Anaesthesia
Comprehensive review of preoperative anemia management protocols. Demonstrates that treating iron deficiency and using erythropoietin before surgery substantially reduces transfusion requirements and improves outcomes. Foundation for the first pillar of PBM.
Preoperative anaemia is present in up to 75% of patients undergoing major surgery and is an independent risk factor for transfusion, morbidity and mortality. It should be identified, investigated and treated before elective surgery.