12. Iatrogenic Blood Loss

  1. Petra Seeber MD1 and
  2. Aryeh Shander MD, FCCM, FCCP2,3

Published Online: 4 JUL 2012

DOI: 10.1002/9781118338070.ch12

Basics of Blood Management, Second edition

Basics of Blood Management, Second edition

How to Cite

Seeber, P. and Shander, A. (2012) Iatrogenic Blood Loss, in Basics of Blood Management, Second edition, Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781118338070.ch12

Author Information

  1. 1

    Institute for Blood Management, Gotha, Germany

  2. 2

    Critical Care Medicine and Hyperbaric Medicine, Englewood Hospital and Medical Center, Englewood, NJ, USA

  3. 3

    Mount Sinai School of Medicine, Mount Sinai Hospital, New York, NY, USA

Publication History

  1. Published Online: 4 JUL 2012
  2. Published Print: 24 AUG 2012

ISBN Information

Print ISBN: 9780470670705

Online ISBN: 9781118338070



  • Iatrogenic blood loss;
  • Hospital acquired anemia;
  • Phlebotomy;
  • Discard volume;
  • Gastrointestinal bleeding;
  • Ulcer prophylaxis;
  • Extracorporeal circulation;
  • Anemia of inactivity;
  • Timing;
  • Non-invasive monitoring


Anemia largely develops during or after surgery or major trauma, or due to an underlying medical condition. However, anemia may also develop in hospital, secondary to common medical practice (hospital-acquired anemia). Typically, a series of small iatrogenic blood losses add up, resulting in patients becoming anemic. This chapter will address seven of the major causes of such iatrogenic blood loss and describe methods to minimize these losses.