{"id":14747,"date":"2011-06-06T14:51:38","date_gmt":"2011-06-06T14:51:38","guid":{"rendered":"https:\/\/staging.awgp.pt\/testes\/?p=14747"},"modified":"2025-04-22T15:09:58","modified_gmt":"2025-04-22T15:09:58","slug":"detection-evaluation-and-management-of-preoperative-anaemia-in-the-elective-orthopaedic-surgical-patient-nata-guidelines","status":"publish","type":"post","link":"https:\/\/staging.awgp.pt\/testes\/detection-evaluation-and-management-of-preoperative-anaemia-in-the-elective-orthopaedic-surgical-patient-nata-guidelines\/","title":{"rendered":"Detection, evaluation, and management of preoperative anaemia in the elective orthopaedic surgical patient: NATA guidelines"},"content":{"rendered":"<style type=\"text\/css\"><\/style>[cmsmasters_row data_padding_bottom=&#8221;50&#8243; data_padding_top=&#8221;0&#8243; data_bg_parallax_ratio=&#8221;0.5&#8243; data_bg_size=&#8221;cover&#8221; data_bg_attachment=&#8221;scroll&#8221; data_bg_repeat=&#8221;no-repeat&#8221; data_bg_position=&#8221;top center&#8221; data_color=&#8221;default&#8221; data_bot_style=&#8221;default&#8221; data_top_style=&#8221;default&#8221; data_padding_right=&#8221;3&#8243; data_padding_left=&#8221;3&#8243; data_width=&#8221;boxed&#8221;][cmsmasters_column data_width=&#8221;1\/1&#8243;][cmsmasters_text animation_delay=&#8221;0&#8243;]<\/p>\n<p class=\"p1\">British Journal of Anaesthesia 106 (1): 13\u201322 (2011) doi:10.1093\/bja\/aeq361<\/p>\n<p>&nbsp;<\/p>\n<h2 class=\"p1\">Detection, evaluation, and management of preoperative anaemia in the elective orthopaedic surgical patient: NATA guidelines<\/h2>\n<p class=\"p2\">L. T. Goodnough<span class=\"s1\">1<\/span>*, A. Maniatis <span class=\"s1\">2<\/span>, P. Earnshaw<span class=\"s1\">3<\/span>, G. Benoni<span class=\"s1\">4<\/span>, P. Beris <span class=\"s1\">5<\/span>, E. Bisbe <span class=\"s1\">6<\/span>, D. A. Fergusson<span class=\"s1\">7<\/span>, H. Gombotz<span class=\"s1\">8<\/span>, O. Habler<span class=\"s1\">9<\/span>, T. G. Monk<span class=\"s1\">10<\/span>, Y. Ozier <span class=\"s1\">11<\/span>, R. Slappendel <span class=\"s1\">12 <\/span>and M. Szpalski <span class=\"s1\">13<\/span><\/p>\n<p class=\"p3\"><sup><span class=\"s2\">1 <\/span>Department of Pathology and Medicine, Stanford University School of Medicine, Pasteur Dr., Room H-1402, 5626, Stanford, CA 94305, USA<\/sup><\/p>\n<p class=\"p3\"><sup><span class=\"s2\">2 <\/span>Hematology Division, Henry Dunant Hospital, Athens, Greece<\/sup><\/p>\n<p class=\"p3\"><sup><span class=\"s2\">3 <\/span>Department of Orthopaedics, Guy\u2019s and St Thomas\u2019 Hospital, London, UK<\/sup><\/p>\n<p class=\"p3\"><sup><span class=\"s2\">4 <\/span>Department of Orthopedics, Malmo\u00a8 University Hospital, Malmo\u00a8 , Sweden<\/sup><\/p>\n<p class=\"p3\"><sup><span class=\"s2\">5 <\/span>Department of Hematology, Geneva University Hospital, Geneva, Switzerland<\/sup><\/p>\n<p class=\"p3\"><sup><span class=\"s2\">6 <\/span>Department of Anesthesiology, University Hospital Mar-Esperanc\u00b8a, Barcelona, Spain<\/sup><\/p>\n<p class=\"p3\"><sup><span class=\"s2\">7 <\/span>University of Ottawa Centre for Transfusion Research, Ottawa, Ontario, Canada<\/sup><\/p>\n<p class=\"p3\"><sup><span class=\"s2\">8 <\/span>Department of Anesthesiology and Intensive Care, General Hospital Linz, Linz, Austria<\/sup><\/p>\n<p class=\"p3\"><sup><span class=\"s2\">9 <\/span>Department of Anesthesiology, Surgical Intensive Care and Pain Control, Krankenhaus Nordwest GmbH, Frankfurt am Main, Germany<\/sup><\/p>\n<p class=\"p3\"><sup><span class=\"s2\">10 <\/span>Department of Anesthesiology, Duke University Medical Center, Durham, NC, USA<\/sup><\/p>\n<p class=\"p3\"><sup><span class=\"s2\">11 <\/span>Department of Anesthesiology and Intensive Care, Cochin Hospital, Paris Descartes University, Paris, France<\/sup><\/p>\n<p class=\"p3\"><sup><span class=\"s2\">12 <\/span>Perioperative Medicine Consultancy, Nijmegen, The Netherlands<\/sup><\/p>\n<p class=\"p3\"><sup><span class=\"s2\">13 <\/span>Department of Orthopedics, IRIS South Teaching Hospitals, Free University of Brussels, Brussels, Belgium<\/sup><\/p>\n<p class=\"p3\"><sup>* Corresponding author. E-mail: ltgoodno@stanford.edu<\/sup><\/p>\n<p>&nbsp;<\/p>\n<p class=\"p1\"><span class=\"s1\"><strong>Summary<\/strong><\/span><\/p>\n<p class=\"p1\">Previously undiagnosed anaemia is common in elective orthopaedic surgical patients and is associated with increased likelihood of blood transfusion and increased perioperative morbidity and mortality. A standardized approach for the detection, evaluation, and management of anaemia in this setting has been identified as an unmet medical need. 