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
Referências
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.
Submetido em:
04/06/2026
Aceito em:
02/07/2026