title: Blood management issues using blood management strategies.
abstract: Blood management strategies is a term used to address a coordinated approach to the management of blood loss in the perioperative period for total joint arthroplasty. The premise of any blood management strategy is that each patient, surgeon, and operative intervention experiences different risks of requiring transfusion, that those risks can be identified, and that a plan can be implemented to address them. A surgeon's decision to transfuse should be based on physiologic assessment of the patient's response to anemia and not on an arbitrary number ("transfusion trigger"). Intervention strategies can be applied preoperatively, intraoperatively, and postoperatively. Patient-specific planning allows for the appropriate use of patient, hospital, and system resources, ensuring that the consequences of anemia are minimized and that the patient's recovery process is optimized.
authors.affiliation: Cleveland Center for Joint Reconstruction, Inc., Cleveland, Ohio 44113, USA.
authors.forename: Bernard N
authors.initials: BN
authors.lastname: Stulberg
authors.forename: Jayson D
authors.initials: JD
authors.lastname: Zadzilka
mesh_terms: D000740:Anemia / Q000517:prevention & control; D019643:Arthroplasty, Replacement / Q000009:adverse effects; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D001804:Blood Transfusion, Autologous; D019468:Disease Management; D000068817:Epoetin Alfa; D004921:Erythropoietin / Q000627:therapeutic use; D006397:Hematinics / Q000627:therapeutic use; D006801:Humans; D007432:Intraoperative Period; D011184:Postoperative Period; D011994:Recombinant Proteins
chemical_list: D006397:Hematinics; D011994:Recombinant Proteins; D004921:Erythropoietin; D000068817:Epoetin Alfa