The prevalence and significance of low preoperative hemoglobin in ASA 1 or 2 outpatient surgery candidates

Ronald P. Olson, Alan Stone, David Lubarsky

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

Asymptomatic anemia in healthy patients undergoing low risk surgery is rare. In this retrospective study, we examined the records of 9584 ASA class I-II patients scheduled for elective low risk surgery who had a preoperative hemoglobin (hgb) test for the presence of anemia. Hgb <9 g/dL was detected in 75 patients (0.8%). Perioperative management of anemia occurred in no cases of elective surgery in this group. Transfusion of red cells occurred in four other patients, all of whom had hgb >9 g/dL. In all cases, management decisions were based on clinical factors rather than the preoperative hemoglobin test. In healthy patients undergoing low risk elective surgery, routine preoperative hgb testing is not indicated.

Original languageEnglish (US)
Pages (from-to)1337-1340
Number of pages4
JournalAnesthesia and Analgesia
Volume101
Issue number5
DOIs
StatePublished - Jan 1 2005
Externally publishedYes

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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