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Can Low Hemoglobin Level Be A Reason To Postpone Knee Replacement Surgery?

Posted on Thu, 14 Sep 2017

Question: Iron level 32. All labs been checked several times in past 2 months. Recommended auto transfusion, but had reaction, given IV Benadryl. Want to try this procedure again, but I am unsure of another reaction. Other po, what can I take
Thakyou

Answered by Dr. Ivo Ditah (45 minutes later)

Brief Answer:
What are your recent blood hemoglobin levels.

Detailed Answer:
Hi and thanks so much for this query.

It’s a bit strange why auto transfusion would cause a reaction. I will recommend you try this again. However, am curious as to why this was recommended. What were your recent blood hemoglobin levels are.

I look forward hearing back from you... There is no strong reason to shy from auto transfusion as the reaction is atypical and not common with this.

Waiting...

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ivo Ditah (14 hours later)

HB: 10.2, HCT: 33
Was scheduled for total knee replacement, surgery canceled at this time

Answered by Dr. Ivo Ditah (24 hours later)

Brief Answer:
Get your HB up before the surgery!

Detailed Answer:
Hi,

I think the cancellation will gives enough time to build your hemoglobin to higher levels before surgery. This might also take away the need for any transfusion.

I wish you well.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar