Coagulation parameters after retransfusion of unwashed blood

The Journal of Arthroplasty
Ulf HelwigHerbert Ziervogel

Abstract

Postoperative blood salvage reduces the risk of allogenic transfusion in patients undergoing elective total joint arthroplasty. We measured the concentrations of coagulation parameters after autotransfusion of unwashed shed blood in 22 patients having elective joint arthroplasty and compared them with patients without retransfusion. Twenty-two patients with a total hip or knee arthroplasty received a mean of 611.4 mL unwashed but filtered shed blood. No complications were observed during or after the reinfusion of salvaged blood. Levels of D-dimer and fibrinogen increased significantly over time after retransfusion (P < .0001). Comparison of the autotransfused group with the 25 patients without reinfused shed blood showed no significant difference in fibrinogen concentration between the 2 groups in the postoperative course but a significant difference with increased D-dimer concentrations in the autotransfused group (P < .001).

Citations

Feb 10, 2010·Scandinavian Cardiovascular Journal : SCJ·Christian OlssonAnders Owall
Dec 6, 2011·American Journal of Surgery·Marc SalhanickDaniel Dent
Apr 28, 2016·Transfusion and Apheresis Science : Official Journal of the World Apheresis Association : Official Journal of the European Society for Haemapheresis·Cheng LuoQi Li
Jan 18, 2015·Transfusion clinique et biologique : journal de la Société française de transfusion sanguine·P EsnaultE Kaiser

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