“Blood transfusions have a dose-related increase in risk of death,
organ dysfunction, infection, increased critical care and LOS”

Iron deficient anaemia is the most common cause of preoperative anaemia

Pre-op decision algorithm

Iron infusions:
  • Useful in anaemic patients when surgical blood loss expected to be >500mls 
  • New formulations quick and safe
  • Proven to reduce the need for blood transfusion
  • Ideally 2-3week preoperatively (but days prior also gives benefit)