Optimizing Perioperative Blood and Coagulation Management During Cardiac Surgery

Bleeding and transfusion in cardiac surgery are common and associated with poorer outcomes.

Hemostasis in cardiac surgery with cardiopulmonary bypass is complex and influenced by major surgical trauma, cardiopulmonary bypass–associated coagulopathy, anticoagulation management, and additional perioperative factors.

Patient blood management aims to improve outcomes by the prediction, prevention, monitoring, and treatment of bleeding and transfusion.

Patient blood management includes many options to improve outcome and should be combined in a multidisciplinary approach.