Hemodynamics, fluids & transfusion

Provision of peri‐operative patient blood management strategies in the UK : a national survey of practice

AnaesthesiaPublished Cross-sectional study

Authors' conclusion

Our findings show considerable heterogeneity in peri-operative patient blood management strategies and supporting infrastructure availability across the UK.

Study context

Population
UK hospitals (NHS Trusts and health boards) approached via Research and Audit Federation of Trainees networkshospitals responded of 143 approached
Participants
123 participants
Outcome
Local practices of peri-operative PBM and infrastructure availability
Methodological detailsnational survey, online, pre-piloted, benchmarking standards, Survey conducted online between January and February 2023
  • National survey
  • Online
  • Pre-piloted
  • Benchmarking standards
  • Survey conducted online between January and February 2023

Main finding

As reported in the abstract

Peri-operative PBM practices and infrastructure
No formal elective anaemia pathway
37/123 (30%)
Oral iron once-daily dosing
41/85 (48%)
Oral iron three times a day dosing
14/85 (16%)
Ferric carboxymaltose most frequent IV iron preparation
61/113, 54%
Policy for peri-operative TXA
49/122 (39%)
TXA included in theatre safety briefings (sites performing major surgery routinely)
20/112 (18%)
Point-of-care coagulation testing available
62/123 (50%)

Observational data: associations, not effects.

Original publication

Provision of peri‐operative patient blood management strategies in the UK : a national survey of practice. Anaesthesia. Published 12 March 2025. doi:10.1111/anae.16579

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