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Current Anesthesiology Reports

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08.04.2020 | Blood Management (KA Tanaka, Section Editor)

Preoperative Anemia Management: What’s New in 2020?

verfasst von: Daniel A. Rubinger, Christine Cahill, Andy Ngo, Marjorie Gloff, Majed A. Refaai

Erschienen in: Current Anesthesiology Reports | Ausgabe 2/2020

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Abstract

Purpose of Review

The purpose of this article is to review the relevant evidence regarding the clinical impact of preoperative anemia, current methods of identifying anemia in the surgical population, and the current and upcoming evidence for the treatment modalities targeting preoperative anemia.

Recent Findings

Preoperative anemia continues to be identified as a contributor to poor outcomes in the surgical population. Identifying anemia typically starts with hemoglobin and mean corpuscular volume. Recent laboratories have also started using iron studies with serum ferritin and transferrin saturation. Oral and IV iron have demonstrated efficacy in treating preoperative anemia in terms of increasing hemoglobin preoperatively and reducing allogeneic blood transfusions. However, few studies have demonstrated an impact on patient outcomes, morbidity, and mortality. Additionally, several meta-analyses have demonstrated the benefit of adding erythropoietin-stimulating agents to improve anemia.

Summary

Preoperative anemia is very common and is thought to be a contributor to poor outcomes. IV iron is currently recommended by several guidelines as the primary treatment modality for preoperative anemia. Two ongoing studies hope to provide clarity on the effect of IV iron on patient outcomes including morbidity and mortality in cardiac and non-cardiac surgical populations.

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Titel: Preoperative Anemia Management: What’s New in 2020?
verfasst von: Daniel A. Rubinger
Christine Cahill
Andy Ngo
Marjorie Gloff
Majed A. Refaai
Publikationsdatum: 08.04.2020
Verlag: Springer US
Erschienen in: Current Anesthesiology Reports / Ausgabe 2/2020
Elektronische ISSN: 2167-6275
DOI: https://doi.org/10.1007/s40140-020-00385-7

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Recent Findings

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