Blood Management Protocol for Total Knee Arthroplasty to Reduce Blood Wastage and Unnecessary Transfusion

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Blood management protocol for total knee arthroplasty to reduce blood wastage and unnecessary transfusion.

PURPOSE To compare outcomes of 2 cohorts of patients who underwent total knee arthroplasty (TKA) before and after the introduction of a blood management protocol. METHODS Records of 97 and 96 consecutive patients who underwent unilateral TKA before and after introduction of the blood management protocol, respectively, were reviewed. Before introduction of the protocol, patients were cross-mat...

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Operative Time Directly Correlates with Blood Loss and Need for Blood Transfusion in Total Joint Arthroplasty

Background: Allogeneic blood transfusion in patients undergoing total joint arthroplasty (TJA) has been shown tonegatively affect patient outcomes. This study aimed to examine if there is a correlation between operative time and theneed for allogeneic blood transfusions during TJA.Methods: We performed a retrospective review of 866 patients who underwent primary TJA during a o...

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Blood Management Strategies in Total Knee Arthroplasty

A perioperative blood management program is one of a number of important elements for successful patient care in total knee arthroplasty (TKA) and surgeons should be proactive in its application. The aims of blood conservation are to reduce the risk of blood transfusion whilst at the same time maximizing hemoglobin (Hb) in the postoperative period, leading to a positive effect on outcome and co...

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Effect of Tranexamic Acid on Blood Loss and Blood Transfusion Reduction after Total Knee Arthroplasty

PURPOSE Total knee arthroplasty (TKA) accompanies the risk of bleeding and need for transfusion. There are several methods to reduce postoperative blood loss and blood transfusion. One such method is using tranexamic acid during TKA. The purpose of this study was to confirm whether tranexamic acid reduces postoperative blood loss and blood transfusion after TKA. MATERIALS AND METHODS A total ...

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Which Route of Tranexamic Acid Administration is More Effective to Reduce Blood Loss Following Total Knee Arthroplasty?

  Background: The most appropriate route of tranexamic acid administration is controversial. In the current study, we compared the efficacy of intravenous (IV) and topical intra-articular tranexamic acid in reducing blood loss and transfusion rate in patients who underwent primary total knee arthroplasty. Methods: One hundred twenty 120 patients were scheduled to undergo primary total knee arth...

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ژورنال

عنوان ژورنال: Journal of Orthopaedic Surgery

سال: 2015

ISSN: 2309-4990,2309-4990

DOI: 10.1177/230949901502300116