Patient Blood Management in Neonates

Michelle Chapman; Amy Keir

doi:10.1016/j.clp.2023.07.004

Patient Blood Management in Neonates

Clin Perinatol. 2023 Dec;50(4):869-879. doi: 10.1016/j.clp.2023.07.004. Epub 2023 Aug 21.

Authors

Michelle Chapman¹, Amy Keir²

Affiliations

¹ Department of Perinatal Medicine, Women's and Children's Hospital, 72 King William Road, North Adelaide, South Australia 5006, Australia.
² Department of Perinatal Medicine, Women's and Children's Hospital, 72 King William Road, North Adelaide, South Australia 5006, Australia; Women's and Children's Hospital, North Adelaide and Clinical Associate Professor, Adelaide Medical School, University of Adelaide, South Australia, Australia. Electronic address: amy.keir@adelaide.edu.au.

PMID: 37866853
DOI: 10.1016/j.clp.2023.07.004

Abstract

Patient blood management (PBM) is an evidence-based care package to improve patient outcomes by optimizing a patient's blood, minimizing blood loss, and the effective management and, when appropriate, the tolerance of anemia. It is relatively well-developed in adult medicine and remains in its infancy in neonatology. This review explores why evidence-based guidelines are insufficient, discusses the variations in neonatal transfusion practice and why this matters, and provides the key updates in neonatal transfusion practice. The authors give examples of a successful neonatal PBM program and single-center projects.

Keywords: Evidence-based practice; Neonatology; Patient blood management.

Publication types

Review
Research Support, Non-U.S. Gov't

MeSH terms

Anemia* / therapy
Blood Transfusion*
Hemorrhage
Humans
Infant, Newborn