title: [Treatment of preoperative anemia in major orthopedic surgery].
abstract: The prevalence of preoperative anemia in major orthopedic surgery is high and is the main predictive factor for allogeneic blood transfusion. The scheduling of a preoperative visit with sufficient notice (at least 3 weeks before surgery), with a blood count test and a basic iron metabolism study, enables us to treat the anemia and/or improve preoperative hemoglobin levels, thereby reducing the need for transfusion and the risks associated with transfusions. Intravenous iron and/or erythropoietin are treatments for optimizing preoperative anemia, with good levels of scientific evidence.
authors: Servicio de Anestesiología y Reanimación, Hospital del Mar, IMIM ((Institut Hospital del Mar d'Investigacions Mèdiques), Barcelona, España. Electronic address: ebisbe@parcdesalutmar.cat.
authors: E
authors: E
authors: Bisbe Vives
mesh_terms: D000740:Anemia / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D016063:Blood Loss, Surgical; D001803:Blood Transfusion; D017558:Elective Surgical Procedures; D004921:Erythropoietin / Q000627:therapeutic use; D005260:Female; D005293:Ferritins / Q000097:blood; D006397:Hematinics / Q000627:therapeutic use; D006454:Hemoglobins / Q000032:analysis*; D006801:Humans; D007501:Iron / Q000008:administration & dosage / Q000627:therapeutic use; D008297:Male; D019300:Medical Errors / Q000517:prevention & control; D019637:Orthopedic Procedures; D011300:Preoperative Care / Q000379:methods*; D015995:Prevalence; D011994:Recombinant Proteins / Q000627:therapeutic use; D012307:Risk Factors; D014168:Transferrin / Q000032:analysis; D014815:Vitamins / Q000097:blood
chemical_list: D006397:Hematinics; D006454:Hemoglobins; D011994:Recombinant Proteins; D014168:Transferrin; D014815:Vitamins; D004921:Erythropoietin; D005293:Ferritins; D007501:Iron
keywords: Anemia preoperatoria; Cirugía ortopédica; Eritropoyetina; Erythropoietin; Hierro intravenoso; Intravenous iron; Orthopedic surgery; Perioperative anemia; Transfusion; Transfusión