1. Hidden Anemias in the Critically Ill
- Author
-
Patricia O’Malley
- Subjects
medicine.medical_specialty ,Anemia ,Critical Illness ,030204 cardiovascular system & hematology ,Bloodless Medical and Surgical Procedures ,Critical Care Nursing ,Laboratory testing ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,law ,Intervention (counseling) ,medicine ,Humans ,Blood Transfusion ,030212 general & internal medicine ,Vitamin B12 ,Intensive care medicine ,Heart Failure ,Critically ill ,business.industry ,Standard treatment ,medicine.disease ,Intensive care unit ,Epoetin Alfa ,Intensive Care Units ,Heart failure ,Hematinics ,business - Abstract
With increasing knowledge of the risks associated with receiving blood transfusions, a new paradigm of bloodless medicine is needed. Principles of bloodless medicine include careful monitoring for obvious and hidden anemias, rapid intervention, minimizing blood losses from laboratory testing and procedures, and careful management of bleeding diatheses. As evidence is revealed and refined, standard treatment of anemia in the intensive care unit will include erythropoietin-stimulating agents, iron, folate, and vitamin B12, which will reduce risks associated with blood transfusions.
- Published
- 2017
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