Patient Blood Management in Liver Transplant-A Concise Review

Patient Blood Management in Liver Transplant-A Concise Review

Transfusion of blood products in orthotopic liver transplantation (OLT) significantly increases post-transplant morbidity and mortality and is associated with reduced graft survival. Based on these results, an active effort to prevent and minimize blood transfusion is required. Patient blood managem...

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Published in:Biomedicines Vol. 11; no. 4; p. 1093
Main Authors: Pérez-Calatayud, Angel Augusto, Hofmann, Axel, Pérez-Ferrer, Antonio, Escorza-Molina, Carla, Torres-Pérez, Bettina, Zaccarias-Ezzat, Jed Raful, Sanchez-Cedillo, Aczel, Manuel Paez-Zayas, Victor, Carrillo-Esper, Raul, Görlinger, Klaus
Format: Journal Article
Language:English
Published: Switzerland MDPI AG 01-04-2023
MDPI
Subjects:
Acidosis
adult and pediatric liver transplant
Anemia
Anticoagulants
Blood platelets
Blood products
Blood transfusion
Blood transfusions
Clinical outcomes
coagulation
Hepatitis C
Hypertension
Immunological tolerance
Kidneys
Liver
Liver cirrhosis
Liver diseases
Liver transplantation
Liver transplants
Morbidity
Mortality
patient blood management
Patients
Plasma
Proteins
Review
Thrombocytopenia
Thrombosis
Transplantation
viscoelastic testing
Viscoelasticity
United States
patient blood management
viscoelastic testing
coagulation
adult and pediatric liver transplant
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Abstract Transfusion of blood products in orthotopic liver transplantation (OLT) significantly increases post-transplant morbidity and mortality and is associated with reduced graft survival. Based on these results, an active effort to prevent and minimize blood transfusion is required. Patient blood management is a revolutionary approach defined as a patient-centered, systematic, evidence-based approach to improve patient outcomes by managing and preserving a patient's own blood while promoting patient safety and empowerment. This approach is based on three pillars of treatment: (1) detecting and correcting anemia and thrombocytopenia, (2) minimizing iatrogenic blood loss, detecting, and correcting coagulopathy, and (3) harnessing and increasing anemia tolerance. This review emphasizes the importance of the three-pillar nine-field matrix of patient blood management to improve patient outcomes in liver transplant recipients.
AbstractList Transfusion of blood products in orthotopic liver transplantation (OLT) significantly increases post-transplant morbidity and mortality and is associated with reduced graft survival. Based on these results, an active effort to prevent and minimize blood transfusion is required. Patient blood management is a revolutionary approach defined as a patient-centered, systematic, evidence-based approach to improve patient outcomes by managing and preserving a patient’s own blood while promoting patient safety and empowerment. This approach is based on three pillars of treatment: (1) detecting and correcting anemia and thrombocytopenia, (2) minimizing iatrogenic blood loss, detecting, and correcting coagulopathy, and (3) harnessing and increasing anemia tolerance. This review emphasizes the importance of the three-pillar nine-field matrix of patient blood management to improve patient outcomes in liver transplant recipients.
Audience Academic
Author Carrillo-Esper, Raul
Pérez-Ferrer, Antonio
Torres-Pérez, Bettina
Manuel Paez-Zayas, Victor
Hofmann, Axel
Zaccarias-Ezzat, Jed Raful
Pérez-Calatayud, Angel Augusto
Sanchez-Cedillo, Aczel
Escorza-Molina, Carla
Görlinger, Klaus
AuthorAffiliation 10 Gastroenterology Department Hospital General de México Dr. Eduardo Liceaga, Mexico City 06720, Mexico; victormanuelpzmd@gmail.com
5 Department of Anesthesiology, European University of Madrid, 28702 Madrid, Spain
6 Departmen of Anesthesiology, Hospital General de México Dr. Eduardo Liceaga, Mexico City 06720, Mexico; carlaescorza@gmail.com
4 Department of Anesthesiology, Infanta Sofia University Hospital, 28700 San Sebastián de los Reyes, Spain; antonioperezferrer@gmail.com
13 TEM Innovations GmbH, 81829 Munich, Germany
9 Transplant Department Hospital General de México Dr. Eduardo Liceaga, Mexico City 06720, Mexico; aczel@ciencias.unam.mx
11 Academia Nacional de Medicina de México, Mexico City 06720, Mexico; cmx@revistacomexane.com
12 Department of Anesthesiology and Intensive Care Medicine, University Hospital Essen, University Duisburg-Essen, 45131 Essen, Germany; kgoerlinger@werfen.com
3 Institute of Anesthesiology, University of Zurich and University Hospital Zurich, 8057 Zurich, Switz
AuthorAffiliation_xml – name: 2 Faculty of Health and Medical Sciences, Discipline of Surgery, The University of Western Australia, Perth 6907, WA, Australia; axel.hofmann@ifpbm.org
– name: 4 Department of Anesthesiology, Infanta Sofia University Hospital, 28700 San Sebastián de los Reyes, Spain; antonioperezferrer@gmail.com
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– name: 12 Department of Anesthesiology and Intensive Care Medicine, University Hospital Essen, University Duisburg-Essen, 45131 Essen, Germany; kgoerlinger@werfen.com
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– name: 9 Transplant Department Hospital General de México Dr. Eduardo Liceaga, Mexico City 06720, Mexico; aczel@ciencias.unam.mx
– name: 1 Critical Care Division, Hospital General de México Dr. Eduardo Liceaga, Mexico City 06720, Mexico
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– name: 3 Institute of Anesthesiology, University of Zurich and University Hospital Zurich, 8057 Zurich, Switzerland
– name: 5 Department of Anesthesiology, European University of Madrid, 28702 Madrid, Spain
– name: 13 TEM Innovations GmbH, 81829 Munich, Germany
– name: 6 Departmen of Anesthesiology, Hospital General de México Dr. Eduardo Liceaga, Mexico City 06720, Mexico; carlaescorza@gmail.com
– name: 11 Academia Nacional de Medicina de México, Mexico City 06720, Mexico; cmx@revistacomexane.com
Author_xml – sequence: 1
  givenname: Angel Augusto
  orcidid: 0000-0003-1691-0730
  surname: Pérez-Calatayud
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  surname: Manuel Paez-Zayas
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/37189710$$D View this record in MEDLINE/PubMed
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2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
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Keywords patient blood management
viscoelastic testing
coagulation
adult and pediatric liver transplant
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Snippet Transfusion of blood products in orthotopic liver transplantation (OLT) significantly increases post-transplant morbidity and mortality and is associated with...
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SubjectTerms Acidosis
adult and pediatric liver transplant
Anemia
Anticoagulants
Blood platelets
Blood products
Blood transfusion
Blood transfusions
Clinical outcomes
coagulation
Hepatitis C
Hypertension
Immunological tolerance
Kidneys
Liver
Liver cirrhosis
Liver diseases
Liver transplantation
Liver transplants
Morbidity
Mortality
patient blood management
Patients
Plasma
Proteins
Review
Thrombocytopenia
Thrombosis
Transplantation
viscoelastic testing
Viscoelasticity
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Title Patient Blood Management in Liver Transplant-A Concise Review
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