4
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Assessing transfusion practice in elective surgical patients: a baseline audit

      1 , 2 , 1 , 2 , 3 , 4 , 1
      ISBT Science Series
      Wiley

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Related collections

          Most cited references21

          • Record: found
          • Abstract: found
          • Article: found
          Is Open Access

          International consensus statement on the peri-operative management of anaemia and iron deficiency.

          Despite current recommendations on the management of pre-operative anaemia, there is no pragmatic guidance for the diagnosis and management of anaemia and iron deficiency in surgical patients. A number of experienced researchers and clinicians took part in an 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 peri-operative period. These statements include: a diagnostic approach for anaemia and iron deficiency in surgical patients; identification of patients appropriate for treatment; and advice on practical management and follow-up. We urge anaesthetists and peri-operative physicians to embrace these recommendations, and hospital administrators to enable implementation of these concepts by allocating adequate resources.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: found

            'Fit to fly': overcoming barriers to preoperative haemoglobin optimization in surgical patients.

            In major surgery, the implementation of multidisciplinary, multimodal and individualized strategies, collectively termed Patient Blood Management, aims to identify modifiable risks and optimise patients' own physiology with the ultimate goal of improving outcomes. Among the various strategies utilized in Patient Blood Management, timely detection and management of preoperative anaemia is most important, as it is in itself a risk factor for worse clinical outcome, but also one of the strongest predisposing factors for perioperative allogeneic blood transfusion, which in turn increases postoperative morbidity, mortality and costs. However, preoperative anaemia is still frequently ignored, with indiscriminate allogeneic blood transfusion used as a 'quick fix'. Consistent with reported evidence from other medical specialties, this imprudent practice continues to be endorsed by non-evidence based misconceptions, which constitute serious barriers for a wider implementation of preoperative haemoglobin optimisation. We have reviewed a number of these misconceptions, which we unanimously consider should be promptly abandoned by health care providers and replaced by evidence-based strategies such as detection, diagnosis and proper treatment of preoperative anaemia. We believe that this approach to preoperative anaemia management may be a viable, cost-effective strategy that is beneficial both for patients, with improved clinical outcomes, and for health systems, with more efficient use of finite health care resources.
              Bookmark
              • Record: found
              • Abstract: not found
              • Article: not found

              Indications for and Adverse Effects of Red-Cell Transfusion

                Bookmark

                Author and article information

                Journal
                ISBT Science Series
                VOXS
                Wiley
                1751-2816
                1751-2824
                August 27 2019
                November 2019
                July 19 2019
                November 2019
                : 14
                : 4
                : 415-422
                Affiliations
                [1 ]Mater Health Services South Brisbane QLD Australia
                [2 ]University of Newcastle Callaghan NSW Australia
                [3 ]Queensland University of Technology Brisbane QLD Australia
                [4 ]University of Agder Grimstad Norway
                Article
                10.1111/voxs.12496
                99d49735-9e28-49cd-9132-454c5abc522b
                © 2019

                http://creativecommons.org/licenses/by-nc-nd/4.0/

                http://doi.wiley.com/10.1002/tdm_license_1.1

                History

                Comments

                Comment on this article