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 anaemia in elective orthopaedic surgery. A systematic literature review and critical evaluation of the evidence was performed, and recommendations were formulated according to the method proposed by the Grades of Recommendation Assessment, Development and Evaluation (GRADE) Working Group. We recommend that elective orthopaedic surgical patients have a haemoglobin (Hb) level determination 28 days before the scheduled surgical procedure if possible (Grade 1C). We suggest that the patient\u2019s target Hb before elective surgery be within the normal range, according to the World Health Organization criteria (Grade 2C). We recommend further laboratory testing to evaluate anaemia for nutritional deficiencies, chronic renal insufficiency, and\/or chronic inflammatory disease (Grade 1C). We recommend that nutritional deficiencies be treated (Grade 1C). We suggest that erythropoiesis-stimulating agents be used for anaemic patients in whom nutritional deficiencies have been ruled out, corrected, or both (Grade 2A). Anaemia should be viewed as a serious and treatable medical condition, rather than simply an abnormal laboratory value. Implementation of anaemia management in the elective orthopaedic surgery setting will improve patient outcomes.<\/p>\n<p class=\"p1\"><span class=\"s2\"><strong>Keywords<\/strong>: <\/span>anaemia; blood transfusion; orthopaedic surgery; preoperative assessment; preoperative preparation<\/p>\n<p>&nbsp;<\/p>\n<p>[\/cmsmasters_text][cmsmasters_text animation_delay=&#8221;0&#8243;]<\/p>\n<p>[pdf-embedder url=&#8221;https:\/\/staging.awgp.pt\/testes\/wp-content\/uploads\/2019\/09\/Detection-evaluation-and-management-of-preoperative-anemia-in-the-orthopedic-surgical-patient-NATA-Guidelines.pdf&#8221; title=&#8221;Detection, evaluation and management of preoperative anemia in the orthopedic surgical patient &#8211; NATA Guidelines&#8221;]<\/p>\n<p>[\/cmsmasters_text][\/cmsmasters_column][\/cmsmasters_row]\n","protected":false},"excerpt":{"rendered":"<p>[cmsmasters_row data_padding_bottom=&#8221;50&#8243; data_padding_top=&#8221;0&#8243; data_bg_parallax_ratio=&#8221;0.5&#8243; data_bg_size=&#8221;cover&#8221; data_bg_attachment=&#8221;scroll&#8221; data_bg_repeat=&#8221;no-repeat&#8221; data_bg_position=&#8221;top center&#8221; data_color=&#8221;default&#8221; data_bot_style=&#8221;default&#8221; data_top_style=&#8221;default&#8221; data_padding_right=&#8221;3&#8243; data_padding_left=&#8221;3&#8243; data_width=&#8221;boxed&#8221;][cmsmasters_column data_width=&#8221;1\/1&#8243;][cmsmasters_text animation_delay=&#8221;0&#8243;] British Journal of Anaesthesia 106 (1): 13\u201322 (2011) doi:10.1093\/bja\/aeq361 &nbsp; Detection, evaluation, and management of preoperative anaemia in the elective orthopaedic surgical patient: NATA guidelines L. T. Goodnough1*, A. Maniatis 2, P. Earnshaw3, G. Benoni4, P. Beris 5,&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[97,132,111],"tags":[167,177,76,77,179,178,113,112,155],"class_list":["post-14747","post","type-post","status-publish","format-standard","hentry","category-artigo-cientifico","category-guidelines-internacionais","category-patient-blood-management","tag-blool-transfusion","tag-orthopaedic-surgery","tag-pateint-blood-management","tag-pbm","tag-preoperative-assessment","tag-preoperative-preparation","tag-red-blood-cells-transfusion","tag-transfusao-de-eritrocitos","tag-transfusion"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Detection, evaluation, and management of preoperative anaemia in the elective orthopaedic surgical patient: NATA guidelines - AWGP - Testes<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"pt_PT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Detection, evaluation, and management of preoperative anaemia in the elective orthopaedic surgical patient: NATA guidelines - AWGP - Testes\" \/>\n<meta property=\"og:description\" content=\"[cmsmasters_row data_padding_bottom=&#8221;50&#8243; data_padding_top=&#8221;0&#8243; data_bg_parallax_ratio=&#8221;0.5&#8243; data_bg_size=&#8221;cover&#8221; data_bg_attachment=&#8221;scroll&#8221; data_bg_repeat=&#8221;no-repeat&#8221; data_bg_position=&#8221;top center&#8221; data_color=&#8221;default&#8221; data_bot_style=&#8221;default&#8221; data_top_style=&#8221;default&#8221; data_padding_right=&#8221;3&#8243; data_padding_left=&#8221;3&#8243; data_width=&#8221;boxed&#8221;][cmsmasters_column data_width=&#8221;1\/1&#8243;][cmsmasters_text animation_delay=&#8221;0&#8243;] British Journal of Anaesthesia 106 (1): 13\u201322 (2011) doi:10.1093\/bja\/aeq361 &nbsp; Detection, evaluation, and management of preoperative anaemia in the elective orthopaedic surgical patient: NATA guidelines L. 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