Perioperative management of anaemia

Richard Harris, Erin Prentice
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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.
贫血的围手术期处理
贫血在围手术期仍然是一个挑战,特别是在老年人中,因为其患病率高于一般人群。最常见的是,围手术期贫血继发于缺铁,需要在手术前及时发现并制定明确的口服或静脉替代治疗计划。还应实施预防术中和术后贫血的其他策略,包括尽量减少失血的方法和建立额外意外失血的途径。如果不能预防和治疗这种贫血,不仅会导致住院时间延长和费用增加,而且还会增加发病率和死亡率。考虑到这一点,英国国家健康与护理卓越研究所和围手术期护理中心最近的出版物制定了围手术期贫血的标准和方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
1.10
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