2023国际共识建议：外科患者贫血的管理

REVIEW ARTICLEOPENRecommendations From the International Consensus Conferenceon Anemia Management in Surgical Patients(ICCAMS)Aryeh Shander,MD,*Howard L Corwin MD Jens Meier,MD.SMichael Auerbach MD.#Elvira Bisbe,MD.l**Jeanna Blitz MDJochen Erhard MD David Faraoni,MD,SS Shannon L Farmer,DHScSteven M.Frank,MD,##Domenico Girelli MD,***Tiffany Hall,RNJean-Francois Hardy,MD,Axel Hofmann,Dr rer medicSssCheuk-Kwong Lee,MD,Tsin W.Leung MD Sherri Ozawa RN##Jameela Sathar,MD,****Donat R.Spahn MD.Rosalio Torres MD.Matthew A.Warner,MD,SSSS and Manuel Mufioz,MDBackground:Perioperative anemia has been associated with increasedObjective:To develop consensus recommendations for anemia managementrisk of red blood cell transfusion and increased morbidity and mortalityin surgical patients.after surgery.The optimal approach to the diagnosis and management ofMethods:An international expert panel reviewed the current evidence andperioperative anemia is not fully established.developed recommendations using modified RAND Delphi methodology.From the *Department of Anesthesiology,Critical Care Medicine,Hyperbaricnonpromotional programs for Pfizer and Pharmacosmos.E.B.has receivedMedicine and Pain Management.Engkwood Hospital and Medical Center.honoraria from Vifor Pharma and Sysmex for giving lectures.H.L.C.hasEnglewood.NJ:Society for the Advancement of Blood Managementreceived honoraria from American Regent.J.E.has received payment from(SABM).Englewood.NJ:Critical Care Medicine.Geisinger Health System.Vifor Pharma for giving lectures.S.F.has received honoraria from EthiconDanville,PA:Clinic of Anaesthesiology and Intensive Care Medicine.Biosurgery for giving lectures,and funding from National Blood AuthorityKepler University Hospital Linz,Austria;Network for the Advancement of(Australia)for traveling to and attending meetings.S.M.F.has receivedPatient Blood Management.Haemostasis and Thrombosis (NATA).Brus-honoraria from Haemonetics for scientific advisory board participation.sels,Belgium;"School of Medicine,Georgetown University,WashingtonD.G.has received honoraria from Vifor Pharma,for advisory board par-DC;#Auerbach Hematology and Oncology,Baltimore,MD.**Departmentticipation.A.H.received fees,honoraria,or travel costs for consultancy orof Anacsthesiology,Perioperative Medicine Research Group.Hospital dellecturing from Celgene,Gl Therapeutics,International Foundation forMar Medical Research Institute,IMIM,Barcelona,Spain;Department ofPatient Blood Management.PBMe Solutions.South African NationalAnesthesiology,Duke University School of Medicine,Durham.NCBlood Service.Takeda.TEM and Vifor.J.F.H.has received honorariaoaee品Rfrom Pharmacosmos for consultancy and scientific presentations,and fromNordic Pharma for consultancy.J.M.received a project-linked scientificArthur S.Keats Division of Pediatric Cardiowascular Anesthesia.Texasgrant from Vifor Pharma.M.M.has received honoraria for lectures and/orChildren's Hospital,Baylor College of Medicine,Houston,TX;l Disciplineconsul