In this episode of Let’s Talk PBM, hosts MaryAnn and Christine sit down with Francesco Viola, PhD and Bruce Spiess, MD of HemoSonics to discuss how innovative technology is transforming blood management in the operating room.You’ll learn how real-time coagulation testing is improving patient safety, reducing transfusions, and saving lives.Let's Talk PBM Websitehttps://letstalkpbm.com/0:00 – Introduction2:00 – Donor Blood Product Types Explained3:20 – Adverse Outcome Risks With Donor Blood4:30 – The Shotgun Approach5:23 – Wasted Blood Is Bad For Everybody7:00 – My Best Blood Is My Own Blood7:56 – Viscoelastic Testing: How The Blood Evolves From Liquid to Solid8:47 – Technology That Sees The Whole Picture8:52 – Not All Viscoelastic Instruments Are Created Equal10:28 – Expanding the Use of Viscoelastic Testing12:54 – Viscoelastic Instruments Relegated To The Closets15:56 – The Evolution and Expansion of Viscoelastic Testing17:24 – Bleeding is Emotional18:14 – Bruce’s Personal Mission: Ridding the world of FFP22:18 – Point of Care Coagulation Testing Performed Next To the Patient23:51 – Definition of Patient Blood Management Is Centered Around The Patient24:36 – Can Bleeding Be Predicted?26:34 – TakeawaysSong: DayFox - In The NowMusic provided by Vlog No Copyright Music.Video Link: • DayFox - In The Now (Vlog No Copyright Music) #anytimemusic8809
This conversation explores the vital role of nurses in Patient Blood Management (PBM), leadership, the challenges they face, and the importance of mentorship and education. The discussion highlights the need for standardized practices across healthcare systems and the qualities necessary for effective nursing leadership in PBM. The speakers advocate for nurses to take initiative and lead in this critical area of patient care, ultimately aiming to improve patient outcomes and trust in healthcare practices.
Let's Talk PBM Websitehttps://letstalkpbm.com/
00:00 The Role of Nurses in Patient Blood Management
01:57 Nursing Leadership in PBM Implementation
04:10 Who's Training PBM Nurses?
05:51 Canada's National Approach to PBM.
0:19 Socialized Medical Practices Mean Sharing PBM Success!
14:18 We Are Getting there!
14:40 Comparing Nursing Roles in Canada and the U.S.
14:40 Expert PBM Nurses As Consultants to Grow PBM Nursing Specialty
17:53 The Importance of Mentorship in Nursing
19:02 Building Trust and Patient Empowerment
22:27 Recognizing the Patient Blood Management Nursing Specialty as a Specialty
26:12 Characteristics of Successful Patient Blood Management Leaders
32:00 Becky's hope for the future
Ever wondered if a blood transfusion actually improves how you feel? In this episode, we dive into the world of quality-of-life research in transfusion medicine. Dr. Micah Prochaska—both a Humanities enthusiast and a leading voice in patient-centered outcomes—shares what current studies reveal, where the gaps remain, and why measuring quality of life is far more complex than it seems.Tune in for a fresh perspective on how we define “feeling better,” and why that matters for patients, clinicians, and the future of blood management.Subscribe and follow to learn more about your blood organ system—and how supporting it can transform health.Let's Talk PBM Website https://letstalkpbm.com/JAMA - Transfusion Strategy Effect on Quality of Life in Patients with Myocardial Infarction and Anemiahttps://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2834876NCBI.NLM - Transfusion Strategy Effect on Quality of Life in Patients with Myocardial Infarction and Anemiahttps://pubmed.ncbi.nlm.nih.gov/40459491/0:16 – Introduction: Micah Prochaska, Health Outcomes Researcher1:07 – Transfusion Education in Medical Training Is Lacking3:20 – Who Should Treat Anemia6:18 – Transfusion Effect on Quality of Life10:51 – Surprising Findings in Quality of Life Research11:34 – How Does One Define Quality of Life?19:05 – Geographic Regions and Culture Affect Perception of Quality of Life25:14 – What Doctors say vs What Doctors Do26:48 – Patients Must Be Their Own Advocates29:02 – Conclusions and TakeawaysSong: DayFox - In The NowMusic provided by Vlog No Copyright Music.Video Link: • DayFox - In The Now (Vlog No Copyright Music) #anytimemusic8809
