Anemia in candidates for heart surgery

Revista española de anestesiología y reanimación
G J Yanes Vidal

Abstract

Heart surgery patients have a high prevalence of anemia. Its etiology is multifactorial, and iron deficiency is one of the most common correctable causes. Anemia is an independent risk factor for postsurgical morbidity and mortality. It also predisposes patients to a greater need for transfusions, which increases the associated complications and the use of resources. The etiological diagnosis of anemia is no different from that of other surgical procedures, but the time available for correcting it before surgery is shorter. Studies have been conducted on therapeutic regimens with iron deficiency replenishment with total dose and erythropoiesis-stimulating agents, which enable the rapid correction of anemia and reduce transfusion requirements. There is considerable variability in terms of dosage, adverse effects, administration time and routes, drug combinations and results. New studies are needed to investigate the most ideal regimens for correcting anemia in these patients.

References

Jan 22, 1998·The Annals of Thoracic Surgery·M N D'AmbraR I Abels
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Jan 4, 2008·Circulation·Keyvan KarkoutiUNKNOWN Reducing Bleeding in Cardiac Surgery (RBC) Investigators
Jul 14, 2010·Journal of Psychosomatic Research·Jakub KazmierskiUNKNOWN IPDACS Study
Jan 18, 2012·Archives of Surgery·Victor A FerrarisJoseph B Zwischenberger
Jun 21, 2012·The Journal of Thoracic and Cardiovascular Surgery·Gabriel LoorEugene H Blackstone
Feb 19, 2013·Revista española de anestesiología y reanimación·S R Leal-NovalA Puppo
Mar 20, 2013·Medicina intensiva·S R Leal-NovalUNKNOWN Sociedades Españolas de Anestesiología y Reanimación (SEDAR), Hematología y Hemoterapia (SEHH), Farmacia Hospitalaria (SEFH)
Sep 17, 2014·Anesthesiology·Alain DardashtiHenrik Bjursten

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