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Iatrogenic anemia

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https://www.readbyqxmd.com/read/27816130/anesthesia-for-patients-with-anemia
#1
REVIEW
Aryeh Shander, Gregg P Lobel, Mazyar Javidroozi
Anemia is a common and often ignored condition in surgical patients. Anemia is usually multifactorial and iron deficiency and inflammation are commonly involved. An exacerbating factor in surgical patients is iatrogenic blood loss. Anemia has been repeatedly shown to be an independent predictor of worse outcomes. Patient blood management (PBM) provides a multimodality framework for prevention and management of anemia and related risk factors. The key strategies in PBM include support of hematopoiesis and improving hemoglobin level, optimizing coagulation and hemostasis, use of interdisciplinary blood conservation modalities, and patient-centered decision making throughout the course of care...
December 2016: Anesthesiology Clinics
https://www.readbyqxmd.com/read/27689245/vessel-preserving-stent-assisted-coil-embolization-of-an-extracranial-internal-carotid-artery-pseudoaneurysm-that-developed-after-tonsillectomy-in-a-pediatric-patient-initial-case-report
#2
Jeffrey Steinberg, Vincent Cheung, Gunjan Goel, J Scott Pannell, Javan Nation, Alexander Khalessi
Although there have been reports of carotid artery pseudoaneurysm formation after adenoidectomy and/or tonsillectomy secondary to iatrogenic injury, there are no case reports of successful endovascular reconstruction of the injured artery in the pediatric population. In most pediatric cases, the internal carotid artery (ICA) is sacrificed. The authors report on a 6-year-old girl who presented with odynophagia, left-sided Horner's syndrome, hematemesis, and severe anemia 6 months after a tonsillectomy. On examination she was found to have a pulsatile mass along the left posterior lateral oropharynx, and imaging demonstrated a dissection of the extracranial left ICA and an associated pseudoaneurysm...
September 30, 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27650099/invasive-fungal-sinusitis-by-lasiodiplodia-theobromae-in-an-patient-with-aplastic-anemia-an-extremely-rare-case-report-and-literature-review
#3
Hyun Jung Gu, Young Jin Kim, Hee Joo Lee, Sung Hwa Dong, Sung Wan Kim, Hee Jae Huh, Chang-Seok Ki
Human Lasiodiplodia theobromae infection has not been reported frequently. We report the first case of invasive L. theobromae nasal and neck infection. A 66-year-old male visited our hospital with anemia and general weakness. He showed pancytopenia, and his bone marrow examination revealed markedly decreased hematopoietic cells. The patient was presumed to have iatrogenic aplastic anemia due to mushroom toxicity. He began treatment for multiple organ infections with broad-spectrum antibiotics and antifungal agents...
September 20, 2016: Mycopathologia
https://www.readbyqxmd.com/read/27564784/patient-and-operative-factors-associated-with-complications-following-adolescent-idiopathic-scoliosis-surgery-an-analysis-of-36-335-patients-from-the-nationwide-inpatient-sample
#4
Rafael De la Garza Ramos, C Rory Goodwin, Nancy Abu-Bonsrah, Amit Jain, Emily K Miller, Nicole Huang, Khaled M Kebaish, Paul D Sponseller, Daniel M Sciubba
OBJECTIVE The aim of this study was to investigate the incidence of and factors associated with complications following idiopathic scoliosis surgery in adolescents. METHODS The Nationwide Inpatient Sample database was used to identify patients 10-18 years of age who had undergone spinal fusion for adolescent idiopathic scoliosis (AIS) from 2002 to 2011. Twenty-three unique in-hospital postoperative complications, including death, were examined. A series of logistic regressions was used to determine if any demographic, comorbid, or surgical parameter was associated with complication development...
