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About one- third of patients who present for major surgery have anaemia, and as many as three-quarters have it when discharged from hospital. Peri-operative anaemia is associated with higher post-operative complication rates, longer hospital stay, poorer quality of life, and delayed recovery.
In their patient blood management guidelines, the Australian National Blood Authority (ANBA) and the Association of Anaesthetists of Great Britain and Ireland (AAGBI) recommend that anaemia be identified, evaluated, and managed prior to surgery, that tranexamic acid be administered during the procedure if blood loss sufficient to cause anaemia is anticipated, and that a restrictive post-operative blood transfusion strategy be applied, haemoglobin routinely assessed, and early oral iron administration be avoided after surgery.
This MJA research shares more.
Author: The POSTVenTT Study Collaborative
Article Type: Research
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Educational Activities (EA) - 0.30
Reviewing Performance (RP) - 0.0
Measuring Outcomes (MO) - 0.0
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*Medical Board of Australia’s (MBA)’s revised Registration Standard: Continuing professional development (the Standard)