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PBM Library · Educational content
Patient Blood Management in the Perioperative Period
In the perioperative period, PBM connects preparation, bleeding prevention, hemostasis, and transfusion decision-making across the entire surgical journey.
Bleeding risk is particularly relevant in major surgery, but PBM principles must be adapted to the procedure, patient profile, urgency, and available resources.
Editorial basis: Educational content based on Chapters 3 through 6 and Chapter 9 of PBM Essencial. This page is educational and does not replace individualized clinical assessment, institutional protocols, professional guidelines, or applicable regulatory standards.
An integrated journey
Preoperative, intraoperative, and postoperative
Perioperative PBM works best when the Three Pillars are planned as a single care pathway rather than as isolated interventions.
Before
Prepare
Identify anemia and iron deficiency, assess bleeding risk, review medications, and plan the procedure.
During
Preserve
Minimize blood loss, maintain physiologic conditions, support hemostasis, and use conservation strategies when indicated.
After
Recover
Avoid iatrogenic blood loss, address persistent causes, and individualize transfusion decision-making based on the clinical picture.
PBM Essencial visual
The Three Pillars across the surgical journey
A visual summary designed to support quick understanding and connect the concept with the page content.
Integrated view of strategies across the Three Pillars of PBM, presented in PBM Essencial.
Higher-complexity settings
Risk changes, the principles remain
Cardiac surgery, major joint arthroplasty, high-risk obstetrics, and complex cancer surgery present different challenges but share risks of anemia, bleeding, and transfusion exposure.
Implementation must consider technique, urgency, comorbidities, bleeding risk, and resource availability. Protocols from one specialty should not be transferred automatically to another.
PBM is adaptive. The Three-Pillar framework is shared; how it is applied must be specific to the patient and the procedure.
Clinical application
The goal is to reduce vulnerability and respond more effectively to bleeding
Preparing the patient before surgery, reducing blood loss during the procedure, and avoiding automatic postoperative transfusion are parts of the same strategy. Potential benefit comes from integration and consistency of care.
Details on tranexamic acid, intraoperative cell salvage, transfusion thresholds, anticoagulation management, and the particularities of cardiac, orthopedic, obstetric, and cancer surgery require specific in-depth guidance.
PBM Library
Continue the journey
PBM topics are interdependent. Explore related content while keeping the whole-care perspective in view.
The website introduces the concept. The book explores its application in depth.
PBM Essencial: Transformando o Cuidado, Salvando Vidas explores the integrated application of PBM across different perioperative phases and in major surgery in greater depth, with references, clinical reasoning, and dedicated educational resources, particularly in Chapters 3 through 6 and Chapter 9.
PBM Essencial explores the topic in depth with protocols, algorithms, tables, references, and resources for study and consultation.
Hardcover and paperback physical editions are currently available in Portuguese.
