International consensus statement on the peri‐operative management of anaemia and iron deficiency

Anaesthesia - Tập 72 Số 2 - Trang 233-247 - 2017
Manuel Múñoz1, Austin G. Acheson2, Michael Auerbach3, Martin Besser4, O. Häbler5, Henrik Kehlet6, Giancarlo Maria Liumbruno7, Sigismond Lasocki8, Patrick Meybohm9, R. Rao Baikady10, Toby Richards11, Aryeh Shander12, Cynthia So‐Osman13, Donat R. Spahn14, Anders B. Klein15
1Peri‐operative Transfusion Medicine School of Medicine University of Málaga Málaga Spain
2Department of Colorectal Surgery, Nottingham Digestive Diseases Centre, National Institute for Health Research Biomedical Research Unit, Nottingham University Hospitals, Nottingham, UK
3School of Medicine, Georgetown University, Washington, District of Columbia, USA
4Department of Haematology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
5Clinic of Anaesthesiology, Surgical Intensive Care Medicine and Pain Management, Krankenhaus Nordwest, Frankfurt, Germany
6Section of Surgical Pathophysiology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
7Italian National Blood Centre, National Institute of Health, Rome, Italy
8Département Anesthésie Réanimation CHU Angers LUNAM Université d'Angers Angers France
9Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Frankfurt, Germany
10Department of Anaesthesia, The Royal Marsden NHS Foundation Trust, London, UK
11Division of Surgery and Interventional Science, University College London, London, UK
12Anaesthesiology, Critical Care and Hyperbaric Medicine, Englewood Hospital and Medical Centre TeamHealth Research Institute, Englewood, New Jersey, USA
13Department of Transfusion Medicine, Sanquin Blood Bank Amsterdam, and Department of Internal Medicine, Groene Hart Hospital, Gouda, The Netherlands
14Institute of Anaesthesiology, Intensive Care Medicine and Operating Room Management, University Hospital of Zurich, Zurich, Switzerland
15Department of Anaesthesia and Intensive Care, Papworth Hospital, Cambridge, UK

Tóm tắt

Summary

Despite current recommendations on the management of pre‐operative anaemia, there is no pragmatic guidance for the diagnosis and management of anaemia and iron deficiency in surgical patients. A number of experienced researchers and clinicians took part in an expert workshop and developed the following consensus statement. After presentation of our own research data and local policies and procedures, appropriate relevant literature was reviewed and discussed. We developed a series of best‐practice and evidence‐based statements to advise on patient care with respect to anaemia and iron deficiency in the peri‐operative period. These statements include: a diagnostic approach for anaemia and iron deficiency in surgical patients; identification of patients appropriate for treatment; and advice on practical management and follow‐up. We urge anaesthetists and peri‐operative physicians to embrace these recommendations, and hospital administrators to enable implementation of these concepts by allocating adequate resources.

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Anaesthesia

Tập 72 Số 2

233-247

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