Evaluation and Management of Perioperative Anemia

by Smita K. Kalra, MD, FHM.

Based on the original module, Evaluation and Management of Perioperative Anemia, by Ajay Kumar, MRCP, MD, FACP and Tomas Villanueva, DO, MBA, FACPE, SFHM.

If you are a Program Director and would like to grant access to your trainees, please reach out to education@hospitalmedicine.org for an academic access code.

Summary

Anemia is frequently seen in patients undergoing surgery, and patients with preoperative anemia are more likely to receive perioperative allogeneic blood transfusions than patients with normal hemoglobin levels. Allogeneic blood transfusions are associated with an increase in the rate of postoperative complications.

Evaluation of anemia should be performed in the preoperative period and begins with taking a detailed history and physical examination. All efforts must be used to correct anemia or reduce blood loss during surgery to avoid allogeneic blood transfusion. In this module, we will discuss many scenarios commonly faced in perioperative practice.

Goal

To provide hospitalists with current information and guidelines for the treatment of perioperative anemia.

Target Audience

This activity is designed for hospitalists. No prerequisites are required.

Learning Objectives

After completing the module, the participant will demonstrate the ability to: 

  1. Identify the risks of anemia and blood transfusion in the perioperative period.
  2. Formulate an evaluation of anemia in the preoperative setting.
  3. Describe specific management strategies for several common causes of anemia.
  4. Assess appropriate perioperative transfusion thresholds.
  5. Summarize available modalities to reduce the risk of allogeneic blood exposure in the perioperative period.
  6. Formulate an evaluation of anemia in the postoperative setting.

Release Date: July 7, 2022                     Expiration Date: July 7, 2025

Estimated time to complete: 2 hours

Instructions

The following is an interactive educational module designed to help you gauge your basic knowledge of the topic and then direct you to areas you may need to focus on. It consists of several sections: a pre-test, a study program, a post-test, and a CME evaluation. All sections must be completed to receive CME credit.

Additional Information

AttachmentSize
PDF icon Anemia References-2022-2025-July7.pdf122.05 KB
Course summary
Available credit: 
  • 2.00 ABIM MOC Self Evaluation Points
    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 2.00 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
  • 2.00 AMA PRA Category 1 Credit™
Course opens: 
07/07/2022
Course expires: 
07/07/2025
Member cost:
$0.00
Your cost:
$95.00
Rating: 
0
FACULTY &  DISCLOSURES

Authors:

Smita K. Kalra, MD, FHM
Associate Professor of Medicine
University of California Irvine Medical School
UCI Hospitalist Perioperative Program
Orange, California

Jessica Bazick, MD

 

Editors:

Leonard Feldman, MD, FACP, FAAP, SFHM
Associate Professor of Internal Medicine and Pediatrics
Johns Hopkins School of Medicine
Program Director, Combined Internal Medicine-Pediatrics Urban Health Residency Program
Track Director, Osler Urban Health Internal Medicine Primary Care Leadership Track
Associate Program Director, Osler Medical Residency
Founding Editor-in-Chief, SHM Consultative and Perioperative Medicine Essentials for Hospitalists
Deputy Editor Journal of Hospital Medicine
Baltimore, Maryland

Kurt Pfeifer, MD, FACP, SFHM
Professor of Medicine
General Internal Medicine
Chief, Section of Perioperative and Consultative Medicine
Medical College of Wisconsin
Associate Editor-in-Chief, Consultative & Perioperative Medicine Essentials for Hospitalists
Milwaukee, Wisconsin

 

SHM Conflict of Interest Disclosure Policy

The faculty and planners of these activities have no relevant relationships to disclose. 

In accordance with the ACCME Standards for Commercial Support, SHM requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. SHM mitigates all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational programs. All relevant financial relationships shall be disclosed to participants prior to the start of the activity.

Furthermore, SHM seeks to verify that all scientific research referred to, reported, or used in a continuing medical education (CME) activity conforms to the generally accepted standards of experimental design, data collection, and analysis. SHM is committed to providing its learners with high-quality CME activities that promote improvements in healthcare and not those of a commercial interest.

Accreditation Statement

The Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation Statement:

The Society of Hospital Medicine designates this activity for a maximum of 2.00 AMA PRA Category 1 CreditsTM. Physicians should claim only credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 2.00 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Available Credit

  • 2.00 ABIM MOC Self Evaluation Points
    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 2.00 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
  • 2.00 AMA PRA Category 1 Credit™

Price

Member cost:
$0.00
Your cost:
$95.00
Please login or register to take this course.

The following is an interactive educational module designed to help you gauge your basic knowledge of the topic and then direct you to areas you may need to focus on. It consists of several sections: a pre-test, a study program, a post-test, and a CME evaluation. All sections must be completed to receive CME credit.

Click START to begin.

If you are a Program Director and would like to grant access to your trainees, please reach out to education@hospitalmedicine.org for an academic access code.