BLOOD LOSS DURING TOTAL HIP REPLACEMENT

Intravascular balloon to minimize blood loss during total hip replacement in a Jehovah's Witness.

Intermittent intravascular occlusive balloons are commonly used to minimize bleeding in cases where massive blood loss is anticipated. However, the efficiency and safety of balloon occlusion remains unclear for elective procedures, and several cases of distal thrombosis have been reported. A case of intra-arterial occlusive balloon that was selectively placed preoperatively to minimize bleeding...

Total hip replacement (THR).

The authors present history, indications and complications of total hip replacement in 206 patients in a period of 10 months. They compare the rate of complications with published data. They present pre-operative examination, prophylaxis and specific problems in their conditions.

The effect of an intravenous bolus of tranexamic acid on blood loss in total hip replacement.

Tranexamic acid is a fibrinolytic inhibitor which reduces blood loss in total knee replacement. We examined the effect on blood loss of a standardised intravenous bolus dose of 1 g of tranexamic acid, given at the induction of anaesthesia in patients undergoing total hip replacement and tested the potential prothrombotic effect by undertaking routine venography. In all, 36 patients received 1 g...

Total hip replacement.

Total hip replacement, lower limb blood flow and venous thrombogenesis.

The effect of Charnley cemented total hip replacement on venous blood flow in the legs and its relationship to deep-vein thrombosis were investigated in 413 patients. Blood flow was measured using strain-gauge plethysmography before operation, after surgery, and after discharge from hospital. There was a significant reduction in both venous capacitance and venous outflow, affecting both legs bu...