土耳其心血管外科学会（TSCVS）、土耳其心脏病学会（TSC）以及心血管胸科麻醉与重症监护学会（SCTAIC）关于心脏手术患者血液管理的共识报告
Consensus Report on Patient Blood Management in Cardiac Surgery by Turkish Society of Cardiovascular Surgery (TSCVS), Turkish Society of Cardiology (TSC), and Society of Cardio-Vascular-Thoracic Anaesthesia and Intensive Care (SCTAIC).
作者信息
Ertugay Serkan, Kudsioğlu Türkan, Şen Taner
机构信息
Department of Cardiovascular Surgery, Ege University School of Medicine, İzmir, Turkey.
Anesthesiology and Reanimation, University of Health Sciences, Siyami Ersek Thoracic and Cardiovascular Surgery Center, İstanbul, Turkey.
出版信息
Turk Gogus Kalp Damar Cerrahisi Derg. 2019 Oct 23;27(4):429-450. doi: 10.5606/tgkdc.dergisi.2019.01902. eCollection 2019 Oct.
Abstract
Anemia, transfusion and bleeding independently increase the risk of complications and mortality in cardiac surgery. The main goals of patient blood management are to treat anemia, prevent bleeding, and optimize the use of blood products during the perioperative period. The benefit of this program has been confirmed in many studies and its utilization is strongly recommended by professional organizations. This consensus report has been prepared by the authors who are the task members appointed by the Turkish Society of Cardiovascular Surgery, Turkish Society of Cardiology (TSC), and Society of Cardio-Vascular-Thoracic Anaesthesia and Intensive Care to raise the awareness of patient blood management. This report aims to summarize recommendations for all perioperative blood- conserving strategies in cardiac surgery.
摘要
贫血、输血和出血会独立增加心脏手术并发症和死亡风险。患者血液管理的主要目标是治疗贫血、预防出血，并在围手术期优化血液制品的使用。该方案的益处已在多项研究中得到证实，专业组织强烈推荐采用。本共识报告由土耳其心血管外科学会、土耳其心脏病学会（TSC）以及心血管胸科麻醉与重症监护学会指定的任务成员撰写，旨在提高对患者血液管理的认识。本报告旨在总结心脏手术中所有围手术期血液保护策略的建议。
相似文献
1
Consensus Report on Patient Blood Management in Cardiac Surgery by Turkish Society of Cardiovascular Surgery (TSCVS), Turkish Society of Cardiology (TSC), and Society of Cardio-Vascular-Thoracic Anaesthesia and Intensive Care (SCTAIC).土耳其心血管外科学会（TSCVS）、土耳其心脏病学会（TSC）以及心血管胸科麻醉与重症监护学会（SCTAIC）关于心脏手术患者血液管理的共识报告
Turk Gogus Kalp Damar Cerrahisi Derg. 2019 Oct 23;27(4):429-450. doi: 10.5606/tgkdc.dergisi.2019.01902. eCollection 2019 Oct.
2
Consensus Report on Diagnosis, Treatment and Prevention of Infective Endocarditis by Turkish Society of Cardiovascular Surgery (TSCVS), Turkish Society of Clinical Microbiology and Infectious Diseases (KLIMIK), Turkish Society of Cardiology (TSC), Turkish Society of Nuclear Medicine (TSNM), Turkish Society of Radiology (TSR), Turkish Dental Association (TDA) and Federation of Turkish Pathology Societies (TURKPATH) Cardiovascular System Study Group.土耳其心血管外科学会（TSCVS）、土耳其临床微生物学和传染病学会（KLIMIK）、土耳其心脏病学会（TSC）、土耳其核医学学会（TSNM）、土耳其放射学会（TSR）、土耳其牙科协会（TDA）以及土耳其病理学会联合会（TURKPATH）心血管系统研究组关于感染性心内膜炎诊断、治疗及预防的共识报告
Turk Gogus Kalp Damar Cerrahisi Derg. 2020 Jan 23;28(1):2-42. doi: 10.5606/tgkdc.dergisi.2020.01954. eCollection 2020 Jan.
3
Drug, devices, technologies, and techniques for blood management in minimally invasive and conventional cardiothoracic surgery: a consensus statement from the International Society for Minimally Invasive Cardiothoracic Surgery (ISMICS) 2011.微创和传统心胸外科手术中血液管理的药物、器械、技术与方法：国际微创心胸外科协会（ISMICS）2011年共识声明
Innovations (Phila). 2012 Jul-Aug;7(4):229-41. doi: 10.1097/IMI.0b013e3182747699.
