Patient blood management program: individualized approach and strategies for optimization based on three pillars

Implementing the patient blood management (PBM) program is a new concept in our country.It is responsible for optimizing the use of blood components, minimizing their administration, and replacing them with other agents, such as thrombopoietin receptor analogs.However, the main objective is to improve the patient's outcome.The PBM addresses three main pillars, the first includes the comprehensive evaluation of the patient, a situation that involves the anesthesiologist and physicians related to the program.The second pillar is to reduce blood loss through minimally invasive methods, antifibrinolytics, and blood recovery systems.The third is based on the patient's tolerance to anemia, increasing oxemia, and maintaining operative volemia.The relevance of these initiatives in Mexico is to improve the management of blood resources, causing a considerable impact on public health and its sustainability.