Trauma and transfusion

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Significant blood loss and acute postoperative anaemia are often observed during trauma surgery. The consequence is, in many cases, the transfusion of allogeneic blood. This is even further aggravated when patients present preoperatively anaemia. As more than 30% of the world's population are anaemic, patients undergoing elective procedures would benefit from a patient blood management programme. It consists of three main areas such as a multidisciplinary approach to manage anaemia, optimize haemostasis, minimize iatrogenic blood loss, and harness tolerance to anaemia. A recent trial studying almost 130 000 surgical patients demonstrated that the implementation of patient blood management is safe, reduces costs and the incidence of acute renal failure in a patient blood management cohort among other endpoints [1].
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