Autotransfusion: 15 Years Experience at Rizzoli Orthopaedic Institute

The program of blood saving, result of 15 years of experience, includes predeposit (1977) hemodilution (1979) intra (1984) and postoperative (1985) salvage, careful intra and postoperative bleeding control, use of homologous transfusion only in case of intolerated anaemia even for 7-8g/dl Hb values. The use of autologous compared to homologous transfusion passed from 19% in 1984 to 62% in 1992. In 1992 in the surgical division of the 1st Anaesthesia and Intensive Care unit, 414 patients underwent prosthetic hip and knee surgery, 8% of these patients were homologously transfused.

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The safety of resternotomy in the intensive care unit for postcardiotomy bleeding control

Journal of Cardiac Surgery ◽

10.1111/jocs.12837 ◽

2016 ◽

Vol 31 (11) ◽

pp. 672-676 ◽

Cited By ~ 3

Author(s):

Dong Jung Kim ◽

Yoon Chul Shin ◽

Dong Jin Kim ◽

Jun Sung Kim ◽

Cheong Lim ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Bleeding Control

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Five years of experience with the exclusive use of amikacin in a neonatal intensive care unit

The Pediatric Infectious Disease Journal ◽

10.1097/00006454-198705000-00010 ◽

1987 ◽

Vol 6 (5) ◽

pp. 461-465 ◽

Cited By ~ 9

Author(s):

KEITH R. POWELL ◽

PATRICIA H. PINCUS

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Neonatal Intensive Care Unit ◽

Neonatal Intensive Care ◽

Years Of Experience

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Moral distress in intensive care unit professionals is associated with profession, age, and years of experience

Journal of Critical Care ◽

10.1016/j.jcrc.2015.10.011 ◽

2016 ◽

Vol 31 (1) ◽

pp. 178-182 ◽

Cited By ~ 66

Author(s):

Peter M. Dodek ◽

Hubert Wong ◽

Monica Norena ◽

Najib Ayas ◽

Steven C. Reynolds ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Moral Distress ◽

Years Of Experience

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Plasma fibrinogen level on admission to the intensive care unit is a powerful predictor of postoperative bleeding after cardiac surgery with cardiopulmonary bypass

Thrombosis Research ◽

10.1016/j.thromres.2014.05.008 ◽

2014 ◽

Vol 134 (2) ◽

pp. 360-368 ◽

Cited By ~ 29

Author(s):

Michel Kindo ◽

Tam Hoang Minh ◽

Sébastien Gerelli ◽

Stéphanie Perrier ◽

Nicolas Meyer ◽

...

Keyword(s):

Intensive Care Unit ◽

Cardiac Surgery ◽

Intensive Care ◽

Cardiopulmonary Bypass ◽

Fibrinogen Level ◽

Postoperative Bleeding ◽

Plasma Fibrinogen ◽

Plasma Fibrinogen Level ◽

Powerful Predictor

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Comparing Bleeding and Thrombotic Rates in Spine Surgery: An Analysis of 119 888 Patients

Global Spine Journal ◽

10.1177/2192568219896295 ◽

2019 ◽

pp. 219256821989629

Author(s):

Sean Pirkle ◽

David J. Cook ◽

Samuel Kaskovich ◽

Sarah Bhattacharjee ◽

Alisha Ho ◽

...

Keyword(s):

Intensive Care Unit ◽

Pulmonary Embolism ◽

Intensive Care ◽

Intensive Care Unit Admission ◽

Spine Surgery ◽

Postoperative Bleeding ◽

Bleeding Complications ◽

Prior History ◽

Dvt Prophylaxis ◽

Thrombotic Complications

Study Design: Retrospective, database review. Objectives: Examine the utilization rate of postoperative deep vein thrombosis (DVT) prophylaxis and compare the incidence and severity of bleeding and thrombotic complications in elective spine surgery patients. Methods: We utilized PearlDiver, a national orthopedics claims database. All patients who underwent elective spine surgery from 2007 to 2017 were included. Patients were stratified by the presence of DVT prophylaxis drug codes, then by comorbidities for postoperative bleeding/thrombosis. The severity of all bleeding and thrombotic complications in each cohort was studied, including the incidence of complications requiring operative washout, diagnosis of pulmonary embolism, intensive care unit admission, and mortality. Results: A total of 119 888 patients were included. The majority of patients (118 720, >99%) were not administered postoperative DVT chemoprophylaxis while a minority of patients (1168) were. The overall rates of bleeding and thrombotic complications within the population not receiving DVT prophylaxis were 1.96% and 2.45%, respectively ( P < .001). The incidence of surgical intervention for a wound washout was 0.62% compared with 1.05% for pulmonary embolism ( P < .001). Intensive care unit admission rates related to a wound washout procedure or pulmonary embolism also significantly differed (0.07% vs 0.34%, P < .001). There were no observed differences in mortality. When controlling for patient comorbidity, patients with atrial fibrillation, cancer, or a prior history of thrombotic complications experienced the greatest increased risks of postoperative thrombosis. Conclusions: DVT prophylaxis is not routinely utilized following elective spine procedures. We report that there exist specific populations which may receive benefit from these practices, although further study is necessary to determine optimal prevention strategies for both thrombotic and bleeding complications in spine surgery.

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