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).