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Perioperative Anemia: Prevention, Diagnosis, and Management Throughout the Spectrum of Perioperative Care.

Publication ,  Journal Article
Warner, MA; Shore-Lesserson, L; Shander, A; Patel, SY; Perelman, SI; Guinn, NR
Published in: Anesth Analg
May 2020

Anemia is common in the perioperative period and is associated with poor patient outcomes. Remarkably, anemia is frequently ignored until hemoglobin levels drop low enough to warrant a red blood cell transfusion. This simplified transfusion-based approach has unfortunately shifted clinical focus away from strategies to adequately prevent, diagnose, and treat anemia through direct management of the underlying cause(s). While recommendations have been published for the treatment of anemia before elective surgery, information regarding the design and implementation of evidence-based anemia management strategies is sparse. Moreover, anemia is not solely a concern of the preoperative encounter. Rather, anemia must be actively addressed throughout the perioperative spectrum of patient care. This article provides practical information regarding the implementation of anemia management strategies in surgical patients throughout the perioperative period. This includes evidence-based recommendations for the prevention, diagnosis, and treatment of anemia, including the utility of iron supplementation and erythropoiesis-stimulating agents (ESAs).

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Published In

Anesth Analg

DOI

EISSN

1526-7598

Publication Date

May 2020

Volume

130

Issue

5

Start / End Page

1364 / 1380

Location

United States

Related Subject Headings

  • Perioperative Care
  • Iron
  • Humans
  • Hematinics
  • Erythrocyte Transfusion
  • Disease Management
  • Anesthesiology
  • Anemia
  • 3202 Clinical sciences
  • 1109 Neurosciences
 

Citation

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Warner, M. A., Shore-Lesserson, L., Shander, A., Patel, S. Y., Perelman, S. I., & Guinn, N. R. (2020). Perioperative Anemia: Prevention, Diagnosis, and Management Throughout the Spectrum of Perioperative Care. Anesth Analg, 130(5), 1364–1380. https://doi.org/10.1213/ANE.0000000000004727
Warner, Matthew A., Linda Shore-Lesserson, Aryeh Shander, Sephalie Y. Patel, Seth I. Perelman, and Nicole R. Guinn. “Perioperative Anemia: Prevention, Diagnosis, and Management Throughout the Spectrum of Perioperative Care.Anesth Analg 130, no. 5 (May 2020): 1364–80. https://doi.org/10.1213/ANE.0000000000004727.
Warner MA, Shore-Lesserson L, Shander A, Patel SY, Perelman SI, Guinn NR. Perioperative Anemia: Prevention, Diagnosis, and Management Throughout the Spectrum of Perioperative Care. Anesth Analg. 2020 May;130(5):1364–80.
Warner, Matthew A., et al. “Perioperative Anemia: Prevention, Diagnosis, and Management Throughout the Spectrum of Perioperative Care.Anesth Analg, vol. 130, no. 5, May 2020, pp. 1364–80. Pubmed, doi:10.1213/ANE.0000000000004727.
Warner MA, Shore-Lesserson L, Shander A, Patel SY, Perelman SI, Guinn NR. Perioperative Anemia: Prevention, Diagnosis, and Management Throughout the Spectrum of Perioperative Care. Anesth Analg. 2020 May;130(5):1364–1380.

Published In

Anesth Analg

DOI

EISSN

1526-7598

Publication Date

May 2020

Volume

130

Issue

5

Start / End Page

1364 / 1380

Location

United States

Related Subject Headings

  • Perioperative Care
  • Iron
  • Humans
  • Hematinics
  • Erythrocyte Transfusion
  • Disease Management
  • Anesthesiology
  • Anemia
  • 3202 Clinical sciences
  • 1109 Neurosciences