Buscar en
Enfermería Clínica (English Edition)
Toda la web
Inicio Enfermería Clínica (English Edition) Management of iron deficiency anaemia by the preanaesthesia nurse with respect t...
Journal Information
Vol. 30. Issue 1.
Pages 47-52 (January - February 2020)
Share
Share
Download PDF
More article options
ePub
Visits
0
Vol. 30. Issue 1.
Pages 47-52 (January - February 2020)
Brief Original Article
DOI: 10.1016/j.enfcle.2019.02.006
Management of iron deficiency anaemia by the preanaesthesia nurse with respect to perioperative transfusion rates
Manejo de la anemia ferropénica por la enfermera de preanestesia respecto a las tasas de transfusión perioperatoria
Visits
...
Ana Gómez-Sáncheza,
Corresponding author
ana.gomez@scsalud.es

Corresponding author.
, Elena Fuente-Alonsob
a Unidad de Reanimación, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, Spain
b Consulta de Preanestesia, Departamento de Anestesia y Reanimación, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, Spain
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Tables (2)
Table 1. Socio demographic and clinical data of the sample (n=50).
Table 2. Measures of central tendency for the analytical parameters, the number of blood transfusions and days between administration of iron and surgery.
Show moreShow less
Abstract
Objective

To describe the prevalence of perioperative blood transfusion (BT) for patients with preoperative iron deficiency anaemia and undergoing major elective surgery, included in an intravenous iron protocol (IV Fe) led by the pre-anaesthesia nurse.

Method

Observational, descriptive, longitudinal and retrospective study in a population of patients undergoing major elective surgery, seen in anaesthesia nursing consultation in a tertiary hospital between April 2014 and January 2017. The patients with iron deficiency anaemia, included in the study, were included in a protocol of treatment with preoperative IV Fe.

Results

Fifty patients were studied. Twelve percent required a BT. A statistically significant association was observed between the need for intraoperative BT and the number of days between the first administration of IV Fe and date of surgery (p<.01) and also the number of days between the last administration of IV Fe and the surgical intervention (p=.04). The increase in haemoglobin was greater in patients who received more than one dose compared to those who received only one dose of 1000mg (p<.01).

Conclusions

In our study, we estimated an increase in haemoglobin greater than in other studies and a low administration rate of BT (12%). The role of the nurse is fundamental for the preselection of these patients.

Keywords:
Iron-deficiency
Iron
Intravenous infusions
Preoperative period
Surgery
Blood transfusion
Resumen
Objetivo

Describir la prevalencia de transfusión sanguínea (TS) perioperatoria en pacientes con anemia ferropénica preoperatoria y sometidos a cirugía mayor electiva, incluidos en un protocolo de hierro intravenoso (FE IV) liderado por la enfermera de preanestesia.

Método

Estudio descriptivo, observacional, longitudinal y retrospectivo en una población de pacientes sometidos a cirugía mayor electiva, vistos en consulta de enfermería de anestesia en un hospital de tercer nivel entre abril de 2014 y enero de 2017. Se incluyeron en el estudio aquellos pacientes con anemia ferropénica incluidos en un protocolo de tratamiento con FE IV prequirúrgico.

Resultados

Se estudiaron 50 pacientes. El 12% precisó una TS. Se observó una asociación estadísticamente significativa entre la necesidad de TS intraoperatoria y el número de días entre la primera administración de FE IV y la fecha de la cirugía (p<0,01), y también con el número de días entre la última administración de FE IV y la intervención quirúrgica (p=0,04). El aumento de la hemoglobina fue mayor en los pacientes que recibieron más de una dosis frente a los que solo recibieron una dosis de 1.000mg (p<0,01).

Conclusiones

En nuestro estudio hemos estimado un aumento de la hemoglobina mayor que en otros estudios y una tasa de administración de TS baja (12%). El papel de la enfermera es fundamental para la preselección de estos pacientes.

Palabras clave:
Anemia ferropénica
Hierro
Infusión intravenosa
Periodo preoperatorio
Cirugía
Transfusión sanguínea

Article

These are the options to access the full texts of the publication Enfermería Clínica (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Enfermería Clínica (English Edition)

Comprar
Comprar acceso al artículo

Comprando el artículo el PDF del mismo podrá ser descargado

Precio 19,34 €

Comprar ahora
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
Tools
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos