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Title:Skrb za bolnikovo kri : kje smo in kako naprej
Authors:ID Žunić, Miodrag (Author)
Files:.pdf RAZ_Zunic_Miodrag_2024.pdf (334,14 KB)
MD5: 70F454D0B091E20BD4E4F09237A6C17E
 
URL https://doi.org/10.18690/actabiomed.278
 
URL https://journals.um.si/index.php/amb/article/view/4762
 
Language:English
Work type:Scientific work
Typology:1.01 - Original Scientific Article
Organization:MF - Faculty of Medicine
Abstract: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.
Keywords:preoperative anaemia, transfusion, blood loss, optimization of coagulation, iron deficiency
Publication status:Published
Publication version:Version of Record
Article acceptance date:12.11.2024
Publication date:05.12.2024
Publisher:MF UM
Year of publishing:2024
Number of pages:str. 64-72
Numbering:Letn. 17, št. 2
PID:20.500.12556/DKUM-91700 New window
UDC:61
ISSN on article:1855-5640
COBISS.SI-ID:220452611 New window
DOI:10.18690/actabiomed.278 New window
Publication date in DKUM:28.01.2025
Views:203
Downloads:32
Metadata:XML DC-XML DC-RDF
Categories:Misc.
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Record is a part of a journal

Title:Acta medico-biotechnica : AMB
Publisher:Medicinska fakulteta, Medicinska fakulteta, Univerzitetna založba Univerze v Mariboru
ISSN:1855-5640
COBISS.SI-ID:242526720 New window

Secondary language

Language:Slovenian
Title:Patient blood management : Where are we now and what should we do?
Abstract: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.
Keywords:anemija pred posegom, transfuzija, izguba krvi, optimizacija koagulacije, pomanjkanje železa


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This document is a part of these collections:
  1. Acta medico-biotechnica

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