[A WHO concept- patient blood management].

[A WHO concept- patient blood management].

Praxis (2014-10-12)

Oliver M Theusinger

ABSTRACT

Blood transfusions are in general considered as lifesaving. Current data and evidence show, that blood transfusions are associated with increased morbidity and mortality, and this apparently dose-dependent. Basic research and results from randomized controlled trials show a causal relationship between blood transfusion and adverse outcome. Based on the current state of knowledge it has to be questioned that blood transfusions are "life-saving" as patients are exposed to an increased risk of disease or death. Furthermore, blood transfusions are more costly than previously assumed. For these reasons novel approaches in the treatment of anemia and bleeding are needed. Patient Blood Management (PBM) allows reduction of transfusion rates by correcting anemia by stimulating erythropoiesis, minimizing perioperative blood loss and optimizing the physiological tolerance of anemia. In 2010 the World Health Organization has claimed PBM to be considered as golden standard. PBM reduces morbidity and mortality by lowering the excessive use of blood transfusions. This concept has partially and successfully been implemented in the University Hospital Balgrist in Zurich.

MATERIALS

Product Number

Brand

Product Description

GF02011509

Iron, tube, 1000mm, outside diameter 6.35mm, inside diameter 5.35mm, wall thickness 0.5mm, as drawn, 99.8%

GF73600512

Iron, tube, 1000mm, outside diameter 12.7mm, inside diameter 9.5mm, wall thickness 1.6mm, annealed, 99.5%

GF31513418

Iron, tube, 100mm, outside diameter 1.65mm, inside diameter 0.89mm, wall thickness 0.38mm, as drawn, 99.8+%

GF32008979

Iron, tube, 500mm, outside diameter 10.0mm, inside diameter 7mm, wall thickness 1.5mm, annealed, 99.5%

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Iron, tube, 100mm, outside diameter 2.0mm, inside diameter 1.08mm, wall thickness 0.46mm, as drawn, 99.5%

GF97671415

Iron, rod, 500mm, diameter 4.8mm, as drawn, 98+%

GF39053820

Iron, tube, 200mm, outside diameter 2.30mm, inside diameter 2.07mm, wall thickness 0.115mm, as drawn, 99.5%

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Iron, tube, 200mm, outside diameter 2.0mm, inside diameter 1.08mm, wall thickness 0.46mm, as drawn, 99.5%

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Iron, tube, 1000mm, outside diameter 4.0mm, inside diameter 3.6mm, wall thickness 0.2mm, as drawn, 99.5%

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Iron, tube, 500mm, outside diameter 20.0mm, inside diameter 16mm, wall thickness 2.0mm, annealed, 99.5%

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Iron, foil, 150x150mm, thickness 0.15mm, hard, 99.5%

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Iron, tube, 500mm, outside diameter 2.0mm, inside diameter 1.08mm, wall thickness 0.46mm, as drawn, 99.5%

GF34818824

Iron, tube, 100mm, outside diameter 5.0mm, inside diameter 4.5mm, wall thickness 0.25mm, as drawn, 99.5%

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Iron, foil, 300x300mm, thickness 0.38mm, hard, 99.5%

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Iron, tube, 1000mm, outside diameter 20.0mm, inside diameter 16mm, wall thickness 2.0mm, annealed, 99.5%

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Iron, tube, 100mm, outside diameter 4.0mm, inside diameter 3.6mm, wall thickness 0.2mm, as drawn, 99.5%

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Iron, tube, 1000mm, outside diameter 2.0mm, inside diameter 1.08mm, wall thickness 0.46mm, as drawn, 99.5%

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Iron, tube, 100mm, outside diameter 15.0mm, inside diameter 12mm, wall thickness 1.5mm, annealed, 99.5%

GF11271462

Iron, tube, 200mm, outside diameter 15.0mm, inside diameter 12mm, wall thickness 1.5mm, annealed, 99.5%

GF61886571

Iron, tube, 500mm, outside diameter 3.2mm, inside diameter 2.2mm, wall thickness 0.5mm, as drawn, 99.8%

GF13964575

Iron, foil, 50x50mm, thickness 0.25mm, hard, 99.5%

GF48249210

Iron, tube, 100mm, outside diameter 2.0mm, inside diameter 1.6mm, wall thickness 0.2mm, as drawn, 99.5%

GF81466432

Iron, tube, 500mm, outside diameter 25.0mm, inside diameter 21mm, wall thickness 2mm, annealed, 99.5%