Autotranfusion of the Autologous Shed Blood after Total Knee Replacement

Bae, Dae Kyung; Park, Bo Yeon; Kim, Yong Hwan; Kwon, Oh-Jun

doi:10.4055/jkoa.1995.30.3.651

Cited by 2 publications

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“…We believe the amount of drained blood reflects bleeding tendency clinically. In most cases, bleeding stopped within 2-3 postoperative days, and consequently the drainage was also removed 1 , 6 , 9 , 10 , 29) . The average amount of drained blood until 48 hours after surgery was 1,197 mL (±400) in group A and 975 mL (±422) in group B. Anticoagulant therapy did not significantly increase the amount of drained blood (p>0.05).…”

Section: Discussionmentioning

confidence: 99%

The Efficacy and Safety of Postoperative Autologous Transfusion of Filtered Shed Blood and Anticoagulant Prophylaxis in Total Knee Arthroplasty Patients

Park

Lee

Jin

et al. 2012

Knee Surg Relat Res

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PurposeTo assess the efficacy and safety of autologous transfusion of filtered shed blood in total knee arthroplasty (TKA).Materials and MethodsA total of 42 patients with TKA (group A; without autologous transfusion in 15 patients, group B; with autologous transfusion in 27 patients) were evaluated retrospectively. The influence of autologous reinfusion of filtered blood, bleeding tendency, amount of blood drainage, rate of allogenic transfusion, and the postoperative changes of hemoglobin were analyzed.ResultsAllogenic transfusion was needed in 26.7% (4/15) of group A and none of group B till postoperative 48 hours. Till postoperative 14 days, 46.7% (7/15) of group A needed allogenic transfusion while 7.4% (2/27) in group B. The average drained blood volume was 1,197±400 mL in group A and 975±422 mL in group B. The average decrease of hemoglobin at postoperative 1, 7, and 14 days was 2.9±1.5, 2.9±1.6, and 2.3±1.5 g/dL respectively in group A and 2.7±0.8, 4.0±1.0, and 2.9±1.3 g/dL respectively in group B.ConclusionsAn autotransfusion system lowered the allogenic transfusion rate, while anticoagulants did not increase the amount of drained blood. An autotransfusion system with anticoagulants was effective and safe to save the shed blood in TKA.

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Section: Discussionmentioning

confidence: 99%

The Efficacy and Safety of Postoperative Autologous Transfusion of Filtered Shed Blood and Anticoagulant Prophylaxis in Total Knee Arthroplasty Patients

Park

Lee

Jin

et al. 2012

Knee Surg Relat Res

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An Autotransfusion Device Reduces the Amount of Allogenic Transfusion in Bilateral Sequential Total Knee Arthroplasty

et al. 2011

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This study examined the difference in the reduction of the amount of required allogenic transfusion after bilateral total knee arthroplasty when an autotransfusion device was used. Materials and Methods: The subjects were ninety five patients who underwent sequential bilateral total knee arthroplasty from January 2006 to May 2010 by one surgeon. The first group was 50 patients who did not have an autotransfusion device used and second group of 45 patients were those who had an autotransfusion device used during the postoperative period. Group 1 received allogenic blood transfusion with a standard level of postoperative hemoglobin. The group 2 patients were reinfused with as much blood as was collected by an autotransfusion suction bag and then they received allogenic blood transfusion with a standard level of postoperative hemoglobin. Results: The total blood loss and amount of blood transfusion were almost the same in the two groups. The mean amount of allotransfusion was 1,270.0 mL in group 1 and 564.4 mL in group 2 and the reduced amount of allotransfusion in group 2 was statistically significant (p＜0.05). Conclusion: Using an autotransfusion device is a good method to reduce the mean amount of allotransfusion after bilateral sequential total knee arthroplasty.

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Autotranfusion of the Autologous Shed Blood after Total Knee Replacement

Cited by 2 publications

References 0 publications

The Efficacy and Safety of Postoperative Autologous Transfusion of Filtered Shed Blood and Anticoagulant Prophylaxis in Total Knee Arthroplasty Patients

The Efficacy and Safety of Postoperative Autologous Transfusion of Filtered Shed Blood and Anticoagulant Prophylaxis in Total Knee Arthroplasty Patients

An Autotransfusion Device Reduces the Amount of Allogenic Transfusion in Bilateral Sequential Total Knee Arthroplasty

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