Anaesthesia 2018. Muñoz et al. Management of postoperative anaemia after major surgical procedures

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

M. Muñoz,1 A. G. Acheson,2 E. Bisbe,3 A. Butcher,4 S. Gomez-Ramırez,5 A. A. Khalafallah,6,7 H. Kehlet,8 S. Kietaibl,9 G. M. Liumbruno,10 P. Meybohm,11 R. Rao Baikady,12 A. Shander,13,14 C. So-Osman,15,16 D. R. Spahn17,18 and A. A. Klein19



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 bestpractice 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.



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