Perioperative Patient Blood Management Programme. Multidisciplinary recommendations from the .

Patients with untreated anaemia or iron deficiency who undergo surgical procedures have an increased risk for mortality and morbidity. Patient Blood Management programmes address this issue worldwide and try to improve patient outcomes through a complex set of measures targeting anaemia correction, minimisation of bleeding and improvement of anaemia tolerance, in all phases of perioperative care. The Patient Blood Management Initiative Group is a multidisciplinary team of physicians from specialties including anaesthesiology, nephrology, surgery, orthopaedics, haematology, gastroenterology and transfusion medicine.

[Clinical and therapeutic aspects in perforated gastroduodenal ulcer].

A total of 591 cases were studied, with perforated gastroduodenal ulcerations, who underwent surgery in the Emergency Clinic of Bucharest in 1978-1979. Of the 591 patients 528 had duodenal perforations, 58 had gastric perforated ulcers, 4 had perforated duodenal ulcers and gastric ulcers penetrating in the pancreas, and one patient had a peptic perforated ulcer. Several factors are studied in this paper, including: age, the interval from the onset of the symptoms to hospitalization, the duration of preoperative preparations, the anatomo-clinical forms of the perforated gastro-duodenal ulcers, the type of surgical treatment, the evolution and the complications after surgery.