Intraoperative blood management in joint replacement surgery.

Orthopedics
Mark Tenholder, Fred D Cushner

Abstract

Interest is growing in blood conservation and avoidance of transfusion in patients undergoing orthopedic surgery, especially in the field of joint replacement. Several methods have proven successful in reducing intraoperative blood loss, which can translate into lessened allogeneic and autologous transfusion requirements. Available techniques include acute normovolemic hemodilution, hypotensive anesthesia, intraoperative blood salvage, specialized cautery, topical hemostatic agents, and pharmacologic agents given in the perioperative period. The greatest potential benefit arises in operations with greater expected blood loss or in special situations such as in patients with religious issues, bilateral joint replacement, coagulation disorders, or significant preoperative anemia.

References

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Citations

Jan 19, 2008·American Journal of Rhinology·Theodore AthanasiadisPeter J Wormald
Dec 15, 2015·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·M PanteliP V Giannoudis
Sep 3, 2011·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Kathrin KleinertClément M L Werner
Jun 2, 2005·Orthopaedic Nursing·Kathleen A Geier
Jun 5, 2014·The Open Orthopaedics Journal·Jad B MonsefFriedrich Boettner
Dec 31, 2020·Journal of Clinical Medicine·Tom Schmidt-BraeklingFriedrich Boettner
Jun 3, 2014·Journal of Orthopaedic Surgery and Research·Hongsheng WangZhengdong Cai

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Software Mentioned

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