Related Experiment Video
Updated: Oct 18, 2025
05:35
Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management
Published on: January 19, 2024
1.0K
[Peripheral arterial disease and anaemia]
Carlos Esteban1, Inés Hernández-Rodríguez2
1Servicio de Angiología y Cirugía Vascular, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.
Medicina Clinica
|October 4, 2021
Summary
Iron deficiency anaemia is common globally and increases surgical patient risks. Peripheral artery disease patients with anaemia face higher mortality, amputation, and death, necessitating tailored pre-operative protocols.
Area of Science:
- Vascular Surgery
- Hematology
- Anesthesiology
Background:
- Iron deficiency anaemia is a prevalent global health issue.
- Anaemia in surgical patients is linked to increased post-operative morbidity and mortality.
- Peripheral artery disease (PAD) patients exhibit high rates of anaemia, impacting disease progression.
Purpose of the Study:
- To highlight the critical link between anaemia and adverse outcomes in surgical patients with PAD.
- To emphasize the prognostic significance of anaemia in intermittent claudication and critical ischaemia.
- To advocate for the development of specific protocols for managing anaemia in PAD patients undergoing surgery.
Main Methods:
- Review of existing literature on anaemia prevalence and outcomes in surgical patients.
- Analysis of the impact of anaemia on morbidity and mortality in PAD, intermittent claudication, and critical ischaemia.
- Discussion of the challenges in pre-operative anaemia correction for these patients.
Main Results:
- Anaemia is a significant predictor of medium-term death in intermittent claudication.
- Higher anaemia prevalence in critical ischaemia indicates increased risk of amputation and death.
- The natural history of PAD often precludes pre-operative anaemia correction.
Conclusions:
- Anaemia poses a substantial risk for surgical patients, particularly those with PAD.
- Specific management strategies are crucial for anaemic PAD patients due to poor pre-operative correction window.
- Further research into tailored protocols for this high-risk group is warranted.
Keywords:
Anaemia of inflammationAnemia inflamatoriaAnemia preoperatoriaDéficits nutricionalesEnfermedad arterial periféricaFactores pronósticos en cirugía vascularNutritional deficitsPeripheral artery diseasePreoperative anaemiaPrognostic factors in vascular surgeryMore Related Videos
Related Concept Videos
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
67
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
67
01:30Peripheral Artery Disease I: Introduction
74
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
74
01:26Peripheral Artery Disease IV: Nursing Management
95
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
95
01:27Peripheral Artery Disease III: Interprofessional Care
66
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
66
01:23Peripheral Artery Disease V: Postoperative Nursing Management
58
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
58
01:27Assessment of the Cardiovascular System III: Palpation
587
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
587