Abstract

Introduction Previously undiagnosed anemia is common in elective orthopedic surgery and is associated with increased likelihood of blood transfusion as well as increased perioperative morbidity and mortality A multidisciplinary panel of physicians was convened by the Network for Advancement of Transfusion Alternatives NATA with the aim of developing practice guidelines for the detection evaluation and management of preoperative anemia in elective orthopedic surgery Methods and results The following recommendations were made for the patients scheduled for the orthopedic surgery 1 The hemoglobin level was estimated to be based on at least 28 days before the planned orthopedic surgery 2 Preoperative hemoglobin level recommended for women 120g l and for men 130g l 3 In case of the existence of anemia the immediate implementation of laboratory testing to determine the cause of anemia was recommended 4 Any nutritional deficiency should be compensated 5 Conclusion Use of stimulators of erythropoiesis is recommended