December 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27562519/-hospital-acquired-anemia-facts-consequences-and-prevention
#5
Y Ozier, C Aubron, B-V Nguyen
Hospital-acquired anemia is common, especially in the most critically ill patients. It may be associated with poor patient outcomes. It may result from increased blood loss, impaired red cell production or reduced red cell life span. Multiple associated factors may contribute simultaneously or sequentially to the decrease in hemoglobin level. Some of them are related to the underlying disease and others are iatrogenic. Clinicians should be aware of the importance and consequences of iatrogenic anemia caused by diagnostic blood sampling...
August 22, 2016: Transfusion Clinique et Biologique: Journal de la Société Française de Transfusion Sanguine
https://www.readbyqxmd.com/read/27538924/safe-reduction-of-blood-volume-in-the-blood-gas-laboratory
#6
Phillip R Jensen, Boaz A Markewitz
BACKGROUND: Phlebotomy is a significant cause of iatrogenic anemia in the critical care environment. It is estimated that one-third of all transfusions of packed red blood cells in intensive care units (ICU) result from phlebotomy. The aims of this study were to determine if utilizing the 1mL blood gas syringe for an adult population would impact the rate at which specimens were acceptable for testing and result reporting based on lab specimen rejection criteria; and to compare blood utilization between the 2 different syringes...
November 2016: Laboratory Medicine
https://www.readbyqxmd.com/read/27366305/atypical-presentation-of-a-hepatic-artery-pseudoaneurysm-a-case-report-and-review-of-the-literature
#7
Casey M Luckhurst, Chelsey Perez, Amy L Collinsworth, Jose G Trevino
Classically, hepatic artery pseudoaneurysms (HAPs) arise secondary to trauma or iatrogenic causes. With an increasing prevalence of laparoscopic procedures of the hepatobiliary system the risk of inadvertent injury to arterial vessels is increased. Pseudoaneurysm formation post injury can lead to serious consequences of rupture and subsequent hemorrhage, therefore intervention in all identified visceral pseudoaneurysms has been advocated. A variety of interventional methods have been proposed, with surgical management becoming the last step intervention when minimally invasive therapies have failed...
June 28, 2016: World Journal of Hepatology
https://www.readbyqxmd.com/read/27317382/patient-blood-management-bundles-to-facilitate-implementation
#8
Patrick Meybohm, Toby Richards, James Isbister, Axel Hofmann, Aryeh Shander, Lawrence Tim Goodnough, Manuel Muñoz, Hans Gombotz, Christian Friedrich Weber, Suma Choorapoikayil, Donat R Spahn, Kai Zacharowski
More than 30% of the world's population are anemic with serious economic consequences including reduced work capacity and other obstacles to national welfare and development. Red blood cell transfusion is the mainstay to correct anemia, but it is also 1 of the top 5 overused procedures. Patient blood management (PBM) is a proactive, patient-centered, and multidisciplinary approach to manage anemia, optimize hemostasis, minimize iatrogenic blood loss, and harness tolerance to anemia. Although the World Health Organization has endorsed PBM in 2010, many hospitals still seek guidance with the implementation of PBM in clinical routine...
May 28, 2016: Transfusion Medicine Reviews
https://www.readbyqxmd.com/read/27091216/iatrogenic-iron-overload-in-dialysis-patients-at-the-beginning-of-the-21st-century
#9
REVIEW
Guy Rostoker, Nosratola D Vaziri, Steven Fishbane
Iron overload used to be considered rare in hemodialysis patients but its clinical frequency is now increasingly realized. The liver is the main site of iron storage and the liver iron concentration (LIC) is closely correlated with total iron stores in patients with secondary hemosideroses and genetic hemochromatosis. Magnetic resonance imaging is now the gold standard method for LIC estimation and monitoring in non-renal patients. Studies of LIC in hemodialysis patients by quantitative magnetic resonance imaging and magnetic susceptometry have demonstrated a strong relation between the risk of iron overload and the use of intravenous (IV) iron products prescribed at doses determined by the iron biomarker cutoffs contained in current anemia management guidelines...
