Etkin Hasta Kan Yönetimi

Son yıllarda kan ve kan bileşenleri transfüzyonunun komplikasyonları, mortalite ve morbiditeye etkileri ve maliyet üzerindeki yükleri hakkındaki farkındalık artmış ve bu, transfüzyon uygulama- sına yeni bir yaklaşım gereksinimi oluşturmuştur. “Hasta Kan Yönetimi (HKY)” olarak tanımlanan bu yeni yaklaşım; doğru zamanda, doğru hastaya, doğru ürünle transfüzyon yapılmasını hedefler. Birçok diğer yerleşmiş ve neredeyse kültür haline gelmiş tıbbi uygulamada olduğu gibi, var olan transfüzyon alışkanlıklarının da bu yeni yaklaşımla değiştirilebilmesi oldukça zor olmaktadır. HKY’nin amaç, içeriği ve sonuçlarıyla ilgili artan sayıda yayına rağmen, etkin bir biçimde nasıl uygulamaya yerleştirileceği konusundaki deneyim ve çalışmalarla ilgili yayınlar sınırlıdır. Bu makalede, bu yayınlar ve HKY projesini başarılı ve yaygın olarak kullanmakta olan Avusturalya ve ABD’nin deneyim ve yöntemleri derlenmiştir.

Effective Patient Blood Management

Awareness about complications of transfusions of blood and blood products, their effects on mortality and morbidity and cost burden has increased in recent years which created the need for a new approach to transfusion practice. This new approach, defined as “Patient Blood Management (PBM)” aims to transfuse the right blood product to the right patient at the right time. Alteration of transfusion habits according to this new approach is quite difficult as seen in changing many established, traditional medical practices. Although there have been an increas- ing number of publications about the aim, context and results of PBM, there is limited studies and experience about the efficient implementation of this practice. In this article, the reports and clinical experiences of countries like USA and Australia that widely and successfully use this PBM project are reviewed.

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