Current concepts in evaluation and management of preoperative anaemia in patients undergoing thoracic surgery.
Journal
Current opinion in anaesthesiology
ISSN: 1473-6500
Titre abrégé: Curr Opin Anaesthesiol
Pays: United States
ID NLM: 8813436
Informations de publication
Date de publication:
01 Feb 2023
01 Feb 2023
Historique:
entrez:
22
12
2022
pubmed:
23
12
2022
medline:
27
12
2022
Statut:
ppublish
Résumé
The purpose of this review is to evaluate the current recommendations for management of perioperative anaemia in patients undergoing thoracic surgery, present the impact of anaemia on outcomes in this patient population and suggest an algorithm for evaluating and treating anaemia preoperatively. Anaemia is a common medical issue noted preoperatively in patients presenting for thoracic surgery and carries significant morbidity. Preoperative anaemia increases the likelihood of receiving a perioperative transfusion, which represents a significant risk factor for morbidity and reduced disease-free survival in lung cancer patients presenting for thoracic surgery. It is also associated with longer hospital lengths of stay and increased risk for reoperation following lung transplantation. An algorithm-based approach to management of anaemia is beneficial and treatment with iron has been shown to reduce transfusions. Patients undergoing thoracic surgery have a high incidence of preoperative anaemia that increases the risk of transfusion and postoperative morbidity. Preoperative evaluation and tailored treatment based on the underlying cause of anaemia reduces the incidence of anaemia prior to surgery and decreases transfusion rates.
Identifiants
pubmed: 36550609
doi: 10.1097/ACO.0000000000001214
pii: 00001503-202302000-00017
doi:
Substances chimiques
Iron
E1UOL152H7
Types de publication
Review
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
89-95Informations de copyright
Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.
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