Anaes SAQs · Perioperative medicine
Preoperative anaemia and iron therapy
Final-examination SAQ for preoperative-anaemia-iron.
On this page
Study tools
Target exams
ANZCAFRCAEDAICABAFCAI
Prompt
A 72-year-old for elective open AAA repair in 6 weeks has Hb 101 g/L, MCV 76 fL, ferritin 14 µg/L, TSAT 9%, normal CRP. Outline optimisation and blood management.
Model answer
Risk (3). Iron-deficiency anaemia before major blood-loss surgery raises transfusion/morbidity risk — treat early.[2]
Iron (4). Absolute IDA: oral if tolerated or IV for reliable repletion; recheck Hb.[3]
PBM (4). TXA per protocol, cell salvage, haemostasis, restrictive thresholds, crossmatch plan.[2]
PREVENTT (2). Do not promise IV iron abolishes transfusion after major vascular loss.[1]
Consent (2). Anaemia, optimisation, possible allogeneic transfusion.[2]
References3ShowHide
- [1]Richards T, Baikady RR, Clevenger B, et al. Preoperative intravenous iron to treat anaemia before major abdominal surgery (PREVENTT): a randomised, double-blind, controlled trial. Lancet, 2020.PMID 32896294
- [2]Shander A, Corwin HL, Meier J, et al. Recommendations From the International Consensus Conference on Anemia Management in Surgical Patients (ICCAMS). Ann Surg, 2023.PMID 36134567
- [3]Gómez-Ramírez S, Bisbe E, Shander A, et al. Management of Perioperative Iron Deficiency Anemia. Acta Haematol, 2019.PMID 30970362