Perioperative anemia: clinical practice update

Hosp Pract (1995). 2021 Aug;49(3):133-140. doi: 10.1080/21548331.2021.1889214. Epub 2021 Mar 1.

Abstract

Perioperative medicine is an evolving area of medicine in which collaboration between internists, hospitalists, surgeons and anesthesiologists is the key to delivering high-quality care. Research in all areas of perioperative medicine, including perioperative anemia, is constantly evolving. Perioperative anemia is a major contributor to mortality and morbidity in the perioperative period. It is associated with an increased likelihood of postoperative wound complications, infections, delirium, increased length of stay and increased risk of readmissions. However, there is a lack of comprehensive guidelines for management of perioperative anemia. We performed an exhaustive review of contemporary literature on perioperative anemia and present evaluation and management recommendations that have the potential to impact clinical practice in the perioperative period.

Keywords: Clinical practice update; blood transfusion thresholds; evaluation of anemia; preoperative anemia; transfusion guidelines; treatment of anemia.

Publication types

  • Review

MeSH terms

  • Anemia / prevention & control
  • Anemia / therapy*
  • Blood Loss, Surgical / prevention & control*
  • Blood Transfusion
  • Humans
  • Length of Stay / statistics & numerical data*
  • Perioperative Care / methods*
  • Perioperative Period / methods*
  • Practice Guidelines as Topic