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

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  • M Muñoz
  • A G Acheson
  • E Bisbe
  • A Butcher
  • S Gómez-Ramírez
  • A A Khalafallah
  • H Kehlet
  • S Kietaibl
  • G M Liumbruno
  • P Meybohm
  • R Rao Baikady
  • A Shander
  • C So-Osman
  • D R Spahn
  • A A Klein
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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.

Original languageEnglish
JournalAnaesthesia
Volume73
Issue number11
Pages (from-to)1418-1431
Number of pages14
ISSN0003-2409
DOIs
Publication statusPublished - 31 Jul 2018

ID: 54879716