Anesthesia for Patients with Anemia

Aryeh Shander; Gregg P Lobel; Mazyar Javidroozi

doi:10.1016/j.anclin.2016.06.007

Anesthesia for Patients with Anemia

Anesthesiol Clin. 2016 Dec;34(4):711-730. doi: 10.1016/j.anclin.2016.06.007.

Authors

Aryeh Shander¹, Gregg P Lobel², Mazyar Javidroozi²

Affiliations

¹ Department of Anesthesiology and Critical Care Medicine, Englewood Hospital and Medical Center, TeamHealth Research Institute, 350 Engle Street, Englewood, NJ 07631, USA. Electronic address: aryeh.shander@ehmchealth.org.
² Department of Anesthesiology and Critical Care Medicine, Englewood Hospital and Medical Center, TeamHealth Research Institute, 350 Engle Street, Englewood, NJ 07631, USA.

PMID: 27816130
DOI: 10.1016/j.anclin.2016.06.007

Abstract

Anemia is a common and often ignored condition in surgical patients. Anemia is usually multifactorial and iron deficiency and inflammation are commonly involved. An exacerbating factor in surgical patients is iatrogenic blood loss. Anemia has been repeatedly shown to be an independent predictor of worse outcomes. Patient blood management (PBM) provides a multimodality framework for prevention and management of anemia and related risk factors. The key strategies in PBM include support of hematopoiesis and improving hemoglobin level, optimizing coagulation and hemostasis, use of interdisciplinary blood conservation modalities, and patient-centered decision making throughout the course of care.

Keywords: Anemia; Iron; Patient blood management; Surgery; Transfusion.

Publication types

Review

MeSH terms

Anemia / complications*
Anemia / therapy
Anemia, Iron-Deficiency / complications
Anesthesia / methods*
Blood Transfusion
Hematinics / therapeutic use
Humans
Perioperative Care

Substances

Hematinics