Comparison between 1-hour and 24-hour drain clamping using diluted epinephrine solution after total knee arthroplasty

Yamada, Kentaro; Imaizumi, Tsukasa; Uemura, Manji; Takada, Naoya; Kim, Yoshio

doi:10.1054/arth.2001.23620

Cited by 53 publications

(60 citation statements)

References 15 publications

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“…Several studies have determined optimal drain clamping times, but recommendations varied and included no clamping [21], clamping for 1 hour [37,47], 10-minute clamp releases every 2 hours [33], clamping for 4 hours [41,43], and clamping for 20 hours [38]. We cannot comment on the effects of clamping time on the intraarticular indwelling method, but mean drained volume in our study (352 mL) compares with those (253-843 mL) reported previously [21,33,37,38,41,43,47]. Third, as mentioned above, our cohort size was sufficient to detect differences in drained volumes, hemoglobin level, and Data are presented as percentages of knees with a complication, with numbers of knees in parentheses.…”

Section: Discussionmentioning

confidence: 99%

Subcutaneous versus Intraarticular Indwelling Closed Suction Drainage after TKA: A Randomized Controlled Trial

Seo

Yoon

Koh

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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Background TKA can involve substantial bleeding, and the issue regarding whether vacuum drainage should be used during TKA continues to be debated as both methods have disadvantages. Questions/purposes We therefore asked whether subcutaneous indwelling vacuum drainage is advantageous over intraarticular indwelling vacuum drainage in terms of blood drainage, bleeding-related complications, and functional outcomes in primary TKA. Patients and methods We randomized 111 patients undergoing TKAs to have either a subcutaneous indwelling or an intraarticular indwelling catheter and compared the two groups for blood loss (hemoglobin decrease, transfusion requirements, hypotension episode), incidence of wound problems (requirements for dressing reinforcement,

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Section: Discussionmentioning

confidence: 99%

Subcutaneous versus Intraarticular Indwelling Closed Suction Drainage after TKA: A Randomized Controlled Trial

Seo

Yoon

Koh

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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“…Recently, drainage clamping, associated with epinephrine solution infusion, has been shown to be effective at reducing blood loss. However, this method is not completely free from complications: some authors reported delayed wound healing with skin edge necrosis and haematomata (with a return to the operating room in some instances), deep venous thrombosis, or sometimes severe bleeding through the wound, requiring dressing reinforcement and temporary clamping of the drainage [7,11].…”

Section: Discussionmentioning

confidence: 99%

“…Recently, drainage clamping combined with infusion of an epinephrine solution has been advocated to reduce post-operative blood loss [8,11]. Although this method reduced blood loss, it is associated with complications, such as delayed wound healing with skin edge necrosis, haematomata and deep venous thrombosis.…”

Section: Introductionmentioning

confidence: 99%

Local infusion of norepinephrine reduces blood losses and need of transfusion in total knee arthroplasty

Gasparini

Papaleo

Pola

et al. 2006

International Orthopaedics (SICO

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Blood loss after total knee arthroplasty (TKA) is often associated with cardiovascular complications and a high transfusion rate of allogenic blood. In our study we focused our attention on developing a new intra-surgical procedure that appears safe, easy to perform and effective in the reduction of bleeding in TKA. We evaluated 84 patients who underwent TKA and met our inclusion criteria; they were assigned to two groups: 55 controls in which a saline solution was used to wash the surgical field before tourniquet release, and a second group of 29 patients, in which a saline solution containing a low dose of norepinephrine was locally applied before tourniquet release. The local administration of a low dose of norepinephrine has induced a significant reduction of perioperative blood loss and blood transfusion requirements; in addition, this method was characterised by the absence of complications or adverse effects. In conclusion, our data suggest that intraoperative local administration of a low dose of norepinephrine could represent an effective and safe method of reducing blood loss and preventing blood transfusions in patients with TKA.

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“…Periods of between 1 and 24 hours have been reported. (Ryu et al 1997;Kiely et al 2001;Yamada et al 2001;Prasad et al 2005;Shen et al 2005;Roy et al 2006;Tsumara et al 2006;Raleigh et al 2007;Stucinskas et al 2008) Some intermittent clamping methods have also showed their effectiveness in bleeding control (Prasad et al 2005;Tsumara et al 2006). A meta-analysis of the randomized controlled trials showed that the clamping methods could reduce the true blood loss only when the drain was clamped for four hours or more.…”

Section: Effect Of Temporary Drain Clampingmentioning

confidence: 99%

The Role of Drainage After Total Knee Arthroplasty

Tai¹,

Yang²,

Chang³

2012

Recent Advances in Hip and Knee Arthroplasty

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Comparison between 1-hour and 24-hour drain clamping using diluted epinephrine solution after total knee arthroplasty

Cited by 53 publications

References 15 publications

Subcutaneous versus Intraarticular Indwelling Closed Suction Drainage after TKA: A Randomized Controlled Trial

Subcutaneous versus Intraarticular Indwelling Closed Suction Drainage after TKA: A Randomized Controlled Trial

Local infusion of norepinephrine reduces blood losses and need of transfusion in total knee arthroplasty

The Role of Drainage After Total Knee Arthroplasty

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