May 2016: Drugs
https://www.readbyqxmd.com/read/26979913/oxaliplatin-immune-induced-syndrome-occurs-with-cumulative-administration-and-rechallenge-single-institution-series-and-systematic-review-study
#10
REVIEW
Katia Bencardino, Gianluca Mauri, Alessio Amatu, Federica Tosi, Erica Bonazzina, Laura Palmeri, Marialuisa Querques, Federica Ravera, Alberto Menegotto, Elisa Boiani, Andrea Sartore-Bianchi, Salvatore Siena
Oxaliplatin immune-induced syndrome (OIIS) is an uncommon, potentially life-threatening, side effect associated with oxaliplatin-based chemotherapy. The present study reports 5 original cases of OIIS and systematically reviewed the available published cases. We retrospectively analyzed the clinical archives of the Niguarda Cancer Center from 2009 to 2015 and conducted a search for OIIS using the PubMed database, followed by deeper investigation of the references of the recorded studies. We pooled our series with other reported cases for systematic review in accordance with the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement using only English language as the selection criterion...
September 2016: Clinical Colorectal Cancer
https://www.readbyqxmd.com/read/26935514/prevention-of-iatrogenic-anemia-in-critical-and-neonatal-care
#11
REVIEW
Natalia Jakacka, Emilian Snarski, Selamawit Mekuria
Iatrogenic anemia caused by diagnostic blood sampling is a common problem in the intensive care unit, where continuous monitoring of blood parameters is very often required. Cumulative blood loss associated with phlebotomy along with other factors render this group of patients particularly susceptible to anemia. As it has been proven that anemia in this group of patients leads to inferior outcomes, packed red blood cell transfusions are used to alleviate possible threats associated with low hemoglobin concentration...
January 2016: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
https://www.readbyqxmd.com/read/26911721/median-sacral-artery-injury-following-a-bone-marrow-biopsy-successfully-treated-with-selective-trans-arterial-embolization-a-case-report
#12
Yousof Al Zahrani, David Peck
BACKGROUND: Iatrogenic arterial injury during bone marrow biopsy is an extremely rare complication. We present unreported complication of median sacral artery injury that was managed successfully with endovascular treatment. CASE PRESENTATION: A 22-year-old Caucasian man known to have end-stage renal disease secondary to Senior-Loken syndrome presented with anemia. He underwent an investigation with bone marrow biopsy that was complicated by hypotension and a further significant drop in his hemoglobin level...
2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/26762137/vascular-complications-in-plating-of-the-proximal-femur-review
#13
REVIEW
Th Neubauer, St Grechenig, L Leitner, A Auffarth, M Plecko
INTRODUCTION: Plating of the proximal femur represents a standard fixation method in orthopedic and trauma surgery. Vascular lesions are uncommon but potentially life-threatening. With the increasing number of hip surgery also more of these complications have to be anticipated. The purpose of this study was to evaluate the most common types and locations of vascular lesions after plating of the proximal femur as well as the most important causes. MATERIALS AND METHODS: A literature research was undertaken of the English and german literature on vascular complications after plating of the proximal femur following a structured search protocol...
April 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/26691798/-prevalence-and-factors-associated-with-the-presence-of-anemia-in-the-elderly-of-the-municipality-of-vi%C3%A3-osa-state-of-minas-gerais-brazil
#14
Clarice Santana Milagres, Keila Bacelar Duarte de Moraes, Sylvia Carmo Castro Franceschini, Luciana Ferreira Rocha Sant'Ana, Luciana Moreira Lima, Andréia Queiroz Ribeiro
Anemia is the most common hematological problem encountered in the elderly population. A cross-sectional, population-based survey was conducted to evaluate the prevalence and factors associated with anemia in the elderly in Viçosa (State of Minas Gerais). Data were collected by means of a household survey and conducting biochemical tests on 349 elderly between June and December 2009. The prevalence of anemia was 11.7% (95% CI 8.3% -15.1%) and was found to be higher among men (15.4%) among those aged 80 years and older (30%) and those who practiced polypharmacy (16...
