Massive Blood Transfusion during Revision Total Hip Arthroplasty under Combined Spinal Epidural Anaesthesia

Kandemir, Tünay; Kandemir, Erbin; Aşkın, Tuğba; Dal, Tülay; Kılıç, Yeliz; Ünver, Süheyla

doi:10.5152/tjar.2016.32858

Cited by 4 publications

(3 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Kandemir et al. advocate a high fresh frozen plasma to red blood cell suspension ratio may reduce the risk of complications (23). A meta-analysis of the use of closed-suction drainage systems for hip and knee arthroplasty by Parker et al, showed there was a significantly greater need for blood transfusion with these systems (24).…”

Section: Discussionmentioning

confidence: 99%

Prolonged operative time increases risk of blood loss and transfusion requirements in revision hip surgery

Manara

Sandhu

Wee

et al. 2020

Eur J Orthop Surg Traumatol

View full text Add to dashboard Cite

and the use of post-operative autologous drains. Patients and MethodsWe prospectively looked at 177 consecutive cases performed at one centre by a single surgical and anaesthetic team to identify which patient and operative factors were most significant in minimizing the requirement for an allogeneic blood transfusion. ResultsOur results identified the duration of surgery as being the only significant variable affecting the level of blood loss. We noted a 3% increase in the probability of massive blood loss (>2000mls) for every minute of increased surgical time in our series. ConclusionWe conclude that measures to minimize the duration of surgery would be beneficial in reducing blood loss and the risks of requiring blood transfusions in revision hip surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Prolonged operative time increases risk of blood loss and transfusion requirements in revision hip surgery

Manara

Sandhu

Wee

et al. 2020

Eur J Orthop Surg Traumatol

View full text Add to dashboard Cite

show abstract

“…Fifteen studies were the wrong study design; the majority were case reports (Breuer 1982; Dresner 2010; Kandemir 2016; Kasama 1997; Kimura 2001; Kotelko 1989; Kotera 2010; Kuczkowski 2006; Lee 2007; Liu 2014; Mayumi 1983; Moller 2015; Pivalizza 2005; Steer 1993; Wirtz 2000).…”

Section: Resultsmentioning

confidence: 99%

Use of platelet transfusions prior to lumbar punctures or epidural anaesthesia for the prevention of complications in people with thrombocytopenia

Estcourt

Malouf

Hopewell

et al. 2018

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

We found no evidence from RCTs or non-randomised studies on which to base an assessment of the correct platelet transfusion threshold prior to insertion of a lumbar puncture needle or epidural catheter. There are no ongoing registered RCTs assessing the effects of different platelet transfusion thresholds prior to the insertion of a lumbar puncture or epidural anaesthesia in people with thrombocytopenia. Any future study would need to be very large to detect a difference in the risk of bleeding. A study would need to be designed with at least 47,030 participants to be able to detect an increase in the number of people who had major procedure-related bleeding from 1 in 1000 to 2 in 1000. The use of a central data collection register or routinely collected electronic records (big data) is likely to be the only method to systematically gather data relevant to this population.

show abstract

“…[ 1 ] CSEA is gaining popularity for patients undergoing major surgery below the umbilicus who require prolonged and effective postoperative analgesia, such as hip arthroplasty, hysterectomy, and Cesarean section. [ 2 , 3 ] However, during and after CSEA, patients frequently report a series of abnormal sensations, especially a perceptual alteration of limb position. [ 4 ]…”

Section: Introductionmentioning

confidence: 99%

Phantom limb syndrome induced by combined spinal and epidural anesthesia in patients undergoing elective open gynecological surgery

et al. 2018

View full text Add to dashboard Cite

Background:During regional anesthesia, including combined spinal and epidural anesthesia (CSEA), patients may develop a perceptual alteration of limb position known as phantom limb syndrome (PLS). We aimed to identify factors that influence the PLS onset, to explore whether PLS predisposes to other postoperative symptoms, and to document the relationship between PLS and sensorimotor impairment during recovery.Methods:Psychological questionnaires for anxiety and depression were completed beforehand, then multimodal tests of sensory and motor function, especially tests of proprioception, were performed regularly afterward. Two hundred participants undergoing elective gynecological surgery under CSEA reported their experiences of PLS and other symptoms using Likert rating scales.Results:Prolonged preoperative fasting (odds ratio (OR) 2.34; 95% confidence intervals (CI) 1.21–4.52), and surgical history (OR 2.56; 95% CI 1.16–5.62) predisposed to PLS, but patients with more extensive anesthetic histories may be at lower risk (OR 0.57; 95% CI 0.31–1.08). Furthermore, significant correlations were observed between the recovery from PLS and the perception of joint movement within the deafferented area (R = 0.82, P < .01) and motor functions (R = 0.68). PLS increases the chance of experiencing postoperative fatigue, physical discomfort, and emotional upset.Conclusion:This study is the first to have identified the risk factors for PLS, assessed the relationship between PLS and postoperative sensorimotor impairment, and its influence on postoperative complications.

show abstract

Massive Blood Transfusion during Revision Total Hip Arthroplasty under Combined Spinal Epidural Anaesthesia

Cited by 4 publications

References 9 publications

Prolonged operative time increases risk of blood loss and transfusion requirements in revision hip surgery

Prolonged operative time increases risk of blood loss and transfusion requirements in revision hip surgery

Use of platelet transfusions prior to lumbar punctures or epidural anaesthesia for the prevention of complications in people with thrombocytopenia

Phantom limb syndrome induced by combined spinal and epidural anesthesia in patients undergoing elective open gynecological surgery

Contact Info

Product

Resources

About