Treatment of anemia in hip fracture surgery

Revista española de anestesiología y reanimación
E García Pascual

Abstract

Repairing hip fractures is one of the most common surgical procedures and has greater morbidity and mortality. This procedure is also a process that involves a greater need for blood products. Numerous factors influence morbidity, mortality and the use of blood products: patient age, concomitant diseases and drug treatments that change hemostasis and hemorrhaging (preoperative, intraoperative and postoperative), which are usually significant. On top of all this is the presence in a high percentage of cases of preoperative anemia, which can have one or more causes. It is therefore essential to establish an appropriate management of perioperative anemia and optimize the transfusion policy. The aim of this review is to briefly analyze the epidemiology of hip fractures as well as establish a basis for treating perioperative anemia and transfusion policies, proposing guidelines and recommendations for clinical management based on the most current studies.

References

Mar 31, 2004·The American Journal of Medicine·Aryeh ShanderRichard Spence
Aug 1, 2006·The Journal of Bone and Joint Surgery. British Volume·N B Foss, H Kehlet
Jul 14, 2009·Journal of Critical Care·Konstantinos KaterosPanayiotis J Papagelopoulos
Dec 16, 2011·The New England Journal of Medicine·Jeffrey L CarsonUNKNOWN FOCUS Investigators
Mar 20, 2013·Medicina intensiva·S R Leal-NovalUNKNOWN Sociedades Españolas de Anestesiología y Reanimación (SEDAR), Hematología y Hemoterapia (SEHH), Farmacia Hospitalaria (SEFH)
Jul 31, 2013·Revista española de anestesiología y reanimación·F ReguantJ Bosch

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