Early Hemoglobin Screening
Arthroplasty Patients Gross, Backstein, Safir 2009
Please collect a CBC and Group & Screen at the early pre-op visit.
The CBC will need to be reviewed by the surgeon within a day or two after the test.
The Group and Screen is the first step in the new two step process for all crossmatch testing.
For hemoglobin results less then 100, an
assessment for anemia will be required for planned surgery and may take
considerable time before the date when OR time becomes available. Ambulatory
Internal Medicine Clinic presently assesses with anemia for the pre-operative
patients at MSH can be contacted through
more than 100 and less than 140 the patients would be requested to start oral
iron therapy up to 6 weeks pre-operatively. Studies suggest half of these
mildly anemic patients would be expected to respond to iron therapy before the
Rx Ferrous Gluconate
For patients requesting Autologous blood donation please arrange for a
Ron Lenz transfusion coordinator 2627 fax 8830
AIM (C Boyce) 8563 fax 3168
Ivor Fleming BSc MD CCFP FRCPC
Director of Clinical
Assistant Professor Anesthesia University of Toronto
416 586 5270