In this Pro-Con commentary article, we discuss whether anesthesiologists should be responsible for treating preoperative anemia. This debate was proposed based on the article published in this issue of Anesthesia & Analgesia by Warner et al, which is an advisory on managing preoperative anemia endorsed by both the Society of Cardiovascular Anesthesiologists and the Society for Advancement of Patient Blood Management. All evidence suggests that anemia is not just an innocent "bystander" which can be solved by transfusion. In fact, both anemia and transfusion are independently associated with adverse outcomes, so why not avoid both? It just makes sense that patients show up for surgery with enough red blood cells to avoid needing transfusion with someone else's. Even if we agree that preoperative anemia is worth treating before surgery, the question remains who should be responsible for doing so, and therein lies the reason for this Pro-Con debate. Should it be the responsibility of the anesthesiologist, or not? Let the readers decide.

中文翻译：

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赞成与反对的争论：麻醉师应该负责治疗术前贫血。


在这篇赞成与反对的评论文章中，我们讨论麻醉科医生是否应该负责治疗术前贫血。这场辩论是根据 Warner 等人在本期《麻醉与镇痛》杂志上发表的文章提出的，该文章是由心血管麻醉医师协会和患者血液管理促进协会认可的关于术前贫血管理的咨询意见。所有证据都表明，贫血不仅仅是一个可以通过输血解决的无辜“旁观者”。事实上，贫血和输血都与不良后果独立相关，那么为什么不避免两者呢？患者在接受手术时携带足够的红细胞以避免需要输注其他人的红细胞，这是有道理的。即使我们同意术前贫血值得在手术前治疗，问题仍然是谁应该负责这样做，这就是这场赞成与反对争论的原因。这是否应该是麻醉师的责任？让读者决定吧。