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Patient Blood Management

Patient Blood Management is designed to ensure you have enough red blood cells to lessen the chance of needing a blood transfusion. This is done by focusing on three areas:

  1. Boosting your personal blood supply (through the use of medication and supplements)
  2. Minimizing blood loss during surgery
  3. Creating an environment that allows your body to tolerate lower levels of blood

Patient Blood Management Coordinator

Your PBM Coordinator is a Registered Nurse who will support you if you have any questions about boosting your blood supply by using oral or IV iron, dietary sources of iron, or for financial support in accessing your medications. They will also help you to understand your bloodwork and will work with your doctors as well as a hematologist.

Amanda Sellers
416-586-4800 ext. 2627
[email protected]


Before an appointment can be booked, any new patient will require a referral from a physician. Please have your physician email completed referrals to Amanda Sellers.

Risks and Benefits

  • Allergic reactions: Mild allergic reactions, such as hives or itchiness are common — about one in 300. These reactions are easily treated. Severe allergic reactions are extremely rare.
  • Fever reactions: There is a one in 100 chance of having a fever following a blood transfusion. This is fairly common in patients who have been previously transfused or are pregnant. The reaction is generally not severe and is easily treated. Patients who have had severe fever reactions with transfusions may be treated for this prior to the transfusion. You should tell your doctor if you have had a severe fever with transfusions in the past.
  • Hemolytic reactions: In very rare cases, the patient's blood destroys the donor red blood cells. This is called hemolysis. The chance of an acute hemolytic reaction is one in 25,000. This can be severe and may result in bleeding and in kidney failure. However, complications can usually be prevented by medical treatment.
  • Transmissible infections: The risk of chronic infection, injury or death from transfusion trasmitted infections is very small but the risk cannot be completely removed by available testing. All volunteer donor blood is screed for infectious diseases. In addition, the donors have undergone a screening process to become eligible to donate. Donated blood is tested for haptitis, HIV or the AIDS virus, and other infectious agents. Only blood that tests negative for infectious agents is allowed to be used.

When your body has lost so many red blood cells that your body is not getting enough oxygen, you run the risk of damaging vital organs such as the brain or heart. Transfusion may be necessary to prevent such damage, which can cause serious injury, permanent handicap or death.Your physician/surgeon or anaesthetist will recommend when transfusion is needed based on your individual case.


Diet and Iron

Iron is needed to produce new red blood cells, which can help with bleeding during surgery and recovery after surgery.



Erythropoietin helps with the production of red blood cells and could help reduce the need for blood transfusion during surgery.


Tranexamic acid

Tranexamic Acid (TXA) is a medication used to help with clotting and can help in the treatment of bleeding.