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The Management of Anaemia in the Surgical Patient: What’s New?

  • Chapter
Alternative Approaches to Human Blood Resources in Clinical Practice

Part of the book series: Developments in Hematology and Immunology ((DIHI,volume 33))

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Abstract

The traditional belief of surgeons that allogeneic blood is an effective and safe therapy with minimal risks has been challenged by a heightened awareness of the problems of transfusion reactions, disease transmission and immunomodulation related to red blood cell transfusion. Surgeons have responded to these challenges by reassessing the reasons for transfusion, increasing the use of autologous blood, modifying surgical techniques to reduce blood loss, and employing various drugs to reduce transfusion need. Current practice policies recommend that elective transfusion of allogeneic blood should be viewed as an outcome to be avoided in surgical patients [1]. Each time we reach this goal, our patients’ safety and outcomes will be improved. Of primary importance is the need for the surgeon to change from a casual approach to allogeneic blood transfusion to one characterised by thoughtful planning.

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Authors
  1. R. K. Spence
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Editors and Affiliations

  1. Red Cross Blood Bank Noord Nederland, The Netherlands

    C. Th. Smit Sibinga  & P. C. Das  & 

  2. C.L. Mclntosh & Ass., Rockville, MD, USA

    J. C. Fratantoni

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Spence, R.K. (1998). The Management of Anaemia in the Surgical Patient: What’s New?. In: Sibinga, C.T.S., Das, P.C., Fratantoni, J.C. (eds) Alternative Approaches to Human Blood Resources in Clinical Practice. Developments in Hematology and Immunology, vol 33. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-5619-0_14

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  • DOI: https://doi.org/10.1007/978-1-4615-5619-0_14

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-7571-5

  • Online ISBN: 978-1-4615-5619-0

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