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Blood Management is a coordinated multidisciplinary evidence-based approach to improve patient clinical and financial outcomes by managing the use of blood and its associated resources.
- 1950s: Denton Cooley, M.D. credited with the first bloodless open-heart surgery in Texas
- 1970s: Advancements in the field revealed an acceptably low risk with the strategies1
- 1980s: Need to avoid HIV/AIDS tainted blood
- 1990s: Viral diseases such as West Nile Virus, SARS and Creutzfeldt-Jakob Disease
- 1994-98: Sanguis Group Study 1994 and ACTA Baele PL 1998 show the variability of blood transfusion in hospitals across Europe and Belgium. Clear evidence that blood was being transfused unnecessarily2.
The cost and availability of blood continues to challenge blood banks and hospitals, as additional testing is required to keep the blood supply safe and meet demand.
1 Cardiovascular surgery in Jehovah's Witnesses. Ott DA, Cooley DA JAMA 1977;238:1256-1258
2 Institutional variability in red blood cell conservation practices for coronary artery bypass graft surgery. J Cardiothorac Vasc Anesthesia 2000 Apr;14(2):171-6. Institutions of the MultiCenter Study of Perioperative Ischemia Research Group. Stover EP, Siegel LC, Body SC, Levin J, Parks R, Maddi R, D'Ambra MN, Mangano DT, Spiess BD.
A provincial program of blood conservation: The Ontario Transfusion Coordinators ONTraC. Transfusion Apheresis Science 2005; Nov; 33(3): 343-9. Epub 2005 Oct 4. Freedman J
Live donor liver transplantation without blood products: strategies developed for Jehovah's Witnesses offer broad application. Annals of Surgery; 240: 350-357, 2004 Jabbour N, Gagandeep S, Mateo R, Sher L, Strum E, Donovan J, Kahn J, Peyre CG, Henderson R, Fong TL, Selby R, Genyk Y:
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