Efficacy of Intraoperative Blood Collection and Reinfusion in Revision Total Hip Arthroplasty

Zarin, Jeffrey S.; Grosvenor, David; Schurman, David J.; Goodman, Stuart B.

doi:10.2106/00004623-200311000-00013

Cited by 49 publications

(35 citation statements)

References 11 publications

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“…Garvin et al could show that the need for ABT using two different systems for CATS was reduced in cases of hip revision by 31 % [44]. Zarin et al found decreased perioperative blood loss using CATS for patients with revision of femoral and acetabular components or only the acetabular component [23]. Recently, Greenky et al peformed a retrospective analysis of 298 patients and recommended using CATS for aseptic revisions of THA only in cases with advanced age, higher BMI, revision of both components (femoral and acetabular) and revision surgeries with trochanteric osteotomy.…”

Section: Discussionmentioning

confidence: 99%

“…Some authors recommended pre-operative blood donation [14], correction of preoperative anaemia [15], autologous donation and retransfusion systems [10,[16][17][18][19][20][21][22][23], supplementation of erythropoietin or iron [24,25], pharmacologic agents like tranexamic acid [26,27], plasmapheresis, normovolaemic haemodilution [28][29][30][31] and post-operative red blood cell salvage [32].…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of an autologous transfusion system following cemented and non-cemented revisions of total hip arthroplasty

Hawi

Kendoff

Hessling

et al. 2014

International Orthopaedics (SICOT)

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Purpose The goal of this study was to analyse the efficacy of blood autotransfusion using a continuous autologous transfusion system in revisions of total hip arthroplasty (THA). We looked at whether administration of allogeneic blood units was reduced in these cases and if there is a difference between cemented and non-cemented revisions. Methods Between January 2011 and December 2011, patients being treated with revision THA were included (n=411). The following parameters were analysed: patient age, gender, weight (kg), height (cm), body mass index (BMI, kg/m 2 ), surgical diagnosis, treatment and American Society of Anesthesiologists (ASA) classification score. The difference between pre-and post-operative haemoglobin (Hb, g/dl), amount of peri-operative blood loss (ml), amount of retransfused washed shed blood and amount of allogeneic and/or autologous transfusion (ml) were recorded. Results In both the cemented and non-cemented revision THA groups, there was no significant difference between pre-and post-operative Hb with or without using an autotransfusion system. In 92 of 186 cemented cases using an autologous transfusion system (49.5 %) and 38 of 117 non-cemented cases using an autologous transfusion system (32.5 %), allogeneic blood transfusion (ABT) was required. Cemented procedures using an autologous transfusion system got significantly more ABTs than non-cemented procedures using an autologous transfusion system (p=0.0042, odds ratio=2.035).Conclusions Use of an autologous transfusion system did not reduce the amount of ABT in revision THA in the patient cohort reported here. In our opinion, general blood management is required before and during surgery to reduce administration of ABT.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effectiveness of an autologous transfusion system following cemented and non-cemented revisions of total hip arthroplasty

Hawi

Kendoff

Hessling

et al. 2014

International Orthopaedics (SICOT)

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“…A number of ways of reducing blood loss in arthroplasty have been explored, including preoperative autologous transfusion, 6 intraoperative cell salvage 7 and postoperative autologous transfusions. [1][2][3]8 Both intraoperative blood salvage and postoperative retransfusion drains have been shown to be effective in reducing blood loss in total hip arthroplasties.…”

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confidence: 99%

Intraoperative cell salvage versus postoperative autologous blood transfusion in hip arthroplasty: a retrospective service evaluation

Mason

Fitzgerald

Powell-Tuck

et al. 2011

annals

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INTRODUCTION A number of ways of reducing blood loss in arthroplasty have been explored, including preoperative autologous transfusion, intraoperative cell salvage and postoperative autologous transfusions. Both intraoperative blood salvage and postoperative retransfusion drains have been shown to be effective in reducing blood loss in total hip arthroplasty. In our department there was a change in practice from using postoperative retransfusion drains to intraoperative cell salvage. To our knowledge no study has directly compared using intraoperative blood salvage and postoperative retransfusion drains alone in total hip arthroplasty. METHODS This was a retrospective service evaluation including all primary hip arthroplasty performed under our care between January 2006 and December 2008. Patients were divided into two groups: Group A used a postoperative autologous blood transfusion (ABT) drain and Group B used intraoperative cell salvage. RESULTS A total of 144 patients were included in this study: 84 in Group A and 60 in Group B. The mean haemoglobin difference for Group A was 3.96g/dl (standard deviation [SD]: 1.52) and for Group B it was 3.46g/dl (SD: 1.42). The mean haematocrit difference for Group A was 0.12% (SD: 0.05) and for Group B it was 0.10% (SD: 0.04). Using an independent t-test for the comparison of means, a significant difference was found between Group A and B both in regards to haemoglobin difference (p=0.009) and haematocrit difference (p=0.046). CONCLUSIONS We feel that intraoperative cell salvage provides a more efficient method of reducing blood loss than postoperative retransfusion in primary total hip replacement. A prospective randomised study would be useful to ascertain any clinical difference between the two methods.

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“…Zarin et al [29] reviewed the records of 126 patients undergoing revision THA and found the greatest blood loss occurred when both components were revised, while the blood loss when only one component was revised was not different between femoral component revision and acetabular revision. Our data show a higher risk for transfusion when the socket is revised.…”

Section: Discussionmentioning

confidence: 99%

Tranexamic Acid Reduces Allogenic Transfusion in Revision Hip Arthroplasty

Noordin

Waters

Garbuz

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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Background Revision THA is associated with high blood loss and a high probability of blood transfusion in the perioperative period. In November 2003, government legislation established the Blood Utilization Program at our center to reduce the rate and risks associated with allogenic transfusion. Questions/purposes The purposes of this study were to (1) determine whether the allogenic transfusion rate in patients undergoing revision THA decreased in those who were reviewed preoperatively by the Blood Utilization Program versus those who were not; (2) determine whether tranexamic acid reduced the rate of transfusion; and (3) identify potential perioperative clinical parameters that are associated with an increased risk of blood transfusion. Methods We included all 159 patients who underwent revision THA from

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Efficacy of Intraoperative Blood Collection and Reinfusion in Revision Total Hip Arthroplasty

Cited by 49 publications

References 11 publications

Effectiveness of an autologous transfusion system following cemented and non-cemented revisions of total hip arthroplasty

Effectiveness of an autologous transfusion system following cemented and non-cemented revisions of total hip arthroplasty

Intraoperative cell salvage versus postoperative autologous blood transfusion in hip arthroplasty: a retrospective service evaluation

Tranexamic Acid Reduces Allogenic Transfusion in Revision Hip Arthroplasty

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