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Blutmanagement in der Orthopädie und Unfallchirurgie

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Patientenzentrierte Medizin in Orthopädie und Unfallchirurgie

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Zusammenfassung

Unter dem Begriff ″patientenorientiertes Blutmanagement″ (PBM) versteht man einen multimodalen, evidenzbasierter Behandlungsansatz. Durch ein individualisiertes 3-Säulen-Konzept sollen Bluttransfusionen vermieden werden, sodass erst nach Optimierung aller anderen Aspekte Blutprodukte leitliniengerecht zur Anwendung kommen. Bei einem Hämoglobinwert unter 12 g/dl bei Frauen bzw. unter 13 g/dl bei Männern liegt eine Anämie vor (WHO-Definition). Konsequentes PBM führt zur Steigerung der Patientensicherheit, da die präoperative Anämie ein deutlich erhöhtes Letalitäts- und Komplikationsrisiko birgt und den größten Prädiktor für die perioperative Verabreichung von Blutkonserven darstellt.

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  1. Abteilung für Anästhesie, Intensivmedizin und Schmerztherapie, Gemeinschaftskrankenhaus Bonn, Bonner Talweg 4-6, 53113, Bonn, Deutschland

    Prof. Dr. Pascal Knüfermann

  2. Zentrum für Orthopädie und Unfallchirurgie, Gemeinschaftskrankenhaus Bonn, Bonner Talweg 4-6, 53113, Bonn, Deutschland

    Dr. Holger Haas

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Correspondence to Pascal Knüfermann .

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  1. Klinik für Orthopädie, Unfallchirurgie und Sportmedizin, Johanna-Etienne-Hospital, Neuss, Germany

    Jörg Jerosch

  2. Leiterin Health Care Initiatives, Zimmer Biomet Deutschland GmbH, Berlin, Germany

    Claudia Linke

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Knüfermann, P., Haas, H. (2016). Blutmanagement in der Orthopädie und Unfallchirurgie. In: Jerosch, J., Linke, C. (eds) Patientenzentrierte Medizin in Orthopädie und Unfallchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48081-6_17

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