Brazilian Journal of Anesthesiology
https://app.periodikos.com.br/journal/rba/article/doi/10.1016/j.bjane.2026.844738
Brazilian Journal of Anesthesiology
Editorial

Patient Blood Management in Brazil: between evidence, reality and transformation

Guilherme Machado Rabello, Angel Augusto Perez-Calatayud, Luís Vicente Garcia, Liana Maria Torres de Araujo Azi

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Referencias

1. Goodnough LT, Shander A, Riou B. Patient Blood Management. Anesthesiology. 2012;116:1367−76.

2. Leahy MF, Hofmann A, Towler S, et al. Improved outcomes and reduced costs associated with a health-system−wide patient blood management program: a retrospective observational study in four major adult tertiary-care hospitals. Transfusion (Paris). 2017;57:1347−58.

3. World Health Organization. Guidance on implementing patient blood management to improve global blood health [cited 2026 Feb 24]. WHO; 2025. Available from: https://www.centronazionalesangue.it/wp-content/uploads/2025/03/9789240104662- eng.pdf.

4. Frank SM, Thakkar RN, Podlasek SJ, et al. Implementing a Health System−wide Patient Blood Management Program with a Clinical Community Approach. Anesthesiology. 2017;127:754−64.

5. Macedo MCM de A, Biagini S, Montano-Pedroso JC, et al. Consensus of the Brazilian association of hematology, hemotherapy and cellular therapy on patient blood management. Hematol Transfus Cell Ther. 2024;46:S8−11.

6. Munoz M, Acheson AG, Auerbach M, Besser M, Habler O, Kehlet ~ H, et al. International consensus statement on the peri-operative management of anaemia and iron deficiency. Anaesthesia. 2017;72:233−47.

7. Rabello G, Monteiro R, Meneghini B, Jatene FB. When innovation meets patient blood management − a new way to see bleeding. Hematol Transfus Cell Ther. 2025;47:103691.

8. Shander A, Van Aken H, Colomina MJ, et al. Patient blood management in Europe. Br J Anaesth. 2012;109:55−68.

9. European Commission. Supporting Patient Blood Management (PBM) in the EU: A Practical Implementation Guide for Hospitals [cited 2026 Feb 24]. Publications Office of the European Union; 2017. https://doi.org/10.2818/533179. Available from: https:// health.ec.europa.eu/system/files/2017-04/2017_eupbm_hospitals_en_0.pdf.

10. Brasil. Gerenciamento de Sangue do Paciente (Patient Blood Management) [cited 2026 Feb 24]. Ministerio da Sa  ude; 2023.  Available from: https://www.gov.br/saude/pt-br/assuntos/ saude-de-a-a-z/g/gerenciamento-de-sangue-do-paciente.

11. Costa AC. Ministerio da Sa  ude lan  ca campanha para incentivar ¸ doac¸ ao regular de sangue [cited 2026 Feb 24]. Minist ~ erio da  Saude; 2025. Available from:  https://www.gov.br/saude/ptbr/assuntos/noticias/2025/junho/ministerio-da-saude-lancacampanha-para-incentivar-doacao-regular-de-sangue.

12. Goiabeira L dos S, Meireles SS, Leocadio ASS, et al. Preoperative  and postoperative anemia in major elective surgery: insights from a retrospective cohort in a Brazilian University Hospital. Braz J Anesthesiol (English Edition). 2026;76:844715.

13. Mendes FF, Immich LC, Law LGM. Preoperative anemia as a marker of postoperative outcomes: a retrospective cohort study. Braz J Anesthesiol. 2026;76(2). (in press).

14. Nunes C, Soares J. Historias de solidariedade refor  cam a ¸ importancia da doa ^ c¸ ao regular de sangue [cited 2026 Feb 24]. ~ Ministerio da Sa  ude; 2025. Available from:  https://www.gov. br/saude/pt-br/assuntos/noticias/2025/novembro/historiasde-solidariedade-reforcam-a-importancia-da-doacao-regularde-sangue.

15. Feijo R. N  umeros de doa  c¸ oes de sangue na Hemorrede P ~ ublica  Brasileira em 2024. Hemocentros Unidos. 2025. [Internet][cited 2026 Feb 24]Available from: Numeros de doa  c¸ oes de sangue na ~ Hemorrede Publica Brasileira em 2024  .

16. Brasil. Ministerio da Sa  ude [Internet]. [cited 2026 Feb 24]. DATA-  SUS - Departamento de Informac¸ ao e Inform ~ atica do SUS. Avail-  able from: https://datasus.saude.gov.br/sobre-o-datasus/.

17. Anthes E. Evidence-based medicine: Save blood, save lives. Nature. 2015;520:24−6.

18. Langhi Jr D RG. Consenso da Associac¸ ao Brasileira de Hematolo- ~ gia, Hemoterapia e Terapia Celular sobre Patient Blood Management [Internet]. Sao Paulo; 2023 [cited 2026 Feb 24]. Report. ~ Available from: https://abhh.com.br/consenso/consensopbm14.pdf. 19. Mendonca FT, de Matos SH, Moreira LG, et al. Accuracy of a ¸ point-of-care CoaguChek test versus standard laboratory coagulation monitoring in cardiac surgery involving cardiopulmonary bypass: randomized clinical trial. Braz J Anesthesiol (English Edition). 2026;76:844714.

20. Farmer SL, Trentino K, Hofmann A, Semmens JB, Mukhtar SA, Prosser G, et al. A Programmatic Approach to Patient Blood Management − Reducing Transfusions and Improving Patient Outcomes. Open Anesthesiol J. 2015;9:6−16.

21. Hofmann A, Ozawa S, Farrugia A, Farmer SL, Shander A. Economic considerations on transfusion medicine and patient blood management. Best Pract Res Clin Anaesthesiol. 2013;27:59−68.

22. Meybohm P, Richards T, Isbister J, Hofmann A, Shander A, Goodnough LT, et al. Patient Blood Management Bundles to Facilitate Implementation. Transfus Med Rev. 2017;31:62−71.

23. Klein AA, Arnold P, Bingham RM, Brohi K, Clark R, Collis R, et al. AAGBI guidelines: the use of blood components and their alternatives 2016. Anaesthesia. 2016;71:829−42.

24. George A, Shastry S, Mohan G, Belurkar S. Evaluating patient blood management practices using PBM metrics in a tertiary care center. Transfusion Clinique Et Biologique. 2024;31:26−30.

25. Gammon RR. The importance of PBM metrics [cited 2026 Feb 24]. AABB; 2020. Available from: https://www.aabb.org/docs/ default-source/default-document-library/resources/theimportance-of-pbm-metrics.pdf?sfvrsn=30002143_4.

26. Cespedes IC, Figueiredo MS, Hossne Junior NA, et al. Patient  Blood Management Program Implementation: Comprehensive Recommendations and Practical Strategies. Braz J Cardiovasc Surg. 2024;39(5).

27. Sociedad Iberoamericana de Patient Blood Management. Sociedad Iberoamericana de Patient Blood Management [Internet]. [cited 2026 Feb 24]. Available from: https://siapbm.com.

28. Mesa Directiva. Sociedad Iberoamericana de Patient Blood Management [Internet]. [cited 2026 Feb 24]. Capitulo Brasil − Sociedad Iberoamericana de Patient Blood Management. Available from: https://siapbm.com/capitulos/brasil/.

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