ter dejstva, da zaradi anemije trpi več kot 30 % celotnega svetovnega prebivalstva, kar uničujoče vpliva na zdravje in gospodarstvo, je Svetovna zdravstvena organizacija leta 2021 izdala priporočilo o nujnosti uvedbe PBM programa. Stopnja izvajanja programa PBM se po evropskih državah razlikuje.Usmerjevalni odbor PBM programa za države Srednje in Vzhodne Evrope je letos dosegel soglasje v skladu s trenutnimi smernicami, ki naj bi zagotovilo minimalne bolnišnične standarde izvajanja PBM v teh državah. Prispevek definira trenutno stanje programa PBM in možnosti za perioperativno izvajanje glede na tri stebre PBM v UKC Maribor, kot drugi največji bolnišnici v Republiki Sloveniji skozi perspektivo anesteziologa in kliničnega farmakologa. Njegov namen je obvestiti bralce, zakaj je izvajanje PBM ključnega pomena, skupaj z dvigovanjem zavesti o nujnem ukrepanju zdravstvenih delavcev in oblasti v dobro naših bolnikov. Patient blood management (PBM) is an interdisciplinary, patient-centred approach based on three pillars: 1) comprehensive anaemia management; 2) minimization of blood loss and optimization of coagulation perioperatively; and 3) leverage and optimization of patient-specific physiological tolerance of anaemia. The effectiveness and safety of PBM, together with the fact that >30% of the world population is anaemic with detrimental health and economic consequences, led the World Health Organisation to issue a policy brief in 2021 on the urgent need to implement PBM. Implementation of the PBM programme, differs among European countries. On the basis of the current guidelines, the Central Eastern European Patient Blood Management Steering Committee reached a consensus in 2024 to ensure minimal hospital standards of PBM implementation in Central and Eastern European countries. This article describes the PBM programme, its current status, and the possibilities for its perioperative implementation, according to the three pillars of PBM, at the University Medical Centre Maribor, as the second largest hospital in the Republic of Slovenia, from the point of view of an anaesthesiologist and a clinical pharmacologist. Its purpose is to inform readers about the importance of PBM implementation and raise awareness of the need for urgent action by healthcare providers and authorities to ensure optimal patient care. preoperative anaemia transfusion blood loss optimization of coagulation iron deficiency anemija pred posegom transfuzija izguba krvi optimizacija koagulacije pomanjkanje železa true true true MF UM Angleški jezik Slovenski jezik Znanstveno delo 2025-01-28 14:40:35 2025-01-28 14:45:16 2026-03-18 13:30:01 0000-00-00 00:00:00 2024 0 0 str. 64-72 št. 2 Letn. 17 2024 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 2024-11-12 2024-12-05 61 220452611 10.18690/actabiomed.278 1855-5640 RAZ_Zunic_Miodrag_2024.pdf RAZ_Zunic_Miodrag_2024.pdf 1 70F454D0B091E20BD4E4F09237A6C17E 1e4694f1e2a56df8df5e0cdeb58d525b56ce53461a523aa623ef73bb06fafa99 e9a2bd45-dd7d-11ef-9187-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=188234 https://doi.org/10.18690/actabiomed.278 0 ac9e75be-de12-11ef-9dfa-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=188265 https://journals.um.si/index.php/amb/article/view/4762 1 73c13327-dd7d-11ef-9187-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=188233 Medicinska fakulteta Acta medico-biotechnica 0 0 0