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Anesthesia and analgesia · Nov 2005
The prevalence and significance of low preoperative hemoglobin in ASA 1 or 2 outpatient surgery candidates.
- Ronald P Olson, Alan Stone, and David Lubarsky.
- Department of Anesthesiology, Duke University Medical Center, Box 3094, Durham, NC 277l0, USA. olson012@mc.duke.edu
- Anesth. Analg. 2005 Nov 1;101(5):1337-40.
AbstractAsymptomatic anemia in healthy patients undergoing low risk surgery is rare. In this retrospective study, we examined the records of 9584 ASA class I-II patients scheduled for elective low risk surgery who had a preoperative hemoglobin (hgb) test for the presence of anemia. Hgb <9 g/dL was detected in 75 patients (0.8%). Perioperative management of anemia occurred in no cases of elective surgery in this group. Transfusion of red cells occurred in four other patients, all of whom had hgb >9 g/dL. In all cases, management decisions were based on clinical factors rather than the preoperative hemoglobin test. In healthy patients undergoing low risk elective surgery, routine preoperative hgb testing is not indicated.
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