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Review
. 2024 Jun 7;59(1):21.
doi: 10.1007/s44313-024-00021-x.

Preoperative consultation for determining the appropriate transfusion strategy

Affiliations
Review

Preoperative consultation for determining the appropriate transfusion strategy

Ka-Won Kang. Blood Res. .

Abstract

Surgical patients are at risk of postoperative complications and mortality, necessitating preoperative patient optimization through the identification and correction of modifiable risk factors. Although preoperative platelet transfusions aim to reduce the risk of bleeding, their efficacy remains uncertain. Similarly, red blood cell transfusion in patients with anemia does not reduce the risk of postoperative mortality and may exacerbate complications. Therefore, developing individualized strategies that focus on correcting preoperative complete blood count abnormalities and minimizing transfusion requirements are essential. This review aimed to examine complete blood count abnormalities and appropriate transfusion strategies to minimize postoperative complications.

Keywords: Anemia; Blood transfusion; Patient blood management; Preoperative care; Thrombocytopenia.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Screening and related work-up for preoperative anemia
Fig. 2
Fig. 2
The Fick equation applied to assess anemia

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