Recommendations From the International Consensus Conference on Anemia Management in Surgical Patients (ICCAMS)

Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc..

BACKGROUND: Perioperative anemia has been associated with increased risk of red blood cell transfusion and increased morbidity and mortality after surgery. The optimal approach to the diagnosis and management of perioperative anemia is not fully established.

OBJECTIVE: To develop consensus recommendations for anemia management in surgical patients.

METHODS: An international expert panel reviewed the current evidence and developed recommendations using modified RAND Delphi methodology.

RESULTS: The panel recommends that all patients except those undergoing minor procedures be screened for anemia before surgery. Appropriate therapy for anemia should be guided by an accurate diagnosis of the etiology. The need to proceed with surgery in some patients with anemia is expected to persist. However, early identification and effective treatment of anemia has the potential to reduce the risks associated with surgery and improve clinical outcomes. As with preoperative anemia, postoperative anemia should be treated in the perioperative period.

CONCLUSIONS: Early identification and effective treatment of anemia has the potential to improve clinical outcomes in surgical patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:277

Enthalten in:

Annals of surgery - 277(2023), 4 vom: 01. Apr., Seite 581-590

Sprache:

Englisch

Beteiligte Personen:

Shander, Aryeh [VerfasserIn]
Corwin, Howard L [VerfasserIn]
Meier, Jens [VerfasserIn]
Auerbach, Michael [VerfasserIn]
Bisbe, Elvira [VerfasserIn]
Blitz, Jeanna [VerfasserIn]
Erhard, Jochen [VerfasserIn]
Faraoni, David [VerfasserIn]
Farmer, Shannon L [VerfasserIn]
Frank, Steven M [VerfasserIn]
Girelli, Domenico [VerfasserIn]
Hall, Tiffany [VerfasserIn]
Hardy, Jean-François [VerfasserIn]
Hofmann, Axel [VerfasserIn]
Lee, Cheuk-Kwong [VerfasserIn]
Leung, Tsin W [VerfasserIn]
Ozawa, Sherri [VerfasserIn]
Sathar, Jameela [VerfasserIn]
Spahn, Donat R [VerfasserIn]
Torres, Rosalio [VerfasserIn]
Warner, Matthew A [VerfasserIn]
Muñoz, Manuel [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Research Support, N.I.H., Extramural

Anmerkungen:

Date Completed 13.03.2023

Date Revised 21.03.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1097/SLA.0000000000005721

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM346509793