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

journal contribution
posted on 2023-05-19, 20:41 authored by Munoz, M, Acheson, AG, Bisbe, E, Butcher, A, Gomez-Ramirez, S, Alhossain Khalafallah, Kehlet, H, Kietaibl, S, Liumbruno, GM, Meybohm, P, Rao Baikady, R, Shander, A, So-Osman, C, Spahn, DR, Klein, AA
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 best-practice 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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Menzies Institute for Medical Research


Blackwell Publishing Ltd

Place of publication

9600 Garsington Rd, Oxford, England, Oxon, Ox4 2Dg

Rights statement

Copyright 2018 The Association of Anaesthetists

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  • Restricted

Socio-economic Objectives

Diagnosis of human diseases and conditions

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