Anaes Cases · Preoperative assessment & risk
Preoperative anaemia and the iron deficiency
A focused case on the preoperative anaemia — the iron deficiency (ferritin 12), the IV iron 2-4 weeks pre-op, the patient blood management, and the reduced transfusion risk.
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ANZCAFRCAABAEDAIC
Prompt
A 60-year-old woman scheduled for a hip replacement has a haemoglobin of 105 g/L with a ferritin of 12. Discuss the assessment and the management.
Presentation
A 60-year-old woman scheduled for an elective hip replacement has a haemoglobin of 105 g/L (normal 120 to 150) and a ferritin of 12 micrograms per litre (normal 30 to 300). She is asymptomatic. The surgery is in 4 weeks.
References1ShowHide
- [2]Kristensen SD, et al. 2014 ESC/ESA guidelines on noncardiac surgery: Cardiovascular assessment and management : Are the differences clinically relevant? The European perspective. J Nucl Cardiol, 2017.PMID 27538569