Table 2. University Hospital of Zurich Guideline-Preoperative treatment of anemia.
Hemoglobin | Iron parameters | Treatment |
Kidney function | ||
(Low grade) infection | ||
Hemoglobin <130 g/L “ID Anemia”* | Ferritin <100 µg/L or TSAT <20% | 20 mg/kg BW iron carboxymaltose (IV) 30 min + 1 mg vitamin B12 (sc) + 5 mg folic acid (po) |
CCL ≥50 mL/min | ||
Hemoglobin <130 g/L “Renal anemia” | Ferritin ≥100 µg/L and TSAT ≥20% | Epoetin alpha 600 U/kg BW |
CCL <50 mL/min | 20 mg/kg BW iron carboxymaltose (IV) 30 min + 1 mg vitamin B12 (sc) + 5 mg folic acid (po) | |
Hemoglobin <130 g/L “Anemia of chronic disease” | Ferritin ≥100 µg/L and TSAT ≥20% | Epoetin alpha 600 U/kg BW |
CRP >5 mg/L | 20 mg/kg BW iron carboxymaltose (IV) 30 min + 1 mg vitamin B12 (sc) + 5 mg folic acid (po) | |
Hemoglobin ≥130 g/L “Isolated ID” | Ferritin <100 µg/L or TSAT <20% | 20 mg/kg BW iron carboxymaltose (IV) 30 min |
*Surgery in <5 days additionally Epoetin alpha 600 U/kg BW; TSAT: Transferrin saturation; CCL: Creatinine clearance; IV: Intravenous; po: Per oral; sc: Subcutaneous; BW: Body weight; CRP: C-reactive protein; ID: Iron deficiency. |