{"title":"Perioperative management of anaemia","authors":"Richard Harris, Erin Prentice","doi":"10.1016/j.mpmed.2024.10.003","DOIUrl":null,"url":null,"abstract":"<div><div>Anaemia continues to present a challenge in the perioperative period, particularly in older people, as its prevalence is higher than that in the general population. Most commonly, perioperative anaemia is secondary to iron deficiency, where timely identification and a clear treatment plan with oral or intravenous replacement before surgery is required. Additional strategies to prevent anaemia intraoperatively and postoperatively should also be implemented, including ways to minimize blood loss and established pathways for additional unplanned blood loss. Failure to prevent and treat such anaemia can not only lead to an increased length of stay and costs, but also increased morbidity and mortality. With this in mind, recent publications from the UK National Institute for Health and Care Excellence and Centre for Perioperative Care have set out standards and approaches to anaemia in perioperative settings.</div></div>","PeriodicalId":74157,"journal":{"name":"Medicine (Abingdon, England : UK ed.)","volume":"53 1","pages":"Pages 34-38"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medicine (Abingdon, England : UK ed.)","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1357303924002494","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Anaemia continues to present a challenge in the perioperative period, particularly in older people, as its prevalence is higher than that in the general population. Most commonly, perioperative anaemia is secondary to iron deficiency, where timely identification and a clear treatment plan with oral or intravenous replacement before surgery is required. Additional strategies to prevent anaemia intraoperatively and postoperatively should also be implemented, including ways to minimize blood loss and established pathways for additional unplanned blood loss. Failure to prevent and treat such anaemia can not only lead to an increased length of stay and costs, but also increased morbidity and mortality. With this in mind, recent publications from the UK National Institute for Health and Care Excellence and Centre for Perioperative Care have set out standards and approaches to anaemia in perioperative settings.