Effects of Predeposit and Intentional Perioperative Haemodilution on Blood Saving Program in Major Orthopaedic Surgery
| Autor: | C. Gregoretti, B. Borghi, L. Burbi, E. Pignotti |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
medicine.medical_specialty
Blood transfusion business.industry medicine.medical_treatment Autologous blood 030232 urology & nephrology Biomedical Engineering Medicine (miscellaneous) Bioengineering Blood saving General Medicine Perioperative 030204 cardiovascular system & hematology Phlebotomy Preoperative care Surgery Biomaterials 03 medical and health sciences Red blood cell 0302 clinical medicine medicine.anatomical_structure Anesthesia Orthopedic surgery medicine business |
| Zdroj: | The International Journal of Artificial Organs. 22:635-639 |
| ISSN: | 1724-6040 0391-3988 |
| DOI: | 10.1177/039139889902200908 |
| Popis: | In this study we evalutated the effects of predeposit and intentional perioperative haemodilution on a blood saving program in major orthopaedic surgery. We demonstrated that autologous blood phlebotomy and maintenance of optimal levels of perioperative haemodiluition by delaying blood transfusion, even autologus, are efficient techniques in reducing homologous, red blood cell (HRBC) transfusion. Patients who received autologous red blood cell (ARBC) or HRBC more than one day after surgery, while having Hb values < 8 g/dl, are less at risk of needing the first or additional HRBCs. In conclusion, predeposit and intentional haemodilution obtained by delaying blood transfusions, even autotransfusional, is a correct way of conducting a blood saving program (BSP) in major orthopaedic surgery. These techniques are clinically effective in avoiding or reducing HRBC transfusion. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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