Original articlePostoperative blood salvage and reinfusion after total joint arthroplasty
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Cited by (68)
Are Routine Blood Salvage/Preservation Measures Justified in All Patients Undergoing Primary TKA and THA?
2015, Journal of ArthroplastyCitation Excerpt :The biggest drawback to the use of erythropoietin is in the cost, often not covered by insurance, which ranges from $2000 to $4500 depending on the protocol used [26,34,35]. Intraoperative blood salvage in primary THA and TKA has not been proven to be efficacious [32] and although post-operative reinfusion drains are still popular in many centers, there is little compelling evidence that their use results in a lower incidence of autologous transfusion [32,36–41]. There is little evidence in the literature to support the use of a bipolar sealer, over traditional electro-cautery, in its ability to provide improved hemostasis and decreased postoperative blood loss in total joint arthroplasty (TJA).
Intraoperative blood salvage in revision total hip arthroplasty: Who benefits most?
2014, Journal of ArthroplastyCerebral Fat Embolism Syndrome After Simultaneous Bilateral Total Knee Arthroplasty. A Case Series.
2012, Journal of ArthroplastyCitation Excerpt :Benefits and risks of reinfusion of unwashed wound drainage for the purpose of saving allogeneic blood transfusions (postoperative blood conservation system) continue to be debated on. The effects of inflammatory cytokines and fat globules not filtered by the pass-through filter can be harmful to the patient [27-30]. For a closed wound drainage system, 3 of the cases in this study used the postoperative blood conservation system with an inner 250 micron filter and outer 40 micron filter.
Safety of Combined Use of Local Anesthetic Infiltration and Reinfusion Drains in Total Knee Arthroplasty
2009, Journal of ArthroplastyCitation Excerpt :Blood loss associated with TKA is known to be sufficient to require transfusion in up to 30% to 50% of cases [17]. The use of a reinfusion type drain has been demonstrated by several authors to be effective in reducing the need for allogenic transfusion and therefore in avoiding the associated risks [11-15]. Steinberg et al [13] demonstrated a 65% reduction in the need for allogenic transfusion in a series of 365 patients undergoing TKA.
Optimal dose of topical tranexamic acid considering efficacy and safety in total knee arthroplasty: a randomized controlled study
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