Helmer Philipp, Schlesinger Tobias, Hottenrott Sebastian, Papsdorf Michael, Wöckel Achim, Diessner Joachim, Stumpner Jan, Sitter Magdalena, Skazel Tobias, Wurmb Thomas, Härtel Christoph, Hofer Stefan, Alkatout Ibrahim, Girard Thierry, Meybohm Patrick, Kranke Peter
Klinik und Poliklinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Universitätsklinikum Würzburg, Oberdürrbacher Str. 6, 97080, Würzburg, Deutschland.
Frauenklinik und Poliklinik, Universitätsklinikum Würzburg, Würzburg, Deutschland.
Anaesthesist. 2022 Mar;71(3):171-180. doi: 10.1007/s00101-022-01109-8. Epub 2022 Mar 2.
The implementation of patient blood management (PBM) is increasingly becoming standard in operative medicine. Recently, interest has also been shown for the vulnerable collective of pregnant women and neonates. As the information regarding anesthesiological procedures for pregnant women and the peripartum period including an informed consent process should be carried out long before childbirth, this provides a good possibility in this connection to incorporate PBM. An anesthesiological risk estimation as well as the diagnostic workup and treatment of potential anemia should be carried out during the pregnancy. Furthermore, loss of blood in anticipation of bleeding complications should be reduced by interdisciplinary preventive measures and an individually coordinated postpartum care should be organized. This results in an early diagnosis of anemia or iron deficiency with subsequent treatment also postpartum, analogous to the prepartum period.
患者血液管理（PBM）的实施在手术医学中日益成为标准做法。最近，对于孕妇和新生儿这一弱势群体也表现出了关注。由于有关孕妇围产期麻醉程序的信息，包括知情同意过程，应在分娩前很久就进行，因此在这方面有很好的可能性纳入PBM。在孕期应进行麻醉风险评估以及潜在贫血的诊断检查和治疗。此外，应通过跨学科预防措施减少对出血并发症预期中的失血，并应组织个体化协调的产后护理。这导致与产前时期类似，在产后也能早期诊断贫血或缺铁并随后进行治疗。
