ArticleBlood transfusion = Trasfusione del sangue
Patient Blood Management in 2023: a Nationwide Survey of Anesthesiologists in Romania following the 2018 Guidelines.
Article in Blood transfusion = Trasfusione del sangue. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A comparison of efficacy and safety of oral versus intravenous applications of tranexamic acid in total hip and knee arthroplasty: an updated systematic review meta-analysis of randomized controlled trials.BMC musculoskeletal disorders · 2025Pooled it
- Knowledge and attitudes toward perioperative patient blood management: A cross-sectional study among Anaesthesiology and Orthopaedic Surgery Departments at a university hospital.Transfusion medicine (Oxford, England) · 2026Article
- Organizational monitoring of patient blood management implementation: Results of an Italian national survey.Vox sanguinis · 2026Article
- Factors Influencing Blood Component Availability: The Views of Transfusion Service Leaders in Riyadh, Saudi Arabia.Cureus · 2026Article
- Knowledge, attitude, and practice survey for patient blood management in India: An initiative by the special interest group of the Indian Society of Transfusion Medicine.Asian journal of transfusion scienceArticle
- Management and perceptions of anemia and iron deficiency prior to cardiac surgery.Archivos peruanos de cardiologia y cirugia cardiovascularArticle
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17 authors.
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Abstract
backgroundIn 2018, Romania established national guidelines for patient blood management (PBM), endorsed by the Romanian Society of Anesthesia and Intensive Care (SRATI) and approved by the Ministry of Health. These guidelines emphasize managing anemia, coagulation issues, and the cautious use of allogeneic transfusions to improve patient outcomes. MATERIALS AND
methodsA national survey was conducted among Romanian anesthesiologists to assess PBM guideline adoption. It included 38 questions addressing PBM strategies, resources, transfusion practices, and barriers to implementation. The survey was distributed via email to the SRATI database.
resultsOut of 512 professionals who opened the survey, 74% had adopted some PBM measures, and 97% recognized PBM's efficacy in improving outcomes. However, only 33% of anesthesiologists worked in hospitals with formal PBM groups, and 39% had attended PBM-related educational events. Preoperative anemia management was inconsistent, with only 33.5% routinely treating anemia. Access to diagnostic and therapeutic tools was limited; transferrin saturation testing was available in 27% of cases, and erythropoietin was used in 24%. Despite these limitations, 72% of respondents treated anemia with intravenous iron.The main challenges to implementation included insufficient time for pre-surgical assessments, lack of standardized procedures, and difficulties in surgeon-anesthetist collaboration. DISCUSSION: The survey highlights the need for systemic improvements in PBM adoption. Recommendations include enhancing organizational structures, standardizing protocols, and improving interdisciplinary collaboration to boost PBM implementation in Romania. While progress has been made, a national program with dedicated funding and auditing could facilitate widespread PBM integration into clinical practice.
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