Do autologous blood transfusion systems reduce allogeneic blood transfusion in total knee arthroplasty?

2016 ◽  
Vol 25 (9) ◽  
pp. 2957-2966 ◽  
Author(s):  
Aditya Pawaskar ◽  
Abhijeet Ashok Salunke ◽  
Aashay Kekatpure ◽  
Yongsheng Chen ◽  
G. I. Nambi ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Blood Transfusion ◽  
Knee Arthroplasty ◽  
Autologous Blood ◽  
Allogeneic Blood Transfusion ◽  
Allogeneic Blood ◽  
Autologous Blood Transfusion ◽  
Total Knee

scholarly journals Investigation of the Use of Drained Blood Reinfusion after Total Knee Arthroplasty: A Prospective Randomised Controlled Study

2005 ◽  
Vol 13 (2) ◽  
pp. 120-124 ◽  
Author(s):  
SC Cheng ◽  
TSL Hung ◽  
PYT Tse
Keyword(s):  
Total Knee Arthroplasty ◽  
Blood Transfusion ◽  
Blood Loss ◽  
Haemoglobin Level ◽  
Knee Arthroplasty ◽  
Allogeneic Blood Transfusion ◽  
Allogeneic Blood ◽  
Control Group ◽  
Total Knee ◽  
Postoperative Haemoglobin

Purpose. To compare the use of a blood salvage and reinfusion system with standard allogeneic blood transfusion after total knee arthroplasty—a procedure associated with significant postoperative blood loss. Methods. Between June 2002 and May 2004, 60 patients undergoing total knee arthroplasty were randomly allocated into a reinfusion group (n=26) or a control group (n=34). Patients in the reinfusion group had their blood reinfused from drains within 6 hours of surgery. Both groups received allogeneic blood transfusions according to specified transfusion criteria if the haemoglobin level fell below 90 g/l, or in the presence of severe anaemic symptoms. Haemoglobin levels and drain output were recorded daily for 3 consecutive days after surgery. Results. There was no significant difference between the 2 groups in demographic data, drain output, total blood loss, and mean postoperative haemoglobin levels. Significantly more allogeneic blood was required by the control group than by the reinfusion group (p=0.022). Conclusion. Postoperative reinfusion of drained blood reduced the need for blood transfusion after total knee arthroplasty, while having an effect on postoperative haemoglobin level equivalent to standard allogeneic blood transfusion.

scholarly journals Autologous blood transfusion following total knee arthroplasty: is it always necessary?

2006 ◽  
Vol 30 (5) ◽  
pp. 412-414 ◽  
Author(s):  
N. Tellisi ◽  
R. Kakwani ◽  
N. Hulse ◽  
G. Abusitta ◽  
N. Ashammakhi ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Blood Transfusion ◽  
Knee Arthroplasty ◽  
Autologous Blood ◽  
Autologous Blood Transfusion ◽  
Total Knee

scholarly journals Autologous Blood Transfusion in Total Knee Arthroplasty in Rheumatoid Arthritis.

1994 ◽  
Vol 43 (1) ◽  
pp. 393-396
Author(s):  
Makoto Nakamura ◽  
Hiroshi Nakamura ◽  
Hirofumi Miyauchi ◽  
Takashi Sakou
Keyword(s):  
Rheumatoid Arthritis ◽  
Total Knee Arthroplasty ◽  
Blood Transfusion ◽  
Knee Arthroplasty ◽  
Autologous Blood ◽  
Autologous Blood Transfusion ◽  
Total Knee

scholarly journals Blood Salvage in Total Hip and Knee Arthroplasty in a Community Hospital: A Retrospective Study

2005 ◽  
Vol 13 (1) ◽  
pp. 19-26 ◽  
Author(s):  
R Jain ◽  
S Jain
Keyword(s):  
Total Knee Arthroplasty ◽  
Blood Transfusion ◽  
Knee Arthroplasty ◽  
Hip Arthroplasty ◽  
Allogeneic Blood Transfusion ◽  
Allogeneic Blood ◽  
Blood Salvage ◽  
Total Hip ◽  
Total Knee ◽  
Knee And Hip Arthroplasty

Purposes: To assess the results of postoperative and intra-operative blood salvage in patients undergoing total knee and hip arthroplasty, respectively, and to determine if both methods of blood salvage reduce allogeneic transfusion. Methods: Of 229 patients who attempted blood salvage, 114 of 152 patients who underwent total knee arthroplasty received the salvaged blood postoperatively, 35 of 77 patients who underwent total hip arthroplasty received the salvaged blood intra-operatively. Various data were collected to assess whether certain factors resulted in autologous and/or allogeneic blood transfusions. Results: Patients that received postoperative salvaged blood after total knee arthroplasty generally had higher postoperative levels of haemoglobin and haematocrit compared to those who did not. Patients with autologous blood transfusion following cemented knee surgery were less likely to require allogeneic blood transfusion. For hip arthroplasty patients, postoperative levels of haemoglobin and haematocrit were similar in both groups who received and did not receive salvaged blood. Lower preoperative haemoglobin and haematocrit levels correlated with a greater likelihood of autologous and/or allogeneic blood transfusion for both knee and hip arthroplasty patients. Conclusions: Although total knee arthroplasty patients who received salvaged blood had higher haemoglobin levels on the first postoperative day, the receipt of salvaged blood did not significantly reduce the incidence of allogeneic blood transfusion, because salvaged blood was a kind of blood loss. However, reinfusion of salvaged blood may reduce the number of units of allogeneic blood used. Given the short supply of allogeneic blood and its risks of transmitting disease, intra-operative and postoperative blood salvage carries clear advantages.

Allogeneic blood transfusion does not increase the risk of wound infection in total knee arthroplasty

Vox Sanguinis ◽  
2010 ◽  
Vol 98 (2) ◽  
pp. 124-129 ◽  
Author(s):  
M. Basora ◽  
A. Pereira ◽  
A. Soriano ◽  
J. C. Martínez-Pastor ◽  
G. Sánchez-Etayo ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Blood Transfusion ◽  
Wound Infection ◽  
Knee Arthroplasty ◽  
Allogeneic Blood Transfusion ◽  
Allogeneic Blood ◽  
Total Knee
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