Premium
Pre‐operative haematological assessment in patients scheduled for major surgery
Author(s) -
Muñoz M.,
GómezRamírez S.,
KozekLangeneker S.
Publication year - 2016
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/anae.13304
Subject(s) - medicine , blood management , coagulopathy , intensive care medicine , erythropoiesis , blood loss , blood transfusion , surgery , anemia
Summary Peri‐operative anaemia, blood loss and allogeneic blood transfusion are associated with increased postoperative morbidity and mortality, and prolonged hospital stay. A multidisciplinary, multimodal, individualised strategy, collectively termed ‘patient blood management’, may reduce or eliminate allogeneic blood transfusion and improve outcomes. This approach has three objectives: the detection and treatment of peri‐operative anaemia; the reduction of peri‐operative bleeding and coagulopathy; and harnessing and optimising the physiological tolerance of anaemia. This review focuses on the pre‐operative evaluation of erythropoiesis, coagulation status and platelet function. Where possible, evidence is graded systematically and recommended therapies follow recently published consensus guidance.