PRACTICE GUIDELINES FOR

PERIOPERATIVE BLOOD
MANAGEMENT (ASA - 2015)
• INFUSION

• TRANSFUSION
DEFINITION OF PERIOPERATIVE BLOOD
MANAGEMENT

• PERIOPERATIVE BLOOD MANAGEMENT REFERS TO PERIOPERATIVE BLOOD

TRANSFUSION AND ADJUVANT THERAPIES.
FOCUS

1. PATIENTS UNDERGOING CARDIOPULMONARY BYPASS OR CARDIAC

SURGERY, URGENT OR EMERGENT PROCEDURES, OBSTETRIC PROCEDURES,
ORGAN TRANSPLANTATION, AND NONCARDIAC SURGERY;
2. PATIENTS WITH PRE-EXISTING BLOOD DISORDERS OR ACQUIRED
COAGULATION DEFICIENCY;
3. CRITICALLY ILL PATIENTS UNDERGOING SURGICAL OR OTHER
INTERVENTIONAL PROCEDURES; AND
4. PATIENTS WHO ELECT NOT TO UNDERGO PERIOPERATIVE TRANSFUSION.
EXCLUSION

1. NEONATES, INFANTS, CHILDREN WEIGHING LESS THAN 35 KG, AND

2. PATIENTS WHO ARE NOT UNDERGOING ALREADY MENTIONED
PROCEDURES.
APPLICATION

• WHERE EVER BLOOD TRANSFUSION OR OTHER ADJUVANT THERAPY IS

INDICATED (BOTH INPATIENT AND OUTPATIENT SURGICAL SETTINGS).
GUIDELINES (PATIENT EVALUATION)