• Aryeh Shander, Howard L Corwin, Jens Meier, Michael Auerbach, Elvira Bisbe, Jeanna Blitz, Jochen Erhard, David Faraoni, Shannon L Farmer, Steven M Frank, Domenico Girelli, Tiffany Hall, Jean-François Hardy, Axel Hofmann, Cheuk-Kwong Lee, Tsin W Leung, Sherri Ozawa, Jameela Sathar, Donat R Spahn, Rosalio Torres, Matthew A Warner, and Manuel Muñoz.
• Department of Anesthesiology, Critical Care Medicine, Hyperbaric Medicine and Pain Management, Englewood Hospital and Medical Center, Englewood, NJ.
• Ann. Surg. 2023 Apr 1; 277 (4): 581590581-590.

BackgroundPerioperative anemia has been associated with increased risk of red blood cell transfusion and increased morbidity and mortality after surgery. The optimal approach to the diagnosis and management of perioperative anemia is not fully established.ObjectiveTo develop consensus recommendations for anemia management in surgical patients.MethodsAn international expert panel reviewed the current evidence and developed recommendations using modified RAND Delphi methodology.ResultsThe panel recommends that all patients except those undergoing minor procedures be screened for anemia before surgery. Appropriate therapy for anemia should be guided by an accurate diagnosis of the etiology. The need to proceed with surgery in some patients with anemia is expected to persist. However, early identification and effective treatment of anemia has the potential to reduce the risks associated with surgery and improve clinical outcomes. As with preoperative anemia, postoperative anemia should be treated in the perioperative period.ConclusionsEarly identification and effective treatment of anemia has the potential to improve clinical outcomes in surgical patients.Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc.

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