Lachlan Miles
@lachiemiles.bsky.social
Consultant Anaesthetist. Will gas for coffee. Has been known to attempt ‘research’. Editor @anaesjournal.bsky.social. Opinions own, etc.
I use it for transfemoral TAVI. I give 0.625mg droperidol, then load 0.4mcg/kg over 20 mins and run at 0.2-0.4mcg/kg/h to effect. These patients are elderly with chronotropic incompetence, so bradycardia is not pronounced. We also have a pacing wire as part of procedure which minimises risk.
November 26, 2024 at 7:42 PM
I use it for transfemoral TAVI. I give 0.625mg droperidol, then load 0.4mcg/kg over 20 mins and run at 0.2-0.4mcg/kg/h to effect. These patients are elderly with chronotropic incompetence, so bradycardia is not pronounced. We also have a pacing wire as part of procedure which minimises risk.
The data for most of this response comes from this paper. Fundamentally, not every form of anaemia will respond to iron alone. Anaemia is a symptom of an underlying condition. To treat successfully, treat the cause.
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10....
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10....
The association between iron deficiency and outcomes: a secondary analysis of the intravenous iron therapy to treat iron deficiency anaemia in patients undergoing major abdominal surgery (PREVENTT) trial
In the intravenous iron therapy to treat iron deficiency anaemia in patients undergoing major abdominal surgery (PREVENTT) trial, the use of intravenous iron did not reduce the need for blood transfu...
associationofanaesthetists-publications.onlinelibrary.wiley.com
November 25, 2024 at 6:50 PM
The data for most of this response comes from this paper. Fundamentally, not every form of anaemia will respond to iron alone. Anaemia is a symptom of an underlying condition. To treat successfully, treat the cause.
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10....
associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10....
Depends on the iron studies! For ferritin < 30, IV iron can cause fairly rapid increases in Hb within 2 weeks. For ferritin < 100 + TSAT < 20%, it likely takes > 4 weeks. Oral iron generally takes > 3 months as the amount of iron transported across the gut daily is fairly small.
November 25, 2024 at 6:48 PM
Depends on the iron studies! For ferritin < 30, IV iron can cause fairly rapid increases in Hb within 2 weeks. For ferritin < 100 + TSAT < 20%, it likely takes > 4 weeks. Oral iron generally takes > 3 months as the amount of iron transported across the gut daily is fairly small.