Consensus of the Brazilian association of hematology, hemotherapy and cellular therapy on patient blood management

Autor: Bruno Deltreggia Benites, Mariana Munari Magnus, Lorena Costa, Denise Menezes Brunetta, Roseny dos Reis Rodriges, Susankerle de Oliveira Costa Alves, Gil Cunha De Santis, Silvia Renata Cornélio Parolin Rizzo, Guilherme Rabello, Dante Mario Langhi Junior
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Hematology, Transfusion and Cell Therapy, Vol 46, Iss , Pp S72-S76 (2024)
Druh dokumentu: article
ISSN: 2531-1379
DOI: 10.1016/j.htct.2024.02.014
Popis: Postoperative anemia is a complex clinical issue that requires attention due to its ramifications on the patient's recovery and prognosis. Originating from multiple determinants, such as intraoperative blood loss, hemolysis, nutritional deficiencies, systemic inflammation and impact on the bone marrow, postoperative anemia has varied and often challenging presentations. Patients undergoing major surgical procedures, in particular, are susceptible to developing anemia due to the considerable associated blood loss. Accurate diagnosis plays a crucial role in the approach, requiring meticulous hematological analysis, including hemoglobin, hematocrit and reticulocyte count, as well as an in-depth investigation of the underlying causes. An additional challenge arises in the form of the excessive practice of phlebotomy during hospitalization for clinical monitoring. Although it is essential to assess the progression of anemia, frequent removal of blood may contribute to iatrogenic anemia, further delaying recovery and possibly increasing susceptibility to infection.
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