Treatment of preoperative anemia in major orthopedic surgery

Revista española de anestesiología y reanimación
E Bisbe Vives

Abstract

The prevalence of preoperative anemia in major orthopedic surgery is high and is the main predictive factor for allogeneic blood transfusion. The scheduling of a preoperative visit with sufficient notice (at least 3 weeks before surgery), with a blood count test and a basic iron metabolism study, enables us to treat the anemia and/or improve preoperative hemoglobin levels, thereby reducing the need for transfusion and the risks associated with transfusions. Intravenous iron and/or erythropoietin are treatments for optimizing preoperative anemia, with good levels of scientific evidence.

References

Mar 31, 2004·The American Journal of Medicine·Aryeh ShanderRichard Spence
Sep 28, 2004·The Journal of Bone and Joint Surgery. British Volume·J Aderinto, I J Brenkel
Jul 29, 2010·Transfusion·M Alba BoschUNKNOWN Catalonian Blood Transfusion Epidemiology Study Group
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)

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