In this conversation, Katherine DiPalo, Pharm.D. discusses the vital role of pharmacists in healthcare, particularly in managing heart failure and iron deficiency. She explains the differences between pharmacists and medical doctors, the challenges faced by patients with heart failure, and the importance of team-based care in improving patient outcomes. The discussion highlights the need for recognition of pharmacists as healthcare providers and the impact of iron deficiency on heart health. SABM – Iron Corner: https://www.sabm.org/welcome0:00 – Introducing Dr. Katherine DiPalo0:28 – Understanding the Role of Pharmacists8:45 – Heart Failure Explained12:10 – Symptoms of Heart Failure | Symptoms of Iron Deficiency13:28 – Iron Deficiency and Heart Health15:11 – Oral Iron vs. IV Iron24:47 – SABM – Iron Corner25:55 – The Importance of Team-Based Care
In this conversation, MaryAnn, Sarah, and Dr. Ajay Gandhi discuss the critical aspects of Patient Blood Management (PBM), focusing on its barriers, the role of policymakers, and the importance of public awareness. Dr. Gandhi emphasizes the need for patient involvement in driving Patient Blood Management in healthcare. The discussion also touches on misconceptions surrounding blood management and the ethical considerations of blood donation practices.
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In this conversation, Dr. Ryan Metcalf discusses the newly published 2025 AABB and ICTMG clinical practice guidelines for platelet transfusion. He explains the role of platelets in the body, the need for updated guidelines, and the collaborative effort behind the recommendations. The conversation covers significant changes in the guidelines, the importance of implementation, and the risks associated with unnecessary transfusions. Dr. Metcalf emphasizes the need for patient empowerment in discussions about transfusions and the overall goal of improving patient outcomes while minimizing risks.
Takeaways
Platelets are crucial for hemostasis and vascular integrity.
The new guidelines were developed collaboratively by AABB and ICTMG.
There are 11 total recommendations in the updated guidelines.
The guidelines emphasize a restrictive transfusion strategy.
Implementation of guidelines is as important as their creation.
Transfusions carry risks, including adverse events.
Patient empowerment is key in transfusion discussions.
The guidelines aim to improve patient outcomes and minimize harm.
Diverse expert input was included in the development of the guideline.
The process of creating the guidelines took two years.Follow Us:
This conversation explores the evolution and current practices in Patient Blood Management (PBM), highlighting the journey of Dr. Pierre Tibi in the field. The discussion covers the importance of education, advancements in surgical techniques, and the role of various tools such as viscoelastic testing and topical hemostatic agents. The speakers emphasize the need for a shift in perspective regarding blood transfusions and the significance of early intervention in managing bleeding patients.
Takeaways
Networking with colleagues in PBM is invaluable.
Dr. Tibi's journey into PBM began with a unique patient case.
The understanding of blood management has evolved significantly over the years.
Surgeons are increasingly aware of the risks associated with blood transfusions.
Education is crucial for both medical professionals and patients.
Viscoelastic testing provides real-time insights into coagulation status.
Topical hemostatic agents play a vital role in controlling bleeding.
Cell salvage techniques are essential in modern surgeries.
Early intervention is key to improving outcomes for bleeding patients.
Patient blood management practices are becoming standardized across institutions.
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In this conversation, Lorena Costa Correa, a hematologist from Brazil, shares her insights on blood health, the role of hematologists, and the impact of cancer treatments on blood production. She emphasizes the importance of understanding blood dynamics, the necessity of patient blood management, and her journey through cancer treatment. The discussion also covers the significance of iron and nutritional deficiencies, the controversies surrounding erythropoietin use, and the implications of transfusion practices on patient outcomes.
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In this engaging conversation, Dr. Gustaaf de Ridder discusses the significance of understanding blood types, particularly the ABO and RHD systems, and their implications for transfusion practices. The discussion highlights the importance of O negative blood as a universal donor type, ethical considerations in blood transfusion, and the need for effective patient blood management to ensure optimal outcomes and resource allocation. The conversation emphasizes the need for public awareness regarding blood types and the risks associated with mismatched transfusions while advocating for responsible stewardship of blood resources.
