Optimising collection of autologous blood

Flecknoe-Brown, Steve; Ross, P. J.; Fox, John

doi:10.5694/j.1326-5377.1995.tb124626.x

Cited by 2 publications

(1 citation statement)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There are four different types of autogenous blood deposition procedures: preoperative deposition of autogenous blood [6, 19, 21], isovolemic hemodilution [18], intraoperative collection of blood with cell savers [4, 14, 16], and postoperative collection of blood in closed system with continuous suction [2, 3, 5, 22]. As most of the blood loss in patients with TKA derives from wound drainage in the postoperative phase, collection of the drainage blood after surgery may be the optimal method for reusing of the blood.…”

Section: Discussionmentioning

confidence: 99%

Blood loss in patients for total knee arthroplasty

Fujimoto

Ozaki

Asaumi

et al. 2003

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

Ninety-four patients with osteoarthritis (OA) and 180 with rheumatoid arthritis (RA) undergoing unilateral total knee arthroplasty (TKA) were analyzed to clarify the necessity for preoperative autogenous blood deposition or homologous blood transfusion. Two hundred and twenty-four and 50 patients underwent TKA with cement and without cement, respectively. The difference in average blood loss in patients between with (372 ml) and without cementation (449 ml) was significant. In the OA group the average blood loss significantly decreased after cementation but not in the RA group. Although the rate of avoiding transfusion in the OA group did not significantly decrease with the use of cement (92.4% vs. 93.3%), that in the RA group did (80% to 57.1%). Eight of 159 patients with hemoglobin level (Hb) of 11.0 g/dl or higher received homologous blood transfusion. Of these eight patients five had associated disorders. Only one patient with Hb of 12.0 g/dl or higher underwent homologous blood transfusion. Patients with Hb of 12.0 g/dl or higher are not indicated for preoperative autologous blood deposition. In patients with Hb between 11.0 and 12.0 g/dl preoperative blood deposition may be planned after consideration of general condition and complication. Patients with Hb lower than 11.0 g/dl should undergo preoperative blood deposition.

show abstract