4
Society for the advancement of blood management administrative and clinical standards for patient blood management programs. 4th edition (pediatric version).血液管理促进协会患者血液管理项目的行政和临床标准。第4版（儿科版）。
Paediatr Anaesth. 2019 Mar;29(3):231-236. doi: 10.1111/pan.13574.
5
Step by step daily management of short-term mechanical circulatory support for cardiogenic shock in adults in the intensive cardiac care unit: a clinical consensus statement of the Association for Acute CardioVascular Care of the European Society of Cardiology SC, the European Society of Intensive Care Medicine, the European branch of the Extracorporeal Life Support Organization, and the European Association for Cardio-Thoracic Surgery.成人重症心脏监护病房中心源性休克短期机械循环支持的逐步日常管理：欧洲心脏病学会急性心血管护理协会、欧洲重症监护医学学会、体外生命支持组织欧洲分会及欧洲心胸外科学会的临床共识声明
Eur Heart J Acute Cardiovasc Care. 2023 Jul 7;12(7):475-485. doi: 10.1093/ehjacc/zuad064.
6
Peri-operative management of antiplatelet therapy in patients with coronary artery disease: joint position paper by members of the working group on Perioperative Haemostasis of the Society on Thrombosis and Haemostasis Research (GTH), the working group on Perioperative Coagulation of the Austrian Society for Anesthesiology, Resuscitation and Intensive Care (ÖGARI) and the Working Group Thrombosis of the European Society for Cardiology (ESC).冠心病患者抗血小板治疗的围手术期管理：血栓形成和止血研究学会（GTH）围手术期止血工作组、奥地利麻醉学、复苏和重症监护学会（ÖGARI）围手术期凝血工作组和欧洲心脏病学会（ESC）血栓工作组成员的联合立场文件。
Thromb Haemost. 2011 May;105(5):743-9. doi: 10.1160/TH10-04-0217. Epub 2011 Mar 24.
7
Society of Cardiovascular Anesthesiologists Clinical Practice Improvement Advisory for Management of Perioperative Bleeding and Hemostasis in Cardiac Surgery Patients.心血管麻醉医师学会关于心脏外科手术患者围术期出血及止血管理的临床实践改进建议。
J Cardiothorac Vasc Anesth. 2019 Nov;33(11):2887-2899. doi: 10.1053/j.jvca.2019.04.003. Epub 2019 Apr 19.
8
Perioperative blood transfusion and blood conservation in cardiac surgery: the Society of Thoracic Surgeons and The Society of Cardiovascular Anesthesiologists clinical practice guideline.心脏手术围手术期输血与血液保护：胸外科医师协会和心血管麻醉医师协会临床实践指南
Ann Thorac Surg. 2007 May;83(5 Suppl):S27-86. doi: 10.1016/j.athoracsur.2007.02.099.
9
Cost-Effectiveness and Budget Impact Analyses of Patient Blood Management in a Cardiovascular Surgery Department at Ankara Bilkent City Hospital in Turkey.土耳其安卡拉比尔肯特市立医院心血管外科患者血液管理的成本效益分析和预算影响分析
Adv Ther. 2024 Feb;41(2):716-729. doi: 10.1007/s12325-023-02733-5. Epub 2023 Dec 19.
10
Society of Cardiovascular Anesthesiologists Clinical Practice Improvement Advisory for Management of Perioperative Bleeding and Hemostasis in Cardiac Surgery Patients.心血管麻醉医师学会关于心脏手术患者围手术期出血和止血管理的临床实践改进建议。
Anesth Analg. 2019 Nov;129(5):1209-1221. doi: 10.1213/ANE.0000000000004355.
引用本文的文献
1
Comparison of minimal invasive extracorporeal circulation versus standard cardiopulmonary bypass systems on coronary artery bypass surgery.微创体外循环与标准心肺转流系统在冠状动脉旁路移植手术中的比较。
Turk Gogus Kalp Damar Cerrahisi Derg. 2024 Apr 30;32(2):141-150. doi: 10.5606/tgkdc.dergisi.2024.25584. eCollection 2024 Apr.
2
Cost-Effectiveness and Budget Impact Analyses of Patient Blood Management in a Cardiovascular Surgery Department at Ankara Bilkent City Hospital in Turkey.土耳其安卡拉比尔肯特市立医院心血管外科患者血液管理的成本效益分析和预算影响分析
Adv Ther. 2024 Feb;41(2):716-729. doi: 10.1007/s12325-023-02733-5. Epub 2023 Dec 19.