December 2015: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/26264778/development-of-anemia-phlebotomy-practices-and-blood-transfusion-requirements-in-45-critically-ill-cats-2009-2011
#15
Anusha Balakrishnan, Kenneth J Drobatz, Erica L Reineke
OBJECTIVE: To describe the incidence of the development of anemia, the number of phlebotomies performed daily, the approximate volume of blood withdrawn, the transfusion requirements and their association with duration of hospitalization and survival to discharge in critically ill cats. DESIGN: Retrospective study from January 2009 to January 2011. SETTING: University teaching hospital. ANIMALS: Cats hospitalized in the intensive care unit (ICU) for >48 hours...
May 2016: Journal of Veterinary Emergency and Critical Care
https://www.readbyqxmd.com/read/26103107/-late-onset-lupus-in-the-elderly-after-65-years-retrospective-study-of-18-cases
#16
Abrar-Ahmad Zulfiqar, Tommy Courtel, Jean-Luc Novella, Jean-Loup Pennaforte
OBJECTIVE: The aim of our study was to investigate characteristics of late-onset lupus after 65 years compared to younger ones. METHOD: Patients with lupus revealed after 65 years were investigated in four French hospitals between 1985 and 2013. Patients with 4 ACR criteria or more were included. Clinical and biological characteristics, prognosis, treatment, comorbidities were described retrospectively and compared to the cohort of 1000 lupus patients of Cervera et al...
June 2015: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
https://www.readbyqxmd.com/read/25999405/the-labile-side-of-iron-supplementation-in-ckd
#17
REVIEW
Itzchak Slotki, Zvi Ioav Cabantchik
The practice of intravenous iron supplementation has grown as nephrologists have gradually moved away from the liberal use of erythropoiesis-stimulating agents as the main treatment for the anemia of CKD. This approach, together with the introduction of large-dose iron preparations, raises the future specter of inadvertent iatrogenic iron toxicity. Concerns have been raised in original studies and reviews about cardiac complications and severe infections that result from long-term intravenous iron supplementation...
November 2015: Journal of the American Society of Nephrology: JASN
https://www.readbyqxmd.com/read/25947889/-sepsis-related-anemia-is-absent-at-hospital-presentation-a-retrospective-cohort-analysis
#18
Geertje Jansma, Fellery de Lange, W Peter Kingma, Namkje A R Vellinga, Matty Koopmans, Michael A Kuiper, E Christiaan Boerma
BACKGROUND: Anemia is a common feature during sepsis that occurs due to iatrogenic blood loss, depression of serum iron levels and erythropoietin production, and a decreased lifespan of erythrocytes. However, these mechanisms are unlikely to play a role in anemia at the start of sepsis. Moreover, sequestration of fluids, renal failure and increase of intravascular space may additionally influence the change in hemoglobin concentration during intravenous fluid administration in the acute phase of sepsis...
2015: BMC Anesthesiology
https://www.readbyqxmd.com/read/25728523/hospital-acquired-anemia-the-contribution-of-diagnostic-blood-loss
#19
COMMENT
J G van der Bom, S C Cannegieter
No abstract text is available yet for this article.
June 2015: Journal of Thrombosis and Haemostasis: JTH
https://www.readbyqxmd.com/read/25373808/blood-conservation-in-neurosurgery-erythropoietin-and-autologous-donation
#20
Alexander McGirr, Katerina Pavenski, Bhanu Sharma, Michael D Cusimano
BACKGROUND: Neurosurgery may involve significant blood loss and frequently requires allogeneic red blood cell (RBC) transfusion. Preoperative recombinant erythropoietin (EPO) may be used to improve erythroid status and recovery, and used either alone or in combination with preoperative autologous donation (PAD) it may reduce exposure to allogeneic RBC. We wished to study the use of EPO with and without PAD and the risk of RBC transfusion in neurosurgery. METHODS: Using a retrospective case-control design, 57 patients who received EPO preoperatively were matched 2:1 for age, sex, year of surgery, and International Classification of Diseases code most responsible for surgery (three were excluded because of stringent matching criteria, leaving 54 cases and 108 comparison subjects)...
September 2014: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
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