"在手术前检测贫血":对建议的全面审查
Katja Schneider1, Diana Sauer2, Lorenz Wolf3
1From the Department of General Surgery, Bundeswehr Hospital Berlin, Berlin, Germany.
概括
在全球范围内,手术前贫血管理指南各不相同. 本次审查强调了对标准化检测方法和进一步研究的需要,以提高证据质量,以便更好地管理患者的血液.
科学领域:
- 麻醉学 麻醉学
- 血液学 血液学 血液学
- 手术患者护理手术患者护理
背景情况:
- 术前贫血会对患者的结果产生负面影响,需要强有力的患者血液管理 (PBM).
- 及时诊断和分化贫血对于有效的PBM至关重要,但在全球范围内实施不一致.
- 本范围审查解决了对手术前贫血管理建议的概述的需要,以确定知识差距.
研究的目的:
- 提供关于手术前贫血管理当前建议的全面概述.
- 识别手术前贫血的检测和管理中的不一致性和差距.
- 突出新兴的想法和未来在手术前贫血检测方面的研究领域.
主要方法:
- 根据PRISMA指南进行了范围审查.
- 在PubMed和ScienceDirect的搜索中发现了过去5年的英语和德语文章,并补充了手动选择.
- 排除儿科和产科医生建议,结果根据贫血检测的关键问题进行综合.
主要成果:
- 80篇文章,包括25篇临床实践指南,符合纳入标准.
- 大多数指南建议一般"检测和纠正"贫血;一些建议早期调查 (手术前30天).
- 推的测试包括血细胞计数,铁,维生素B12 /叶酸,炎症和器官功能测试;自动化算法和护理点Hb正在出现.
结论:
- 术前贫血检测的国际建议异构,往往缺乏具体性.
- 自动化实验室算法有望提高贫血检测的实用性.
- 需要以实践为导向的指导方针和加强科学证据的质量,以实现手术前贫血管理的标准化和有效实施.
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