Perioperative anemia and its implications

Author:

Catarci Marco1,Borghi Felice2,Ficari Ferdinando3,Scatizzi Marco4

Affiliation:

1. General Surgery Unit, Sandro Pertini Hospital - ASL Roma 2, Rome, Italy

2. Department of Surgery, Oncologic Surgery Unit, Piemonte Oncologic Foundation (FPO) IRCCS, Candiolo (TO), Italy

3. Gastrointestinal Surgery – IBD Unit, Department of Clinical and Experimental Medicine, University of Florence, Florence, Italy

4. General Surgery Unit, Santa Maria Annunziata and Serristori Hospital, Florence, Italy.

Abstract

Preoperative anemia is very common and is related to adverse clinical outcomes, including mortality. The immediate and most widely used treatment for postoperative anemia is blood transfusion. However, also blood transfusion carries some risks. Patient blood management (PBM) is defined as the timely application of evidence-based medical and surgical concepts designed to maintain a patient’s hemoglobin concentration, optimize hemostasis, and minimize blood loss in an effort to improve the outcome. The aim of this narrative review is to describe in detail what is PBM and how it should be part of the Enhanced Recovery After Surgery (ERAS) protocols.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Medicine

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