Korean J Anesthesiol.  1997 Nov;33(5):923-927. 10.4097/kjae.1997.33.5.923.

In Moderate Anemic Patients with Normal Cardiopulmonary Function, Should Preoperative Blood Transfusion be a Mandatory Procedure in Uterine Myoma Patients

• Lee KJ
• Lee SG
• Kim JI
• Ban JS
• Min BW

• KMID: 2154489
• DOI: http://doi.org/10.4097/kjae.1997.33.5.923

Abstract

BACKGROUND: In anemic patients, it has been usually traditional practice to correct the anemic state with preoperative blood transfusion. But now, there is an increasing tendency of refusing blood transfusion due to the transfusional complications, especially AIDS etc. The purpose of this study is to survey the effects of anesthesia in anemic patients with normal cardiopulmonary function compared to non-anemics. METHOD: 40 patients with uterine myoma were divided into two groups, an experimental group of 20 patients with hemoglobin concentration of 8~10 gm% and a control group of 20 patients with hemoglobin concentration higher than 10 gm%, and their blood pressure, pulse rate and arterial oxygen saturation were monitored and compared.
RESULTS
There were no significant differences between two groups in blood pressure, pulse rate and arterial oxygen saturation.
CONCLUSION
Preoperative blood transfusion, in patients with moderate anemia, does not seem to be a mandatory practice.

Keyword

Surgery, uterine myoma; Transfusion, anemia, hemoglobin

MeSH Terms

Anemia
Anesthesia
Blood Pressure
Blood Transfusion*
Heart Rate
Humans
Leiomyoma*
Oxygen
Oxygen