We are trying to optimise a 71 year old lady for orthopaedic surgery. You voted in the poll to proceed with IV iron – this has been administered at the correct weight-based dose for her Hb. Repeat bloods 6 weeks after iron infusion is shown below. The surgeons would like her Hb to be around 100 g/l:
Hb 89 g/L
Ferritin 628 ug/l
Serum iron 5 umol/L
Transferrin 1,580 mg/L
TIBC 47 umol/L
Is there a role for EPO in this situation?
What peri-operative strategies would you advise the surgical team to consider?
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