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Rev Esp Anestesiol Reanim · Jun 2015
[Treatment of preoperative anemia in major orthopedic surgery].
- E Bisbe Vives.
- Servicio de Anestesiología y Reanimación, Hospital del Mar, IMIM ((Institut Hospital del Mar d'Investigacions Mèdiques), Barcelona, España. Electronic address: ebisbe@parcdesalutmar.cat.
- Rev Esp Anestesiol Reanim. 2015 Jun 1; 62 Suppl 1: 52-6.
AbstractThe prevalence of preoperative anemia in major orthopedic surgery is high and is the main predictive factor for allogeneic blood transfusion. The scheduling of a preoperative visit with sufficient notice (at least 3 weeks before surgery), with a blood count test and a basic iron metabolism study, enables us to treat the anemia and/or improve preoperative hemoglobin levels, thereby reducing the need for transfusion and the risks associated with transfusions. Intravenous iron and/or erythropoietin are treatments for optimizing preoperative anemia, with good levels of scientific evidence.Copyright © 2015 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.
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