Are Routine Blood Salvage/Preservation Measures Justified in All Patients Undergoing Primary TKA and THA?

Abstract A sequential series of 366 primary total knee arthroplasties and 320 total hip arthroplasties was reviewed to determine the incidence of allogeneic transfusion. Surgery was performed under regional anesthesia and all patients had a hemovac drain for 24°. Tourniquet hemostasis in TKA was mai...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of arthroplasty 2015-06, Vol.30 (6), p.955-958
Main Authors: Benjamin, James B., MD, Colgan, Kimen M., PAC
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip - statistics & numerical data
Arthroplasty, Replacement, Knee - statistics & numerical data
blood management
Blood Preservation
blood transfusion
Blood Transfusion - statistics & numerical data
Female
Humans
Male
Middle Aged
Orthopedics
Preoperative Care
Retrospective Studies
total joint arthroplasty
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract A sequential series of 366 primary total knee arthroplasties and 320 total hip arthroplasties was reviewed to determine the incidence of allogeneic transfusion. Surgery was performed under regional anesthesia and all patients had a hemovac drain for 24°. Tourniquet hemostasis in TKA was maintained through wound closure. Coumadin, SCD and TED hose were utilized for DVT prophylaxis. No additional blood conservation measures were employed. The transfusion incidence in primary TKA was 2.2% (males .6%/females 3.5%). The transfusion incidence in THA was 1.9%, (males .8%/females 2.6%). The low incidence of allogeneic transfusion in a contemporary series of primary TKA and THA, especially in males, would question the need for routine blood preservation techniques in this group of patients.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2015.01.031