• An overhaul of Patient Blood Management in paediatric patients undergoing major elective surgery

    Undiagnosed iron deficiency and anaemia are frequently seen in the surgical setting. These are associated with increased likelihood of transfusion and may be associated with increased perioperative morbidity.

    In Australia, the prevalence of anaemia in children under the age of 5 years is 8.0% and affects an estimated 101,000 preschool children. Iron deficiency is the largest contributing factor to anaemia; and, high rates of iron deficiency are seen in indigenous communities.

    The Royal Children's Hospital Melbourne has developed Victorian statewide best practice guidance tools for the identification and management of iron deficiency anaemia in children undergoing major surgery. These statewide guidelines include IDA management tools to address anaemia management in children who are able to take oral iron and those who require intravenous iron.

    The Australian Red Cross Blood Service proudly supports this clinical practice improvement partnership with the Royal Children's Hospital Melbourne.

    Presenter: Dr Gemma Crighton, Paediatric Haematologist at the Royal Children's Hospital, Melbourne; President, Australia and New Zealand Society of Blood Transfusion president; and, Chair of the Paediatric Subgroup of the Clinical Transfusion Working Party of the International Society of Blood Transfusion (ISBT).

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