An international consensus statement on the management of postoperative anaemia after major surgical procedures

TY - JOUR

T1 - An international consensus statement on the management of postoperative anaemia after major surgical procedures

AU - Muñoz, M

AU - Acheson, A G

AU - Bisbe, E

AU - Butcher, A

AU - Gómez-Ramírez, S

AU - Khalafallah, A A

AU - Kehlet, H

AU - Kietaibl, S

AU - Liumbruno, G M

AU - Meybohm, P

AU - Rao Baikady, R

AU - Shander, A

AU - So-Osman, C

AU - Spahn, D R

AU - Klein, A A

N1 - © 2018 Association of Anaesthetists.

PY - 2018/11

Y1 - 2018/11

N2 - Despite numerous guidelines on the management of anaemia in surgical patients, there is no pragmatic guidance for the diagnosis and management of anaemia and iron deficiency in the postoperative period. A number of experienced researchers and clinicians took part in a two-day 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 postoperative period. These statements include: a diagnostic approach to iron deficiency and anaemia in surgical patients; identification of patients appropriate for treatment; and advice on practical management and follow-up that is easy to implement. Available data allow the fulfilment of the requirements of Pillar 1 of Patient Blood Management. We urge national and international research funding bodies to take note of these recommendations, particularly in terms of funding large-scale prospective, randomised clinical trials that can most effectively address the important clinical questions and this clearly unmet medical need.

AB - Despite numerous guidelines on the management of anaemia in surgical patients, there is no pragmatic guidance for the diagnosis and management of anaemia and iron deficiency in the postoperative period. A number of experienced researchers and clinicians took part in a two-day 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 postoperative period. These statements include: a diagnostic approach to iron deficiency and anaemia in surgical patients; identification of patients appropriate for treatment; and advice on practical management and follow-up that is easy to implement. Available data allow the fulfilment of the requirements of Pillar 1 of Patient Blood Management. We urge national and international research funding bodies to take note of these recommendations, particularly in terms of funding large-scale prospective, randomised clinical trials that can most effectively address the important clinical questions and this clearly unmet medical need.

KW - Anemia/diagnosis

KW - Blood Transfusion

KW - Consensus

KW - Humans

KW - Internationality

KW - Iron/therapeutic use

KW - Postoperative Complications/diagnosis

KW - Surgical Procedures, Operative

U2 - 10.1111/anae.14358

DO - 10.1111/anae.14358

M3 - Review

C2 - 30062700

SN - 0003-2409

VL - 73

SP - 1418

EP - 1431

JO - Anaesthesia

JF - Anaesthesia

IS - 11

ER -