Patient Blood Management Guidelines
The National Blood Authority (NBA) has funded and managed the development of a series of evidence-based Patient Blood Management (PBM) Guidelines, comprising six modules. The PBM Guidelines reflect a systematic review of the scientific literature and clinical expert consensus.
The NBA has commenced a review of the PBM Guidelines. The review is being undertaken across the suite of modules. The original modules remain available to guide practice.
Patient Blood Management Guidelines: Module 1 Critical Bleeding/Massive Transfusion
Module 1 is intended to assist and guide health-care professionals in making clinical decisions when managing patients with critical bleeding who require or are likely to require massive transfusion.
Module 1 includes a Massive Transfusion Protocol (MTP) template that is designed to be adapted to meet local institutions’ patient population and resources.
The Critical Bleeding/Massive Transfusion module and accompanying resources can be accessed by clicking on the relevant links below.
Module 1 Critical Bleeding/Massive Transfusion (pdf) (5.33 MB)- Module 1 Critical Bleeding/Massive Transfusion Online (html)
- Quick Reference Guide Critical Bleeding/Massive Transfusion (pdf) (1.78 MB)
PBM Guidelines Massive Transfusion Protocol Template (ppt) (422 KB) – further information on the development, local adaptation, activation and cessation of a massive transfusion protocol is at chapter 4.10 of the module- Online order form to request hard copies for free (within Australia and New Zealand only)
- Technical Report Critical Bleeding/Massive Transfusion – Volume 1 (pdf) (1.88 MB) – Review of Evidence
- Technical Report Critical Bleeding/Massive Transfusion – Volume 2 (pdf) (3.24 MB) – Appendixes
Patient Blood Management Guidelines: Module 2 Perioperative
Module 2 is intended to inform health-care practitioners, health educators, health service managers and policy makers about the pre, intra and postoperative care of patients undergoing surgery or invasive procedures, particularly those in which blood loss is anticipated.
Module 2 includes an adaptable Preoperative Haemoglobin Assessment and Optimisation template. The template is for patients undergoing procedures in which substantial blood loss is anticipated such as cardiac surgery, major orthopaedic, vascular and general surgery.
The Perioperative module and accompanying resources can be accessed by clicking on the relevant links below.
- Module 2 Perioperative (pdf) (15.72 MB)
- Module 2 Perioperative Online (html)
- Quick Reference Guide Perioperative (pdf) (823.97 KB)
- Preoperative Haemoglobin Assessment and Optimisation Template (174.88 KB)
- Online order form to request hard copies for free (within Australia and New Zealand only)
- Technical Report Perioperative – Volume 1a (pdf) (3.18 MB) – Review of Evidence (questions 1,2 and 4-9)
- Technical Report Perioperative – Volume 1b (pdf) (3.11 MB) – Review of Evidence (question 3)
- Technical Report Perioperative – Volume 2a (pdf) (6.84 MB) – Appendixes (questions 1,2 and 4-9)
- Technical Report Perioperative – Volume 2b (pdf) (9 MB) – Appendixes (question 3)
Patient Blood Management Guidelines: Module 3 Medical
Module 3 is intended to assist and guide clinical decisions and coordination of health-care across the primary, secondary and tertiary care setting for patients with acute or chronic medical conditions requiring haematological intervention.
The Medical module and accompanying resources can be accessed by clicking on the relevant links below.
- Module 3 Medical (pdf) (11.75 MB)
- Module 3 Medical Online (html)
- Quick Reference Guide Medical (pdf) (7.17 MB)
- Online order form to request hard copies for free (within Australia and New Zealand only)
- Technical Report Medical – Volume 1 (pdf) (4.37 MB) – Review of Evidence
- Technical Report Medical – Volume 2 (pdf) (19.7 MB) – Appendixes
Patient Blood Management Guidelines: Module 4 Critical Care
Module 4 is intended to assist and guide health-care professionals in making clinical decisions when managing patients requiring critical care.
Module 4 Quick Reference Guide includes a Massive Transfusion Protocol (MTP) template that is designed to be adapted to meet local institutions’ patient population and resources.
The Critical Care module and accompanying resources can be accessed by clicking on the relevant links below.
- Module 4 Critical Care (pdf) (769.04 KB)
- Module 4 Critical Care Online (html)
- Quick Reference Guide Critical Care (pdf) (5.24 MB)
- Massive Transfusion Protocol Template (ppt) (569.5 KB)
- Online order form to request hard copies for free (within Australia and New Zealand only)
- Technical Report Critical Care – Volume 1 (pdf) (1.76 MB) – Review of Evidence
- Technical Report Critical Care – Volume 2 (pdf) (2.98 MB) – Appendixes
Patient Blood Management Guidelines: Module 5 Obstetrics and Maternity
Module 5 is intended to assist and guide health-care professionals in making clinical decisions when managing pregnant and postpartum women.
Module 5 introduces expert opinion points (EOPs), to complement the recommendations and practice points. EOPs were developed by the Clinical/Consumer Reference Group where relevant guidance, outside of the scope of the systematic review, was required. The module includes EOPs on anaemia, transfusion support, adapting or modifying a massive transfusion protocol, and care of patients in whom a transfusion is not an option.
The Obstetrics and Maternity module and accompanying resources can be accessed by clicking on the relevant links below.
- Module 5 Obstetrics and Maternity (pdf) (1.15 MB)
- Module 5 Obstetrics and Maternity Online (html)
- Quick Reference Guide Obstetrics and Maternity (pdf) (1.34 MB)
- Online order form to request hard copies for free (within Australia and New Zealand only)
- Technical Report Obstetrics and Maternity – Volume 1 (2.33 MB) – Review of Evidence
- Technical Report Obstetrics and Maternity – Volume 2 (3.53 MB) – Appendixes
Published literature based on Background Question 4 – Care of patients in whom transfusion is not an option1.
Patient Blood Management Guidelines: Module 6 Neonatal and Paediatrics
Module 6 is intended to assist and guide health-care professionals in making clinical decisions about blood management in neonatal and paediatric patients.
Module 6 includes six appendixes that provide guidance on dosing, assessment and optimisation of various products and situations in the neonatal and paediatric population. The Haemoglobin Assessment and Optimisation template (Appendix H) and the Critical Bleeding Protocol (Appendix K) are designed to be adapted to meet the needs of local institutions’ protocols, policies and procedures.
The Neonatal and Paediatrics module and accompanying resources can be accessed by clicking on the relevant links below.
- Module 6 Neonatal and Paediatrics (pdf) (3.47 MB)
- Module 6 Neonatal and Paediatrics Online (html)
- Quick Reference Guide Neonatal and Paediatrics (pdf) (1.24 MB) (522.47 KB)
- Hb assessment and optimisation template (ppx) (6.44 MB) (6.44 MB)
- Critical Bleeding Protocol template (ppx) (6.45 MB) (6.45 MB)
- Online order form to request hard copies for free (within Australia and New Zealand only)
- Technical Report Neonatal and Paediatrics – Volume 1 – Review of Evidence (pdf) (8.25 MB)
- Technical Report Neonatal and Paediatrics – Volume 2 – Appendixes (pdf) (9.95 MB)