title: International consensus statement on the peri-operative management of anaemia and iron deficiency.
abstract: Despite current recommendations on the management of pre-operative anaemia, there is no pragmatic guidance for the diagnosis and management of anaemia and iron deficiency in surgical patients. A number of experienced researchers and clinicians took part in an 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 peri-operative period. These statements include: a diagnostic approach for anaemia and iron deficiency in surgical patients; identification of patients appropriate for treatment; and advice on practical management and follow-up. We urge anaesthetists and peri-operative physicians to embrace these recommendations, and hospital administrators to enable implementation of these concepts by allocating adequate resources.
authors.affiliation: Peri-operative Transfusion Medicine, School of Medicine, University of Málaga, Málaga, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Muñoz
authors.affiliation: Department of Colorectal Surgery, Nottingham Digestive Diseases Centre, National Institute for Health Research Biomedical Research Unit, Nottingham University Hospitals, Nottingham, UK.
authors.forename: A G
authors.initials: AG
authors.lastname: Acheson
authors.affiliation: School of Medicine, Georgetown University, Washington, District of Columbia, USA.
authors.forename: M
authors.initials: M
authors.lastname: Auerbach
authors.affiliation: Department of Haematology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
authors.forename: M
authors.initials: M
authors.lastname: Besser
authors.affiliation: Clinic of Anaesthesiology, Surgical Intensive Care Medicine and Pain Management, Krankenhaus Nordwest, Frankfurt, Germany.
authors.forename: O
authors.initials: O
authors.lastname: Habler
authors.affiliation: Section of Surgical Pathophysiology, Rigshospitalet Copenhagen University Hospital, Copenhagen, Denmark.
authors.forename: H
authors.initials: H
authors.lastname: Kehlet
authors.affiliation: Italian National Blood Centre, National Institute of Health, Rome, Italy.
authors.forename: G M
authors.initials: GM
authors.lastname: Liumbruno
authors.affiliation: Département Anesthésie Réanimation, CHU Angers, LUNAM Université d'Angers, Angers, France.
authors.forename: S
authors.initials: S
authors.lastname: Lasocki
authors.affiliation: Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Frankfurt, Germany.
authors.forename: P
authors.initials: P
authors.lastname: Meybohm
authors.affiliation: Department of Anaesthesia, The Royal Marsden NHS Foundation Trust, London, UK.
authors.forename: R
authors.initials: R
authors.lastname: Rao Baikady
authors.affiliation: Division of Surgery and Interventional Science, University College London, London, UK.
authors.forename: T
authors.initials: T
authors.lastname: Richards
authors.affiliation: Anaesthesiology, Critical Care and Hyperbaric Medicine, Englewood Hospital and Medical Centre TeamHealth Research Institute, Englewood, New Jersey, USA.
authors.forename: A
authors.initials: A
authors.lastname: Shander
authors.affiliation: Department of Transfusion Medicine, Sanquin Blood Bank Amsterdam, and Department of Internal Medicine, Groene Hart Hospital, Gouda, The Netherlands.
authors.forename: C
authors.initials: C
authors.lastname: So-Osman
authors.affiliation: Institute of Anaesthesiology, Intensive Care Medicine and Operating Room Management, University Hospital of Zurich, Zurich, Switzerland.
authors.forename: D R
authors.initials: DR
authors.lastname: Spahn
authors.affiliation: Department of Anaesthesia and Intensive Care, Papworth Hospital, Cambridge, UK.
authors.forename: A A
authors.initials: AA
authors.lastname: Klein
mesh_terms: D000740:Anemia / Q000628:therapy*; D032921:Consensus; D017048:Health Care Costs; D006801:Humans; D007275:Injections, Intravenous; D007501:Iron / Q000008:administration & dosage; D000090463:Iron Deficiencies; D019990:Perioperative Care
chemical_list: D007501:Iron
keywords: anaemia; iron; pre-operative assessment; transfusion