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Assessment of anaemia in elective pre-operative orthopaedic patients.

By: Contributor(s): Publication details: 2010ISSN:
  • 00296570
Uniform titles:
  • Nursing Standard
Online resources: Summary: <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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&lt;span style="font-size: 10pt;"&gt;&lt;span style="line-height: 17.999801635742188px;"&gt;The transfusion of components made from human blood carries a small risk to the recipient.&amp;nbsp;&lt;/span&gt;&lt;span class="highlight" style="line-height: 17.999801635742188px;"&gt;Pre-operative&lt;/span&gt;&lt;span style="line-height: 17.999801635742188px;"&gt;&amp;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&amp;nbsp;&lt;/span&gt;&lt;span class="highlight" style="line-height: 17.999801635742188px;"&gt;pre-operative&lt;/span&gt;&lt;span style="line-height: 17.999801635742188px;"&gt;&amp;nbsp;&lt;/span&gt;&lt;span class="highlight" style="line-height: 17.999801635742188px;"&gt;anaemia&lt;/span&gt;&lt;span style="line-height: 17.999801635742188px;"&gt;&amp;nbsp;is often not effectively managed in&amp;nbsp;&lt;/span&gt;&lt;span class="highlight" style="line-height: 17.999801635742188px;"&gt;patients&lt;/span&gt;&lt;span style="line-height: 17.999801635742188px;"&gt;&amp;nbsp;presenting for&amp;nbsp;&lt;/span&gt;&lt;span class="highlight" style="line-height: 17.999801635742188px;"&gt;elective&lt;/span&gt;&lt;span style="line-height: 17.999801635742188px;"&gt;&amp;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&amp;nbsp;&lt;/span&gt;&lt;span class="highlight" style="line-height: 17.999801635742188px;"&gt;pre-operative&lt;/span&gt;&lt;span style="line-height: 17.999801635742188px;"&gt;&amp;nbsp;&lt;/span&gt;&lt;span class="highlight" style="line-height: 17.999801635742188px;"&gt;assessment&lt;/span&gt;&lt;span style="line-height: 17.999801635742188px;"&gt;&amp;nbsp;clinics to ensure that&amp;nbsp;&lt;/span&gt;&lt;span class="highlight" style="line-height: 17.999801635742188px;"&gt;patients&lt;/span&gt;&lt;span style="line-height: 17.999801635742188px;"&gt;&amp;nbsp;with&amp;nbsp;&lt;/span&gt;&lt;span class="highlight" style="line-height: 17.999801635742188px;"&gt;anaemia&lt;/span&gt;&lt;span style="line-height: 17.999801635742188px;"&gt;&amp;nbsp;are managed effectively before surgery. Nurses managing these clinics have an opportunity to decrease the need for peri-operative transfusion. The management of&amp;nbsp;&lt;/span&gt;&lt;span class="highlight" style="line-height: 17.999801635742188px;"&gt;patients&lt;/span&gt;&lt;span style="line-height: 17.999801635742188px;"&gt;&amp;nbsp;attending&amp;nbsp;&lt;/span&gt;&lt;span class="highlight" style="line-height: 17.999801635742188px;"&gt;pre-operative&lt;/span&gt;&lt;span style="line-height: 17.999801635742188px;"&gt;&amp;nbsp;&lt;/span&gt;&lt;span class="highlight" style="line-height: 17.999801635742188px;"&gt;assessment&lt;/span&gt;&lt;span style="line-height: 17.999801635742188px;"&gt;&amp;nbsp;clinics should be reviewed to ensure that mechanisms are in place to allow the identification, investigation and treatment of&amp;nbsp;&lt;/span&gt;&lt;span class="highlight" style="line-height: 17.999801635742188px;"&gt;anaemia&lt;/span&gt;&lt;span style="line-height: 17.999801635742188px;"&gt;.&lt;/span&gt;&lt;/span&gt;

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