International consensus statement on the peri-operative management of anaemia and iron deficiency.
Manuel Muñoz,Austin G. Acheson,M Auerbach,Martin Besser,O Habler,Henrik Kehlet,Giancarlo M. Liumbruno,Sigismond Lasocki,Patrick Meybohm,R. Rao Baikady,Toby Richards,Aryeh Shander,C. So‐Osman,Donat R. Spahn,Andrea Klein +14 more
TLDR
A diagnostic approach for anaemia and iron deficiency in surgical patients; identification of patients appropriate for treatment; and advice on practical management and follow‐up are developed.Abstract:
Despite current recommendations on the management of pre-operative anaemia, there is no pragmatic guidance for the diagnosis and management of anaemia and iron deficiency in surgical patients. A number of experienced researchers and clinicians took part in an expert workshop and developed the following consensus statement. After presentation of our own research data and local policies and procedures, appropriate relevant literature was reviewed and discussed. We developed a series of best-practice and evidence-based statements to advise on patient care with respect to anaemia and iron deficiency in the peri-operative period. These statements include: a diagnostic approach for anaemia and iron deficiency in surgical patients; identification of patients appropriate for treatment; and advice on practical management and follow-up. We urge anaesthetists and peri-operative physicians to embrace these recommendations, and hospital administrators to enable implementation of these concepts by allocating adequate resources.read more
Citations
More filters
Journal ArticleDOI
Guidelines for Perioperative Care in Cardiac Surgery: Enhanced Recovery After Surgery Society Recommendations.
Daniel T. Engelman,Walid Ben Ali,Judson B. Williams,Louis P. Perrault,V. Seenu Reddy,Rakesh C. Arora,Eric E. Roselli,Ali Khoynezhad,Marc W. Gerdisch,Jerrold H. Levy,Kevin W. Lobdell,N. Fletcher,Matthias Kirsch,Gregg Nelson,Richard M. Engelman,Alexander J. Gregory,Edward M. Boyle +16 more
TL;DR: In this paper, the authors present consensus recommendations for the optimal perioperative management of patients undergoing cardiac surgery based on a review of meta-analyses, randomized clinical trials, large nonrandomized studies, and reviews.
Journal ArticleDOI
Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS ®) Society recommendations
Thomas Wainwright,Mike Gill,David A. McDonald,Robert Middleton,Robert Middleton,Mike R. Reed,Opinder Sahota,Piers Yates,Olle Ljungqvist +8 more
TL;DR: There is insufficient evidence to recommend that one surgical technique (type of approach, use of a minimally invasive technique, prosthesis choice, or use of computer-assisted surgery) over another will independently effect achievement of discharge criteria.
Journal ArticleDOI
Iron deficiency across chronic inflammatory conditions: International expert opinion on definition, diagnosis, and management
Maria Domenica Cappellini,Josep Comin-Colet,Angel L.M. de Francisco,Axel Dignass,Wolfram Doehner,Carolyn S.P. Lam,Iain C. Macdougall,Gerhard Rogler,Clara Camaschella,Rezan Kadir,Nicholas J Kassebaum,Donat R. Spahn,Ali T. Taher,Khaled M. Musallam +13 more
TL;DR: Practical recommendations for iron deficiency to treating physicians are provided: definition, diagnosis, and disease‐specific diagnostic algorithms to facilitate appropriate diagnosis and treatment to improve quality of life and clinical outcomes.
Journal ArticleDOI
Effect of ultra-short-term treatment of patients with iron deficiency or anaemia undergoing cardiac surgery: a prospective randomised trial
Donat R. Spahn,Felix Schoenrath,Gabriela H. Spahn,Burkhardt Seifert,Philipp Stein,Oliver M. Theusinger,Alexander Kaserer,Inga Hegemann,Axel Hofmann,Axel Hofmann,Francesco Maisano,Volkmar Falk +11 more
TL;DR: An ultra-short-term combination treatment with intravenous iron, subcutaneous erythropoietin alpha, vitamin B12, and oral folic acid reduced RBC and total allogeneic blood product transfusions in patients with preoperative anaemia or isolated iron deficiency undergoing elective cardiac surgery.
Journal ArticleDOI
Iron deficiency anaemia revisited
TL;DR: This review provides recent updates and guidance on the diagnosis and management of iron deficiency anaemia in multiple clinical settings.
References
More filters
Journal ArticleDOI
Bacterial iron homeostasis
TL;DR: The expression of the iron homeostatic machinery is subject to iron-dependent global control ensuring that iron acquisition, storage and consumption are geared to iron availability and that intracellular levels of free iron do not reach toxic levels.
Journal ArticleDOI
Ferric Carboxymaltose in Patients with Heart Failure and Iron Deficiency.
Stefan D. Anker,Josep Comin Colet,Gerasimos Filippatos,Ronnie Willenheimer,Kenneth Dickstein,Helmut Drexler,Thomas F. Lüscher,Boris Bart,Waldemar Banasiak,Joanna Niegowska,Bridget Anne Kirwan,Claudio Mori,Barbara von Eisenhart Rothe,Stuart J. Pocock,Philip A. Poole-Wilson,Piotr Ponikowski +15 more
TL;DR: Treatment with intravenous ferric carboxymaltose in patients with chronic heart failure and iron deficiency, with or without anemia, improves symptoms, functional capacity, and quality of life; the side-effect profile is acceptable.
Journal ArticleDOI
Red Blood Cell Transfusion: A Clinical Practice Guideline From the AABB*
Jeffrey L. Carson,Brenda J. Grossman,Steven Kleinman,Alan Tinmouth,Marisa B. Marques,Mark K. Fung,John B. Holcomb,Orieji Illoh,Lewis J. Kaplan,Louis M. Katz,Sunil V. Rao,John D. Roback,Aryeh Shander,Robert Weinstein,Lisa Grace,Swinton McLaughlin,Benjamin Djulbegovic +16 more
TL;DR: The AABB developed this guideline to provide clinical recommendations about hemoglobin concentration thresholds and other clinical variables that trigger RBC transfusions in hemodynamically stable adults and children.
Journal ArticleDOI
Iron-deficiency anemia.
TL;DR: A review of the global nature of the disease, iron homeostasis in normal and iron-deficient states, clinical findings, treatment, and causes of iron-resistant iron deficiency is given in this article.
Journal ArticleDOI
Effect of anaemia and cardiovascular disease on surgical mortality and morbidity
Jeffrey L. Carson,Amy Duff,Roy M. Poses,Jesse A. Berlin,Richard K. Spence,Richard Trout,Helaine Noveck,Brian L. Strom +7 more
TL;DR: A low preoperative haemoglobin or a substantial operative blood loss increases the risk of death or serious morbidity more in patients with cardiovascular disease than in those without.