Postoperative blood retrieval and transfusion in cementless total knee arthroplasty

Martin, Jeffrey W.; Whiteside, Leo A.; Milliano, Michael T.; Reedy, Mary E.

doi:10.1016/0883-5403(92)90019-m

Cited by 58 publications

(37 citation statements)

References 8 publications

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“…But the possibility remains a cause for concern [8]. Martin et al used autotransfusion in 197 cases to whom they had performed cementless total hip arthroplasty and did not face any perioperative mortalities, pulmonary embolism, or fat embolism syndrome [18]. This is also consistent with our results.…”

Section: Discussionsupporting

confidence: 82%

“…p*=differences in number of pixels between the groups. AS=antero-superior, AM=antero-medial, AI=antero-inferior, PS=postero-superior, PM=postero-medial, PI=postero-inferior, preop=preoperative, postop=postoperative need to use allogenic bank blood [17,18]. Similarly, in our study, the patients in the study group received 509.70± 186.65 ml autotransfusion, which decreased the need to use bank blood when compared to the control group.…”

Section: Discussionsupporting

confidence: 47%

“…Preventing the immunological reactions of bank blood and decreasing the risk of disease transmission, shed blood retransfusion (in other words, "autotransfusion") is increasingly preferred following orthopaedic operations. The transfusion of salvaged blood in orthopaedic surgery decreases the need for allogenic transfusions [15,18,20,27], but there are concerns, as salvaged shed blood may contain fat particles, bone matrix, locally administered antibiotics, methylmethacrylate, and tissue debris [12]. Entrance of these materials into the circulation may block an artery and cause pulmonary embolus (PE).…”

Section: Introductionmentioning

confidence: 99%

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Effect of shed blood retransfusion on pulmonary perfusion after total knee arthroplasty: a prospective controlled study

Altınel

Kaya

Köse

et al. 2006

International Orthopaedics (SICO

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Postoperative shed blood retransfusion (autotransfusion) is a commonly used salvage method following major surgical operations, such as total knee arthroplasty (TKA). The systemic effects of shed blood are still unclear. We studied the effect of residual substances in the retransfused shed blood, on lung perfusion after TKA. Fifteen unilateral and one bilateral TKAs were performed with autotransfusion (the study group) and 15 unilateral and three bilateral TKAs were performed in a control group. Lung Xrays, arterial blood gases (ABG), D-dimer values, and lung perfusion scintigraphies were performed preoperatively and postoperatively. A mean of 300.0±335.6 ml of bank blood was needed in the autotransfusion group and a mean of 685.7±365.5 ml of bank blood was needed in the control group (p=0.001). There was a postoperative segmental perfusion defect at the lateral segment of the superior lobe of the left lung in one patient of the control group and he also had risk factors for thrombosis. Although both groups had a decrease in lung perfusion postoperatively, there were no significant differences among the groups regarding the lung perfusion scintigraphy, chest X-rays, ABG, and Ddimer values. In conclusion, although pulmonary perfusion diminishes following TKA, shed blood retransfusion does not add any risk to pulmonary perfusion. Résumé La retransfusion post-opératoire est souvent utilisée dans les interventions majeures comme les prothèses de genou. L'effet systémique du sang récupéré n'est pas très connu. Nous avons étudié les effets de cette transfusion sur la perfusion pulmonaire. 15 prothèses de genou unilatérales et une bilatérale étaient réalisées en autotransfusion avec un groupe de contrôle de 15 unilatérales et 3 bilatérales. Des radiographies pulmonaires, les gaz du sang, la valeur des Ddimer et des scintigraphies de la perfusion pulmonaire étaient faites avant et après l'opération. Une moyenne de 300,0+−335,6 ml de sang de banque était nécessaire dans le groupe autotransfusion et une moyenne de 685,7+−365,5 ml était nécessaire dans le groupe de contrôle (p=0,001). Il y avait un déficit segmentaire de perfusion chez un patient du groupe de contrôle et il avait aussi des facteurs de risque thrombotique. Bien que les 2 groupes avaient une diminution de la perfusion pulmonaire, il n'y avait pas de différ-ences entre les 2 groupes pour la scintigraphie pulmonaire, les radiographies, les gaz du sang et les valeurs des D-dimer. En conclusion, bien que la perfusion pulmonaire diminue à la suite de l'arthroplastie totale de genou, la retransfusion du sang répandu n'entraine pas de risque particulier.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 47%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effect of shed blood retransfusion on pulmonary perfusion after total knee arthroplasty: a prospective controlled study

