AFJOG

African Journal of Obstetrics and Gynaecology | Volume 2 | Issue 3 | 2024 | 39 HOW TO GET STARTED WITH PBM Several toolkits and guiding documents exist to assist clinicians, healthcare management and funders with PBM implementation, and on-line PBM courses for healthcare workers are now freely available. In 2011, WHO published priorities for action for stakeholders at different levels, which can guide our attempts. A practical starting point with the perioperative patient is to revert back to the 3 pillars of PBM and apply these to the 3 phases of patient care. A practical starting point with the perioperative patient is to revert back to the 3 pillars of PBM and apply these to the 3 phases of patient care. Apatient-specific plan, with the individual’s underlying condition/s fully documented, should be developed. One size does not fit all. This patient-specific plan should then be communicated to all role-players and be continuously changed and adjusted throughout the patient’s treatment as required. Table 1.1 3 Pillars of PBM Optimise red cell mass Minimise blood loss and bleeding Harness and optimise the physiological reserve of anaemia Pre-operative Intra-operative Post-operative 3 Phases of patient care 1 1 2 2 3 3