Acute normovolemic hemodilution in total knee arthroplasty, a prospective study

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A randomized trial comparing acute normovolemic hemodilution and preoperative autologous blood donation in total hip arthroplasty.

BACKGROUND The value of acute normovolemic hemodilution (ANH) as compared to preoperative autologous blood donation (PABD) in orthopedic surgery is unknown. Therefore, a prospective, randomized study was conducted to compare these techniques in patients undergoing primary total hip arthroplasty. STUDY DESIGN AND METHODS ANH patients underwent phlebotomy for up to 3 units, or to a target Hct l...

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Functional Outcome Study in Total Knee Arthroplasty

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Comparing cruciate-retaining total knee arthroplasty and cruciate-substituting total knee arthroplasty: a prospective clinical study.

BACKGROUND This prospective clinical study was performed to compare the clinical outcomes and radiographic changes between patients with cruciate-retaining (CR) and cruciate-substituting (CS) total knee arthroplasty (TKA). METHODS From 1997 through 1998, 228 patients (183 females and 45 males) with a total of 267 knees with an average age of 55 years (range, 20 to 83 years) were enrolled in t...

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Acute Normovolemic Hemodilution: A Practical Approach

Justifications: Perioperative allogeneic blood transfusion can be reduced or even completely avoided by using a set of different strategies: meticulous hemostasis, the use of pharmaceutical agents that assist in the process of coagulation/ fibrinolysis, the use of blood substitutes, induced hypotension, preoperative autologous blood donation, collection and reinfusion of autologous blood during...

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Hemodynamic compensation during acute normovolemic hemodilution.

To the Editor:—Acute normovolemic hemodilution (ANH) causes a reduction in arterial oxygen content because of reduced hemoglobin concentration. The primary compensatory mechanism during ANH is an increase in cardiac output to maintain systemic oxygen delivery. Therefore, the lower limit of an acceptable hemoglobin concentration is related to how low hemoglobin can be reduced without jeopardizin...

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ژورنال

عنوان ژورنال: International Surgery

سال: 2016

ISSN: 0020-8868

DOI: 10.9738/intsurg-d-15-00149.1