Authors: Athanasoulias, V.; Mavrogenis, A.F.; Sdrenias, C.V.; Mitsiokapa, E.A.; Lourikas, V.; Papagelopoulos, P.J.; Christodoulou, N.A.

Source: The Journal of International Medical Research, Volume 35, Number 2, March 2007 , pp. 268-275(8)

Publisher: Field House Publishing

Abstract:

This retrospective study evaluated the safety and efficacy of post-operative blood salvage and retransfusion in 430 patients undergoing total hip arthroplasty and 530 patients undergoing total knee arthroplasty. Volumes of autologous blood retransfused (mean ± SD) were 525 ± 75 and 660 ± 95 ml in the hip and knee replacement groups, respectively. Overall, 230 patients (24%) also required allogeneic blood transfusion. In a subgroup of 150 randomly selected patients, the values of free haemoglobin in the allogeneic, autologous and patients' blood at the time of surgery were 0.568 ± 0.112, 0.272 ± 0.067 and 0.032 ± 0.011 g/l, respectively. On the first and third post-operative days, the levels in patients' blood were 0.092 ± 0.039 and 0.057 ± 0.028 g/l, respectively. There were no major complications; transient chills and fever were reported in 99 (10.3%) and 115 patients (12.0%), respectively. In conclusion, post-operative blood salvage and retransfusion is a safe way to reduce the need for allogeneic blood transfusion in patients undergoing elective orthopaedic surgery.

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Keywords: AUTOTRANSFUSION; JOINT ARTHROPLASTY; BLOOD SALVAGE; ALLOGENEIC TRANSFUSION

Document Type: Case report

Affiliations: 1: Department of Anaesthesiology, General Hospital of Karpenissi, Evrytania, Greece

Publication date: 2007-03-01

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