Treatment of anemia in hip fracture surgery

被引:1
作者
Garcia Pascual, E. [1 ]
机构
[1] Hosp Galdakao Usansolo, Serv Anestesiol & Reanimac, Galdakao, Vizcaya, Spain
来源
REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION | 2015年 / 62卷
关键词
Anemia and hip fractures; Transfusion and hip fractures; Preoperative assessment and hip fractures;
D O I
10.1016/S0034-9356(15)30009-8
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Repairing hip fractures is one of the most common surgical procedures and has greater morbidity and mortality. This procedure is also a process that involves a greater need for blood products. Numerous factors influence morbidity, mortality and the use of blood products: patient age, concomitant diseases and drug treatments that change hemostasis and hemorrhaging (preoperative, intraoperative and postoperative), which are usually significant. On top of all this is the presence in a high percentage of cases of preoperative anemia, which can have one or more causes. It is therefore essential to establish an appropriate management of perioperative anemia and optimize the transfusion policy. The aim of this review is to briefly analyze the epidemiology of hip fractures as well as establish a basis for treating perioperative anemia and transfusion policies, proposing guidelines and recommendations for clinical management based on the most current studies. (C) 2015 Sociedad Espanola de Anestesiologia, Reanimacion y Terapeutica del dolor. Published by Elsevier Espana, S.L.U. All rights reserved.
引用
收藏
页码:57 / 62
页数:6
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