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Programa visa gerenciar o sangue dos pacientes de forma mais segura e eficaz

Atualizado: 9 de mai.


O que é o Gerenciamento do Sangue do Paciente (PBM)?

A sigla PBM se origina das palavras em inglês Patient Blood Management, que é o Gerenciamento do Sangue do próprio Paciente.

 

O que isso significa?

O PBM representa um conjunto de estratégias, clínicas e cirúrgicas, baseadas em evidências científicas, que evitam o uso de transfusões de sangue, principalmente em pacientes cirúrgicos, por causa dos seus importantes efeitos imunomodulatórios.

 

Quais são os objetivos do PBM?

Reduzir as transfusões de sangue, e com isso:

- Reduzir chance de infecções

- Reduzir tempo de internação

- Reduzir a taxa de óbitos

- Reduzir custos

 

Evidências científicas:

A relevância do assunto chamou a atenção da Revista Nature que, em 2015, lançou o editorial que consta na imagem abaixo:






 

Em 2021, a OMS declarou que é urgente a implementação do PBM em virtude de: maior segurança para o paciente, economia de recursos públicos de saúde, escassez nos bancos de sangue (uma situação mundial), envelhecimento da população reduzindo cada vez mais o número de doadores de sangue, e as prováveis novas pandemias.



 


No Brasil, o PBM tem recebido uma atenção especial, desde 2019, por parte da Escola Paulista de Medicina (EPM/Unifesp) e do Hospital São Paulo (HSP/HU UNIFESP/ SPDM), que tem sido pioneira em incluir o PBM no ensino de Graduação em Medicina, Pós-graduação como linha de pesquisa, capacitação na Residência Médica, e assistência em saúde no Hospital São Paulo (hospital universitário).


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Referências bibliográficas

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Leonardo Medeiros Oliveira




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