Patient Blood Management started as early as the late 1960s and gradually evolved through the years. The initial reason in avoiding and decreasing blood use was the prevalence of blood-borne diseases especially Hepatitis. At the time, appropriate blood testing was not available and blood was bought commercially (all volunteer donor came later).
Cardiac operations were performed using a lot of blood because the early heart lung machines required large prime volumes. Improvement in surgical techniques and advances in technology allowed operations to be done with fewer blood transfusions. Dr. Denton Cooley pioneered cardiac surgery without the use of blood.
- “Bloodless Medicine & Surgery” started to be practiced in the 1970s and 1980s. The need of patients who absolutely will not accept blood transfusion (Jehovah’s Witnesses) pushed the envelope in this growing specialty.
- In fact, the first pioneer’s award of the Society for the Advancement of Blood Management (SABM) in 2001 was the Watchtower Hospital Information Service.
- “Transfusion Free Surgery” was introduced in 1996 by Dr. Estioko as a more appropriate terminology (instead of “bloodless”). Patient Blood Management gradually gained popularity with more evidence of its benefits of better patient outcomes documented in the medical literature.
- SABM which started in 2000 (Dr. Estioko was one of the founders) has exerted significant influence in education and promoting PBM along with the Medical Society for Blood management (MSBM), both international organizations.
- Today PBM, is becoming widely accepted in the US and globally. Western Australia is the first to adopt a state-wide PBM program in 2009.