Korean clinical practice guideline for perioperative red blood cell transfusion from Korean Society of Anesthesiologists

Bon Nyeo Koo, Min A. Kwon, Sang Hyun Kim, Jong Yeop Kim, Young Jin Moon, Sun Young Park, Eun Ho Lee, Min Suk Chae, Sung Uk Choi, Jeong Hyun Choi, Jin Young Hwang

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Considering the functional role of red blood cells (RBC) in maintaining oxygen supply to tissues, RBC transfusion can be a life-saving intervention in situations of severe bleeding or anemia. RBC transfusion is often inevitable to address intraoperative massive bleeding; it is a key component in safe perioperative patient management. Unlike general medical resources, packed RBCs (pRBCs) have limited availability because their supply relies entirely on voluntary donations. Additionally, excessive utilization of pRBCs may aggravate prognosis or increase the risk of developing infectious diseases. Appropriate perioperative RBC transfusion is, therefore, crucial for the management of patient safety and medical resource conservation. These concerns motivated us to develop the present clinical practice guideline for evidence-based efficient and safe perioperative RBC transfusion management considering the current clinical landscape. METHODS: This guideline was obtained after the revision and refinement of exemplary clinical practice guidelines developed in advanced countries. This was followed by rigorous evidence-based reassessment considering the healthcare environment of the country. RESULTS: This guideline covers all important aspects of perioperative RBC transfusion, such as preoperative anemia management, appropriate RBC storage period, and leukoreduction (removal of white blood cells using filters), reversal of perioperative bleeding tendency, strategies for perioperative RBC transfusion, appropriate blood management protocols, efforts to reduce blood transfusion requirements, and patient monitoring during a perioperative transfusion. CONCLUSIONS: This guideline will aid decisions related to RBC transfusion in healthcare settings and minimize patient risk associated with unnecessary pRBC transfusion.

Original languageEnglish
Pages (from-to)91-118
Number of pages28
JournalKorean journal of anesthesiology
Volume72
Issue number2
DOIs
Publication statusPublished - 2019 Apr 1

Fingerprint

Erythrocyte Transfusion
Practice Guidelines
Guidelines
Hemorrhage
Anemia
Erythrocytes
Delivery of Health Care
Decision Support Techniques
Physiologic Monitoring
Patient Safety
Anesthesiologists
Blood Transfusion
Communicable Diseases
Leukocytes
Oxygen

Keywords

  • Blood transfusion
  • Clinical practice guideline
  • Perioperative management
  • Red blood cells

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Korean clinical practice guideline for perioperative red blood cell transfusion from Korean Society of Anesthesiologists. / Koo, Bon Nyeo; Kwon, Min A.; Kim, Sang Hyun; Kim, Jong Yeop; Moon, Young Jin; Park, Sun Young; Lee, Eun Ho; Chae, Min Suk; Choi, Sung Uk; Choi, Jeong Hyun; Hwang, Jin Young.

In: Korean journal of anesthesiology, Vol. 72, No. 2, 01.04.2019, p. 91-118.

Research output: Contribution to journalArticle

Koo, BN, Kwon, MA, Kim, SH, Kim, JY, Moon, YJ, Park, SY, Lee, EH, Chae, MS, Choi, SU, Choi, JH & Hwang, JY 2019, 'Korean clinical practice guideline for perioperative red blood cell transfusion from Korean Society of Anesthesiologists', Korean journal of anesthesiology, vol. 72, no. 2, pp. 91-118. https://doi.org/10.4097/kja.d.18.00322
Koo, Bon Nyeo ; Kwon, Min A. ; Kim, Sang Hyun ; Kim, Jong Yeop ; Moon, Young Jin ; Park, Sun Young ; Lee, Eun Ho ; Chae, Min Suk ; Choi, Sung Uk ; Choi, Jeong Hyun ; Hwang, Jin Young. / Korean clinical practice guideline for perioperative red blood cell transfusion from Korean Society of Anesthesiologists. In: Korean journal of anesthesiology. 2019 ; Vol. 72, No. 2. pp. 91-118.
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AU - Lee, Eun Ho

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AB - BACKGROUND: Considering the functional role of red blood cells (RBC) in maintaining oxygen supply to tissues, RBC transfusion can be a life-saving intervention in situations of severe bleeding or anemia. RBC transfusion is often inevitable to address intraoperative massive bleeding; it is a key component in safe perioperative patient management. Unlike general medical resources, packed RBCs (pRBCs) have limited availability because their supply relies entirely on voluntary donations. Additionally, excessive utilization of pRBCs may aggravate prognosis or increase the risk of developing infectious diseases. Appropriate perioperative RBC transfusion is, therefore, crucial for the management of patient safety and medical resource conservation. These concerns motivated us to develop the present clinical practice guideline for evidence-based efficient and safe perioperative RBC transfusion management considering the current clinical landscape. METHODS: This guideline was obtained after the revision and refinement of exemplary clinical practice guidelines developed in advanced countries. This was followed by rigorous evidence-based reassessment considering the healthcare environment of the country. RESULTS: This guideline covers all important aspects of perioperative RBC transfusion, such as preoperative anemia management, appropriate RBC storage period, and leukoreduction (removal of white blood cells using filters), reversal of perioperative bleeding tendency, strategies for perioperative RBC transfusion, appropriate blood management protocols, efforts to reduce blood transfusion requirements, and patient monitoring during a perioperative transfusion. CONCLUSIONS: This guideline will aid decisions related to RBC transfusion in healthcare settings and minimize patient risk associated with unnecessary pRBC transfusion.

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