Patient Blood Management is: the evidence-based medical and surgical, multi professional, multidisciplinary approach, aimed at prevention and management of anemia, optimization of hemostasis, and institution of protocol-based decisions for the administration of blood and blood component therapies.
Patient anemia management and blood utilization have been proven, through numerous studies and data, to lead to better patient outcomes and a decrease in morbidity and mortality. This correlates with decreased lengths of stay (LOS), and reductions in the strain on limited resources - translating to significant cost savings. Top tier healthcare organizations across the U.S and internationally have turned to their medical leaders to engage processes designed to impact these quality initiatives. While many of our physicians are involved at various levels with blood management initiatives, two of our experts in the field, Ravi Bissessar, M.D. (Chairman) and Moeed Azam M.D., serve as executive leaders on the Patient Blood Management Committee.
In their roles they have worked toward the creation of an perioperative anemia management service (Anemia Clinics, Preoperative testing and consultation, Anemia Consults). In addition, they have helped to align leaders from physicians across numerous specialties, nursing, pharmacy, blood bank, lab, and hospital administration from eight Central Florida hospitals in the Florida Hospital system in this endeavor. By using evidence based education, best practice guidelines from across the nation, and transfusion algorithms, they have embarked on a large scale program to promote best practices on patient blood management.
Ravi Bissessar, MD
Chief of Cardiothoracic and Vascular Division, Director of Cardiothoracic Transplant and Director of Liver Transplant
Dr. Bissessar has transplant anesthesiology expertise in the perioperative management of liver, kidney, pancreas, heart and lung transplantation. This includes complex cardiac cases, adult and pediatric congenital anomalies, minimally invasive and robotic surgeries, cardiac transplant, and management of ventricular assist devices. In addition to his current position, he has served on JLR’s board of directors as well as numerous other clinical and operations committees. Dr. Bissessar completed his fellowship in Cardiothoracic and Critical Care at Duke University Medical College in Durham, North Carolina, as well as a board certification in echocardiography. Prior to that, he received Diplomate in Anesthesiology from the University of North Carolina, Chapel Hill, where he was Chief Resident. He earned his medical degree, and his bachelor of science degree in biochemistry and molecular science from the University of Florida in Gainesville.
Moeed Azam, MD
Director of Liver Transplant Anesthesiology
Dr. Azam joined JLR after completing his anesthesiology residency training at The Johns Hopkins Hospital and a medical internship at University of Miami's Jackson Memorial Hospital. He has served as the Director for Liver Transplant Anesthesiology since the program’s inception at Florida Hospital and has been integral in producing outcomes that surpass national averages. These results were achieved through close collaboration in many areas, including operating room logistics, peer review and transplant patient selection committees, and transplant department governance. Experience in these complex procedures has produced niche expertise in perioperative bleeding management. Dr. Azam also serves as the Chief of Anesthesiology for Physicians‘ Surgical Care Center with specialized skill in regional anesthesia procedures for ambulatory surgical patients of the Jewett Orthopaedic Clinic.