Hidden Anemias in the Critically Ill.

Patricia O'Malley

Journal: Critical care nursing clinics of North America 2017;29(3):363-368

PMID: 28778295

Full Text on Elsevier Science View on PubMed

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.

Address: Department of Nursing Research, Premier Health, Center of Nursing Excellence, 1 Wyoming Street, Dayton, OH 45409, USA; School of Nursing, Indiana University East, 2325 Chester Boulevard, Richmond, IN 47374, USA. Electronic address: [email protected].

DOI: 10.1016/j.cnc.2017.04.008

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MeSH Terms: Anemia, Blood Transfusion, Bloodless Medical and Surgical Procedures, Critical Care Nursing, Critical Illness, Epoetin Alfa, Heart Failure, Hematinics, Humans, Intensive Care Units