Correct indication strategies and patient blood management in transfusion applications

Abstract

Blood transfusion, which is one of the most frequently performed procedures in clinics, is a life-saving treatment method, but it also contains many side effects and complications. Especially erythrocyte concentrate, thrombocyte concentrate and fresh frozen plasma are the most preferred blood components. In addition to its known benefits, it should not be forgotten that blood transfusions can cause side effects and cause undesirable clinical pictures. Correct indication is very important in transfusion decisions. In addition, patient-specific factors (age, diagnosis, comorbidity), laboratory findings (Hemoglobin value, platelet count, coagulation tests), presence of coagulopathy and known physiological factors (oxygen requirement and hemodynamic status) should also be taken into account when making this decision. Indications for use of blood for transfusion started to change with the patient blood management project. It is not possible to completely avoid transfusion with patient blood management (PBM) applications, but the current consumption can be greatly reduced and costs can be reduced side effects can be prevented