Companions: Patient Blood Management Guidelines

The Patient Blood Management (PBM) Guidelines: Companions provide supporting information aimed at improving knowledge and understanding of the PBM guidelines and how they can be used to achieve better patient care and outcomes. 

The Companions are set out with a PBM strategy or technique as a separate topic, generally one to two pages. If transfusion is clinically indicated, details of risks and benefits to support this process are also outlined in this document.

1. Patient Blood Management
2. Summary of PBM modules recommendations and practice points
3. Identify, evaluate and manage anaemia
4. Iron Therapy
5. Erythropoiesis stimulating agents
6. Preoperative autologous donation (PAD)
7. Assess bleeding risk
8. Cessation of medications affecting coagulation
9. Antifibrinolytics
10. Other medications which may minimise bleeding
11. Preventing hypothermia
12. Patient positioning
13. Deliberate induced hypotension
14. Acute Normovolaemic Haemodilution
15. Surgical technique
16. Anaesthetic technique
17. Reduce iatrogenic blood loss
18. Cell Salvage
19. Point of care testing
20. Clinical indications for red blood cell transfusion
21. Transfusion risks and benefits
22. Transfusion risks tables and Calman chart for explaining transfusion related risks to patients
23. Single unit transfusion
24. Restrictive transfusion strategy
25. Clinical indications for platelets
26. Clinical indications for fresh frozen plasma
27. Clinical indications for cryoprecipitate and fibrinogen concentrate