Blood Transfus. 2019 May;17(3):191-195. doi: 10.2450/2019.0109-19.

Patient Blood Management: a revolutionary approach to transfusion medicine

Franchini M1,2, Marano G1, Veropalumbo E1, Masiello F1, Pati I1, Candura F1, Profili S1, Catalano L1, Piccinini V1, Pupella S1, Vaglio S1,3, Liumbruno GM1.

1 Italian National Blood Centre, National Institute of Health, Rome, Italy.

2 Department of Haematology and Transfusion Medicine, “Carlo Poma” Hospital, Mantua, Italy.

3 Department of Clinical and Molecular Medicine, “Sapienza” University of Rome, Rome, Italy.


Patient Blood Management (PBM) is a multimodal, multidisciplinary approach adopted to limit the use and the need for allogeneic blood transfusion in all at-risk patients with the aim of improving their clinical outcomes. Although PBM usually refers to surgical patients, its clinical use has gradually evolved over the last few years and it now also refers to medical conditions. This review will critically analyse the current knowledge on the use of PBM programmes in surgical and non-surgical patients.