Altınel

Kaya

Köse

et al. 2006

International Orthopaedics (SICO

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“…The absence of adverse reactions accords with the findings of others (Bengtson et al 1990, Kristensen et al 1992, Blevins et al 1993, Healy et al 1994, although some authors have reported clinical complications between 2 and 25 percent of their patients within 6 hours after reinfusion (Faris et al 1991, Clements et al 1992, Martin et al 1992. Because of reported complications, some authors have recommended that the drain blood be washed prior to retransfusion.…”

Section: Discussionsupporting

confidence: 67%

Cell quality of salvaged blood after total knee arthroplasty:Drain blood compared to venous blood in 32 patients

Dalén

Broström

1995

Acta Orthopaedica Scandinavica

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“…Siekiant išvengti bakterinio užteršimo, rekomenduojama kraują rinkti iš drenų ir reinfuzuoti ne vėliau kaip per 6 val. po operacijos (31)(32)(33).…”

Section: Pooperacinė Kraujo Reinfuzijaunclassified

Transfusion of autologous blood

Veikutienė¹,

Širvinskas²,

Adukauskienė

2008

Medicina

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ĮvadasPastaraisiais metais, nuolat daugėjant sudėtingų traumų (jų metu nukentėjęs žmogus dažnai labai nukraujuoja), didėjant įvairių ligų chirurginio gydymo galimybėms, plečiantis ortopedinių operacijų apimčiai, didėja alogeninio kraujo perpylimo poreikis (1). Deja, alogeninio kraujo perpylimas susijęs su daugeliu problemų: kraujo, kaip biologinio audinio, išteklių ribotumu, augančiais kraujo paruošimo kaštais, krauju perduodamų infekcinių ligų pavojumi, neigiamu imunomoduliaciniu poveikiu recipientui, pneumonija bei kitomis pooperacinėmis infekcijomis, piktybinių navikų išplitimo bei jų atsinaujinimo rizika (2-9). Yra duomenų, kad alogeninio kraujo perpylimas didina sergamumą, mirtingumą, ilgina lovadienių trukmę intensyviosios terapijos skyriuose gydomiems ligoniams (8).Šios aplinkybės skatina siaurinti ir griežtinti indikacijas donorinio kraujo perpylimui, įdiegti naujus metodus, padedančius išvengti ar bent minimalizuoti alogeninio kraujo transfuzijų poreikį (10-17).Autologinio kraujo perpylimas -tai yra, kai donoras ir recipientas yra tas pats asmuo (paties ligonio kraujo perpylimas). Pastaraisiais metais akivaizdžiai padidėjo susidomėjimas autologinio kraujo panaudojimo galimybėmis, kaip viena tinkamiausių alternatyvų donorinio kraujo perpylimui. Šiuolaikiniai autologinio kraujo moksliniai tyrimai bei klinikinė praktika pateikia naują sampratą apie autologinio kraujo perpylimo praktinę vertę. Autologinio kraujo perpylimas yra pats saugiausias, nes galima išvengti ar bent gerokai sumažinti daugelį potencialių komplikacijų, sukeliamų donorinio kraujo perpylimo. Svarbus autologinio kraujo perpylimo vaidmuo ir kraujo taupymo programoje. Šis kraujo perpylimas geriausias, o dažnai ir vienintelis pasirinkimo būdas tiems ligoniams, kuriems tapataus donorinio kraujo nepavyksta parinkti, kai yra itin reto fenotipo kraujo grupė arba dėl imunizacijos susidarę aloantikūnai (18).Ne visos planinės chirurginės intervencijos susijusios su didesniu nukraujavimu, todėl ne visi ligoniai turėtų būti ruošiami autologinio kraujo perpylimui. Yra keletas autologinio kraujo perpylimo metodų, kurie skirtingiems ligoniams gali būti naudojami atskirai ar įvairiuose deriniuose.Autologinio kraujo perpylimo metodai:

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Postoperative blood retrieval and transfusion in cementless total knee arthroplasty

Cited by 58 publications

References 8 publications

Effect of shed blood retransfusion on pulmonary perfusion after total knee arthroplasty: a prospective controlled study

Effect of shed blood retransfusion on pulmonary perfusion after total knee arthroplasty: a prospective controlled study

Cell quality of salvaged blood after total knee arthroplasty:Drain blood compared to venous blood in 32 patients

Transfusion of autologous blood

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