UCI Hospitalist Program, Department of Medicine, University of California Irvine Medical Center, Orange, CA, USA.
Department of Hospital Medicine, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Med Clin North Am. 2024 Nov;108(6):1065-1085. doi: 10.1016/j.mcna.2024.04.002. Epub 2024 Aug 1.
Peri-operative anemia is a common condition encountered in adult surgical patients. It is increasingly recognized as a predictor of post-operative morbidity and mortality. Evaluation and treatment of anemia pre-operatively can reduce transfusion needs and potentially improve outcomes in surgical patients. This article discusses anemia optimization strategies in peri-operative setting with special focus on use of intravenous iron therapy. Additionally, the authors describe the role of transfusion medicine and best practices around red blood cell, platelet, and plasma transfusions.
围手术期贫血是成年手术患者中常见的病症。它越来越被认为是术后发病率和死亡率的预测因素。术前对贫血进行评估和治疗可以减少输血需求，并有可能改善手术患者的预后。本文讨论了围手术期贫血的优化策略，特别关注静脉铁治疗的应用。此外，作者还描述了输血医学的作用以及围绕红细胞、血小板和血浆输血的最佳实践。
