An international consensus statement on the management of postoperative anaemia after major surgical procedures.

Abstract:

:Despite numerous guidelines on the management of anaemia in surgical patients, there is no pragmatic guidance for the diagnosis and management of anaemia and iron deficiency in the postoperative period. A number of experienced researchers and clinicians took part in a two-day 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 postoperative period. These statements include: a diagnostic approach to iron deficiency and anaemia in surgical patients; identification of patients appropriate for treatment; and advice on practical management and follow-up that is easy to implement. Available data allow the fulfilment of the requirements of Pillar 1 of Patient Blood Management. We urge national and international research funding bodies to take note of these recommendations, particularly in terms of funding large-scale prospective, randomised clinical trials that can most effectively address the important clinical questions and this clearly unmet medical need.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Muñoz M,Acheson AG,Bisbe E,Butcher A,Gómez-Ramírez S,Khalafallah AA,Kehlet H,Kietaibl S,Liumbruno GM,Meybohm P,Rao Baikady R,Shander A,So-Osman C,Spahn DR,Klein AA

doi

10.1111/anae.14358

subject

Has Abstract

pub_date

2018-11-01 00:00:00

pages

1418-1431

issue

11

eissn

0003-2409

issn

1365-2044

journal_volume

73

pub_type

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