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Vol. 14, Art. 54 (pp. 656-665)    |    2013       

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Transfusion practice in hip and knee arthroplasty

Pashkova I.A., Poliakov I.S., Sabodaschevskiy O.V., Mojeyko M.P., Mineeva N.V.

Krasnodar Regional Clinical Hospital, Krasnodar, 1Маy str.,167, 350086,Russian Federation tel. 252-95-58, e-mail:kkb1@mail.ru
Russian Research Haematology & Transfusiology Institute, 2-nd Sovietskaya str, 16, Saint- Pe-tersburg, Russian Federation, 191024, tel.717-44-66, e-mail:rniiht@mail.ru

Brief summary

We studied the intra- and postoperative reinfusion of autologous blood for patients, underwent hip and knee replacement. Our data showed, that in cases, where were used drainage systems, the transfusion of allogenic blood components decreased by 12,6%, and, where were used intraoperative reinfusion, allowed in 68,5% patients not to transfuse the allogenic blood components. The probability of transfusion of allogenic blood cells depends of the basic level of hemoglobin, the patient’s age. It is necessary to prepare the patients in planned surgery, which can allow to reduce or to refuse the allogenic blood transfusion.


Key words

hip and knee replacement, intra-and postoperative reinfusion of autologous blood, infusion-transfusion therapy

Reference list

1. Brecher M.E., A standardized method for calculating blood loss/ M.E. Brecher, T.Monk, L.T. Goodnough// Transfusion. - 1997. – v.37. – p. 1070-1074.


2. Ymenshenie krovopoteri i perelivanie aytogennoi krovi pri endoprotezirovanii krypnih systavov/N.V. Kornilov, A.V. Voitovich, V.M.Kystov, V.S. Kazarin // Problemi beskrovnoi hiryrgii. -2001. -C.148-158.


3. Kornilov, N.V. Endoprotezirovanie tazobedrennogo systava. Hronobiologicheskaya ocenka dinamiki obema intraoperacionnoi krovopoteri s 1990 po 2000 godi / N.V.Kornilov, A.S.Avrynin, V.M.Kystov // Annali travmatologii i ortopedii. - 2002. -№1. - S. 20-28.


4. Frolov, A.N. Vliyanie faktorov vneshnei sredi na intraoperacionnyu krovopoteru / A.N. Frolov// Travmatologiya i ortopediya Rossii. -2006. -№.6. - C. 26-28.


5. Predonation of autologous blood in hip arthroplasty / A.A.R. Elewad, S. Jonson, M. Laurell, H. Fredin // Acta Orthop Scand. -1991. – v.62 (3). –P. 218-222


6. Halstrom, B.R. Postoperative course after total hip arthroplasty wound drainage versus no drainage / B.R. Halstrom, J.F.Steele // Orthop. Rev. – 1992. – v.21 (7).- P.847-851.


7. Anesteziologiya i intensivnaya terapiya: prakticheskoe rykovodstvo / B.R.Gelfand, P.A.Kirienko, T.F.Grinenko i dr. - M.: Litterra, 2006. -576 s.


8.  Waters J.H., Spiess B.D., Spence R.K., Shander A.  Perioperative  Red  Cell  Salvage and Autotransfusion // Perioperative Transfusion Medicine. - Lippincott  Williams&Wilkins. -2006. -P. 451-463.


9. Preoperative acute normovolemic hemodilution:a meta-analysis /J.B.Segal, E.Blasco-Colmenares, E.J.Norris, E.Guallar//Transfusion. - 2004. – v.44. - p.632.


10. Kapirina M.V. Primenenie drenajnoi krovi pri rekonstryktivnih operaciyah na krypnih systavah y bolnih pojilogo vozrasta / M.V. Kapirina, N.I. Arjakova, V.G. Golybev // Annali hiryrgii. -2005. -№2. - S. 64-68.