Patient Blood Management Guidelines: Module 2


1 Introduction

Patient blood management aims to improve clinical outcomes by avoiding unnecessary exposure to blood components. It includes the three pillars of:

These principles apply in the management of any haematological disorder. Patient blood management optimises the use of donor blood and reduces transfusion-associated risk.

This document, Patient Blood Management Guidelines: Module 2 –Perioperative is the second in a series of six modules that focus on evidence-based patient blood management. This module aims to support the introduction of patient blood management practices in the perioperative setting. The other five modules are listed in , below. Together, the six modules will supersede the 2001 National Health and Medical Research Council/Australasian Society of Blood Transfusion (NHMRC/ASBT) Clinical Practice Guidelines on the Use of Blood Components. 1

Revision of the 2001 guidelines1 was needed because of:

This document is intended to inform health-care practitioners, health educators, and health service managers and policy makers about the pre, intra and postoperative care of patients undergoing surgery or invasive procedures, particularly those in which blood loss is anticipated. Transfusion decisions for patients should take into account each individual’s clinical circumstances and physiological status, and their treatment preferences and choices.

If blood components are likely to be indicated, transfusion should not be a default decision. Instead, the decision on whether to transfuse should be carefully considered, taking into account the full range of available therapies, and balancing the evidence for efficacy and improved clinical outcome against the potential risks (Appendix B).