Assessment of anaemia in elective pre-operative orthopaedic patients.

Grant-Casey, J.

Assessment of anaemia in elective pre-operative orthopaedic patients. - 2010

NMUH Staff Publications 24

<span style="font-size: 10pt;"><span style="line-height: 17.999801635742188px;">The transfusion of components made from human blood carries a small risk to the recipient.&nbsp;</span><span class="highlight" style="line-height: 17.999801635742188px;">Pre-operative</span><span style="line-height: 17.999801635742188px;">&nbsp;preparation, ensuring that the patient is not anaemic before surgery, is important to ensure that blood is not transfused unnecessarily. This article highlights that&nbsp;</span><span class="highlight" style="line-height: 17.999801635742188px;">pre-operative</span><span style="line-height: 17.999801635742188px;">&nbsp;</span><span class="highlight" style="line-height: 17.999801635742188px;">anaemia</span><span style="line-height: 17.999801635742188px;">&nbsp;is often not effectively managed in&nbsp;</span><span class="highlight" style="line-height: 17.999801635742188px;">patients</span><span style="line-height: 17.999801635742188px;">&nbsp;presenting for&nbsp;</span><span class="highlight" style="line-height: 17.999801635742188px;">elective</span><span style="line-height: 17.999801635742188px;">&nbsp;total hip replacement surgery, putting them at risk of unnecessary transfusion. A national comparative audit conducted by the authors suggests that there is a role for nurses who manage&nbsp;</span><span class="highlight" style="line-height: 17.999801635742188px;">pre-operative</span><span style="line-height: 17.999801635742188px;">&nbsp;</span><span class="highlight" style="line-height: 17.999801635742188px;">assessment</span><span style="line-height: 17.999801635742188px;">&nbsp;clinics to ensure that&nbsp;</span><span class="highlight" style="line-height: 17.999801635742188px;">patients</span><span style="line-height: 17.999801635742188px;">&nbsp;with&nbsp;</span><span class="highlight" style="line-height: 17.999801635742188px;">anaemia</span><span style="line-height: 17.999801635742188px;">&nbsp;are managed effectively before surgery. Nurses managing these clinics have an opportunity to decrease the need for peri-operative transfusion. The management of&nbsp;</span><span class="highlight" style="line-height: 17.999801635742188px;">patients</span><span style="line-height: 17.999801635742188px;">&nbsp;attending&nbsp;</span><span class="highlight" style="line-height: 17.999801635742188px;">pre-operative</span><span style="line-height: 17.999801635742188px;">&nbsp;</span><span class="highlight" style="line-height: 17.999801635742188px;">assessment</span><span style="line-height: 17.999801635742188px;">&nbsp;clinics should be reviewed to ensure that mechanisms are in place to allow the identification, investigation and treatment of&nbsp;</span><span class="highlight" style="line-height: 17.999801635742188px;">anaemia</span><span style="line-height: 17.999801635742188px;">.</span></span>

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