NATA Guidelines in Elective Orthopedic Surgery (Our Experience)
Introduction: Previously undiagnosed anemia is common in elective orthopedic surgery and is associated with increased likelihood of blood transfusion, as well as increased perioperative morbidity and mortality. A multidisciplinary panel of physicians was convened by the Network for Advancement of Transfusion Alternatives (NATA) with the aim of developing practice guidelines for the detection, evaluation and management of preoperative anemia in elective orthopedic surgery. Methods and results: The following recommendations were made for the patients scheduled for the orthopedic surgery: 1. The hemoglobin level was estimated to be based on at least 28 days before the planned orthopedic surgery, 2. Preoperative hemoglobin level recommended for women ≥120g/l and for men ≥130g/l, 3. In case of the existence of anemia, the immediate implementation of laboratory testing to determine the cause of anemia was recommended, 4. Any nutritional deficiency should be compensated 5. Conclusion: Use of stimulators of erythropoiesis is recommended.
