Cardiac Surgical Bleeding, Transfusion, and Quality Metrics: Joint Consensus Statement by the Enhanced Recovery After Surgery Cardiac Society and Society for the Advancement of Patient Blood Management

• DOI: 10.1016/j.athoracsur.2024.06.039
• Publication Date: 2024-08-31T20:58:15Z
• Authors: Rawn Salenger; Rakesh C. Arora; Arthur Bracey; Mario D’Oria; Daniel T. Engelman; Caroline Evans; Michael C. Grant; Serdar Gunaydin; Vicki Morton; Sherri Ozawa; Prakash A. Patel; Jacob Raphael; Todd K. Rosengart; Linda Shore-Lesse...; Pierre Tibi; Aryeh Shander
• Keywords: Blood management; Blood conservation

Excessive perioperative bleeding is associated with major complications in cardiac surgery, resulting increased morbidity, mortality, and cost. An international expert panel was convened to develop consensus statements on the control of management transfusion suggest key quality metrics for surgical bleeding. The reviewed relevant literature from previous 10 years used a modified RAND Delphi methodology achieve consensus. developed 30 8 categories, including prioritizing bleeding, prechest closure checklists, need additional indicators beyond reexploration rate, such as time reexploration. Consensus also reached universal definition excessive use antifibrinolytics, optimal cessation antithrombotic agents, preoperative risk scoring based patient procedural factors identify those at greatest Furthermore, an objective scale needed volume rapidity blood loss accompanied by viscoelastic algorithms standardized, patient-centered strategies reflecting interdisciplinary approach improvement. Prioritizing timely essential improving outcomes surgery. To this end, metric that more comprehensive than rate alone needed. Similarly, initiatives seek implement enhanced will likely lead improved care outcomes.