Listen to Dr. deRidders' previous episode on the importance of informed consent! https://open.spotify.com/episode/34Xz7ZLQrtY8d7s2id9WcO?si=50fAxWGHRciFBC2sCC5K8g
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In this conversation, Erika Tyburski shares her personal journey with anemia, detailing her experiences from childhood through pregnancy and how these experiences motivated her to pursue a career in medicine and biomedical engineering. She discusses the challenges of managing anemia, particularly during significant life changes, and how these challenges inspired her to develop innovative solutions for anemia management through her company, Sanguina. The conversation highlights the importance of understanding anemia, the need for accessible health technology, and the future of blood health monitoring
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More than 2 billion people are suffering from anemia, find out more about World Anemia Awareness here: https://worldanemiaawareness.com
In this conversation with Dr. Bernd Froessler from Lyell McEwin Hospital in southern Australia, Sarah & MaryAnn have the opportunity to speak with a true trailblazer in Patient Blood Management! Discover how Dr. Froessler’s journey from Germany to Australia shaped his passion for redefining blood management practices. This episode highlights the evolution of PBM protocols in obstetrics to groundbreaking advancements in cell salvage techniques. Hear his compelling insights on the pivotal role of primary care physicians in optimizing blood health and why empowering patients to take charge of their health is important. Dr. Froessler also shares actionable strategies for educating both medical professionals and patients to drive better outcomes.
Whether you’re a healthcare professional, patient advocate, or just curious about how PBM is transforming modern medicine, this episode will leave you informed and inspired!
Read the research and work of Bernd Froessler and Colleagues:
Iron deficiency in PREVENTTPerioperative Anemia Management as Part of PBM in Cardiac Surgery - A Narrative
Updated ReviewAnaemic parturient and the anaesthesiologist: Are we asleep at the wheel?
ANEMIA-THON
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In this episode, MaryAnn and Sarah discuss the implementation of Patient Blood Management (PBM) with Majed Refaai and Christine Cahill from the University of Rochester. They explore the journey of establishing a PBM program, the importance of education and coordination in transfusion medicine, and the role of key champions in driving success. The conversation highlights the challenges and triumphs faced in improving patient care through effective patient blood management practices. This conversation emphasizes the importance of staff training, follow-up care, and the challenges faced in data management and education. Dr. Refaai and Christine advocate for blood health education in medical training and utilizing electronic health records to enhance patient safety. They also address the care of patients who decline transfusions highlighting the successes they achieved. They leave key takeaways for both patients and healthcare providers. Don't miss this episode that illuminates how important the partnership of Physicians and Nurses is in leading best blood health outcomes for the people they serve! ANEMIA-THON https://worldanemiaawareness.com/anem... ANEMIA-THON SIGN UP FORM https://forms.gle/nUcduZQE5Gf6Mjqm6 More than 2 billion people are suffering from anemia, find out more about World Anemia Awareness here: https://worldanemiaawareness.com
In this episode, Sarah & Mary Ann celebrate the third season of their podcast during Patient Blood Management Awareness Week. They welcome Kaycie Atchison, a transfusion safety officer, who shares her journey from being a blood bank laboratory scientist to her current role. The conversation delves into the importance of laboratory professionals in patient care, the critical nature of quality and safety in blood banking, and how appropriate transfusions can significantly impact patient outcomes. Kaycie emphasizes the need for collaboration between clinical staff and lab professionals to enhance patient blood management and improve healthcare quality.
Dr. Rounak Dubey, doctor and researcher, discusses the use of AI in healthcare, specifically in patient blood management and transfusion. He shares his journey of becoming involved in patient blood management and highlights the role of AI in improving clinical decision-making. Dr. Dubey emphasizes that AI is a tool that can provide clinicians with additional options and support, rather than replacing human expertise. He also addresses AI fears and underscores the need for cautious optimism. Dr. Dubey shares examples of how AI has helped him in clinical assessments and decision-making. He discusses the implementation of AI in healthcare and the importance of maintaining a clinician's oversight. Dr. Dubey encourages an open-minded approach to AI.
Articles:
Patient Blood Management and its Role in Supporting Blood Supply