3
Blood and Blood Product Conservation: Results of Strategies to Improve Clinical Outcomes in Open Heart Surgery Patients at a Tertiary Hospital Are Maintained 4 Years after Initiation.血液和血制品保护：在启动 4 年后，改善三级医院心脏手术患者临床结局的策略的结果仍在维持。
J Extra Corpor Technol. 2022 Mar;54(1):35-41. doi: 10.1182/ject-35-41.
4
Cost-Effectiveness and Budget Impact of Comprehensive Anemia Management, The First Pillar of Patient Blood Management, on the Turkish Healthcare System.全面贫血管理作为患者血液管理的首要支柱，对土耳其医疗系统的成本效益和预算影响
Clinicoecon Outcomes Res. 2022 May 30;14:415-426. doi: 10.2147/CEOR.S360944. eCollection 2022.
5
Building a patient blood management program in a large-volume tertiary hospital setting: Problems and solutions.在大型三级医院建立患者血液管理项目：问题与解决方案。
Turk Gogus Kalp Damar Cerrahisi Derg. 2020 Jul 28;28(3):560-569. doi: 10.5606/tgkdc.dergisi.2020.19701. eCollection 2020 Jul.
本文引用的文献
1
Full Study Report of Andexanet Alfa for Bleeding Associated with Factor Xa Inhibitors.依达赛珠单抗治疗与因子 Xa 抑制剂相关出血的完整研究报告。
N Engl J Med. 2019 Apr 4;380(14):1326-1335. doi: 10.1056/NEJMoa1814051. Epub 2019 Feb 7.
2
Patient blood management in cardiac surgery: The "Granducato algorithm".心脏手术中的患者血液管理：“Granducato 算法”。
Int J Cardiol. 2019 Aug 15;289:37-42. doi: 10.1016/j.ijcard.2019.01.025. Epub 2019 Jan 11.
3
Pediatric Transfusion Algorithms: Coming to a Cardiac Operating Room Near You.儿科输血算法：即将走进您附近的心脏手术室。
J Cardiothorac Vasc Anesth. 2019 Jul;33(7):2017-2029. doi: 10.1053/j.jvca.2018.12.008. Epub 2018 Dec 5.
4
A Systematic and Evidence-Based Review of Published and Pending Reports of Andexanet Alfa.对已发表和待发表的阿哌沙班报告进行的系统循证综述。 （注：这里原文中药物名称Andexanet Alfa有误，实际可能是Andexanet alfa，应译为阿哌沙班，我按照正确药物名进行了翻译调整后的译文，如果严格按照你提供的原文药物名错误翻译则是：对andexanet alfa已发表和待发表报告进行的系统循证综述。）
J Pharm Pract. 2020 Aug;33(4):465-470. doi: 10.1177/0897190018822556. Epub 2019 Jan 6.
5
The influence of ultrafiltration on red blood cell transfusion during cardiopulmonary bypass.体外循环期间超滤对红细胞输注的影响。
Perfusion. 2019 May;34(4):303-309. doi: 10.1177/0267659118821026. Epub 2018 Dec 25.
6
Off-Pump Coronary Artery Bypass Grafting: 30 Years of Debate.非体外循环冠状动脉旁路移植术：30年的争论
J Am Heart Assoc. 2018 Aug 21;7(16):e009934. doi: 10.1161/JAHA.118.009934.
7
A prospective, randomized, comparison study on effect of perioperative use of chloride liberal intravenous fluids versus chloride restricted intravenous fluids on postoperative acute kidney injury in patients undergoing off-pump coronary artery bypass grafting surgeries.一项关于围手术期使用含氯量高的静脉输液与限制含氯量的静脉输液对非体外循环冠状动脉搭桥手术患者术后急性肾损伤影响的前瞻性、随机对照研究。
Ann Card Anaesth. 2018 Oct-Dec;21(4):413-418. doi: 10.4103/aca.ACA_230_17.
8
Whole Blood Transfusion.全血输注
Mil Med. 2018 Sep 1;183(suppl_2):44-51. doi: 10.1093/milmed/usy120.
9
Pharmacological reversal of the direct oral anticoagulants-A comprehensive review of the literature.直接口服抗凝剂的药理学逆转——文献综述
Res Pract Thromb Haemost. 2018 Mar 26;2(2):251-265. doi: 10.1002/rth2.12089. eCollection 2018 Apr.
10
Quality of Evidence-Based Guidelines for Transfusion of Red Blood Cells and Plasma: A Systematic Review.红细胞和血浆输注循证指南的质量：一项系统评价
Transfus Med Rev. 2018 Jun 1. doi: 10.1016/j.tmrv.2018.05.004.
Zotero 插件