Brazilian Journal of Anesthesiology
https://app.periodikos.com.br/journal/rba/article/doi/10.1016/j.bjane.2026.844801
Brazilian Journal of Anesthesiology
Editorial

Pillar Zero: a temporal anchor for patient-centered Patient Blood Management (PBM)

Flávio Takaoka, Maria José Carvalho Carmona, Renato Carneiro de Freitas Chaves, Paulo Roberto Silva Garcez dos Santos

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Referencias

1. Mueller MM, Van Remoortel H, Meybohm P, et al. Patient blood management: recommendations from the 2018 Frankfurt Consensus Conference. JAMA. 2019;321:983−97.

2. World Health Organization. The urgent need to implement patient blood management: policy brief. Geneva: WHO; 2021.

3. Sullivan HC, Roback JD. The pillars of patient blood management: key to successful implementation. Transfusion. 2019;59:2763−7.

4. Hofmann A, Shander A, Blumberg N, et al. Patient blood management: improving outcomes for millions while saving billions. What is holding it up? Anesth Analg. 2022;135:511−23.

5. Mendanha C, Neto PCS, Borges RB, et al. The burden of pre-operative anemia and postoperative outcomes in 15 166 surgical patients from a public hospital in Brazil. Eur J Anaesthesiol. 2025;42:44−53.

6. Immich LC, Law LGM, Ouriques IH, et al. Preoperative anemia as a marker of postoperative outcomes: a retrospective cohort study. Braz J Anesthesiol. 2026. https://doi.org/10.1016/j.bjane.2026.844747.

7. Centre for Perioperative Care (CPOC). Guideline for the Management of Anemia in the Perioperative Pathway. Version 2.1. London: CPOC; 2025.

8. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press; 2001.

9. Grocott MPW. Pathway redesign: putting patients ahead of professionals. Clin Med (Lond). 2019;19:468−72.

10. Richards T, Baikady RR, Clevenger B, et al. Preoperative intravenous iron to treat anemia before major abdominal surgery (PREVENTT). Lancet. 2020;396:1353−61.

11. Lamperti M, Romero CS, Guarracino F, et al. Preoperative assessment of adults undergoing elective noncardiac surgery: updated guidelines from the European Society of Anaesthesiology and Intensive Care. Eur J Anaesthesiol. 2025;42:1−35.

12. National Institute for Health and Care Excellence. Routine preoperative tests for elective surgery [NG45]. London: NICE; 2016.

13. Shander A, Corwin HL, Meier J, et al. Recommendations from the International Consensus Conference on Anemia Management in Surgical Patients (ICCAMS). Ann Surg. 2023;277:581−90.

14. World Health Organization. Guidance on implementing patient blood management to improve global blood health status. Geneva: WHO; 2024 ISBN 978-92-4-010466-2.

15. Leahy MF, Hofmann A, Towler S, et al. Improved outcomes and reduced costs associated with a health-system-wide patient blood management program. Transfusion. 2017;57:1347−58.


Submitted date:
04/06/2026

Accepted date:
02/07/2026

6a8dcfcda9539541ce750865 rba Articles
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