Are Routine Blood Salvage/Preservation Measures Justified in All Patients Undergoing Primary TKA and THA?
| Autor: | James B. Benjamin, Kimen M. Colgan |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty Blood management Blood transfusion medicine.medical_treatment Arthroplasty Replacement Hip Blood preservation Total knee Preoperative Care medicine Humans Orthopedics and Sports Medicine Blood Transfusion Arthroplasty Replacement Knee Aged Retrospective Studies Aged 80 and over Tourniquet Blood conservation business.industry Incidence (epidemiology) Middle Aged musculoskeletal system Surgery surgical procedures operative Blood Preservation Hemostasis Anesthesia Female business |
| Zdroj: | The Journal of arthroplasty. 30(6) |
| ISSN: | 1532-8406 |
| Popis: | A sequential series of 366 primary total knee arthroplasties and 320 total hip arthroplasties was reviewed to determine the incidence of allogeneic transfusion. Surgery was performed under regional anesthesia and all patients had a hemovac drain for 24°. Tourniquet hemostasis in TKA was maintained through wound closure. Coumadin, SCD and TED hose were utilized for DVT prophylaxis. No additional blood conservation measures were employed. The transfusion incidence in primary TKA was 2.2% (males .6%/females 3.5%). The transfusion incidence in THA was 1.9%, (males .8%/females 2.6%). The low incidence of allogeneic transfusion in a contemporary series of primary TKA and THA, especially in males, would question the need for routine blood preservation techniques in this group of patients. |
| Databáze: | OpenAIRE |
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