No benefit of autologous transfusion drains in total knee arthroplasty

Schnurr, Christoph; Giannakopoulos, Ioannis; Arbab, Dariusch; Dargel, Jens; Beckmann, Johannes; Eysel, Peer

doi:10.1007/s00167-017-4585-8

Cited by 4 publications

(1 citation statement)

References 34 publications

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“…Intraoperative red cell salvage is beneficial when there is 1L of blood loss; its efficiency is potentiated when combined with TXA as per the NICE guidelines (Thakrar et al 2017). However, Schnurr et al (2018) concluded that there is no beneficial effect in the utilisation of autologous transfusion drains. Additionally, a case control prospective study (Yin et al 2017) concluded that the use of a closed-suction drain in total knee arthroplasty does not confer any significant advantage, and that its use is redundant.…”

Section: Intraoperative Techniques Aimed At Reducing Blood Lossmentioning

confidence: 99%

Effectiveness and safety of tranexamic acid in total joint arthroplasty

Yaghmour

Atkinson

Chisari

et al. 2019

Journal of Perioperative Practice

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Total joint arthroplasty is associated with significant blood loss, that could result in the need of blood transfusions. Several techniques are being utilised to limit the volume of blood loss, in order to avoid transfusion. In this review, we look at blood loss in total joint arthroplasty and the perioperative strategies to limit the loss of blood. With the use of tranexamic acid gaining popularity, we analyse the published literature on its use in patients undergoing total joint arthroplasty. We have found that published studies favour using tranexamic acid in total joint arthroplasty as a safe and effective method of reducing blood loss.

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Section: Intraoperative Techniques Aimed At Reducing Blood Lossmentioning

confidence: 99%

Effectiveness and safety of tranexamic acid in total joint arthroplasty

Yaghmour

Atkinson

Chisari

et al. 2019

Journal of Perioperative Practice

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Cell salvage for minimising perioperative allogeneic blood transfusion in adults undergoing elective surgery

Lloyd,

Geneen,

Bernhardt

et al. 2023

Cochrane Database of Systematic Reviews

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A literature review assessing the perioperative efficacy and safety of tranexamic acid in elective total hip and knee arthroplasty in UK practice

Patel,

Golding,

Nandra

et al. 2024

Journal of Perioperative Practice

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Hip and knee arthroplasty are frequently associated with significant blood loss, often necessitating blood transfusions. A variety of methods are employed to minimise blood loss and consequently mitigate the necessity for transfusions. This review explores the incidence of blood loss in hip and knee arthroplasty alongside perioperative strategies aimed at its reduction in UK practice. Given the increasing prevalence of tranexamic acid utilisation, we systematically examine the extant literature concerning its application in patients undergoing hip and knee arthroplasty. Our analysis discerns a prevailing consensus within published studies favouring the implementation of tranexamic acid as a safe and efficacious measure for reducing blood loss during hip and knee arthroplasty procedures.

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No benefit of autologous transfusion drains in total knee arthroplasty

Abstract: I.

Cited by 4 publications

References 34 publications

Effectiveness and safety of tranexamic acid in total joint arthroplasty

Effectiveness and safety of tranexamic acid in total joint arthroplasty

Cell salvage for minimising perioperative allogeneic blood transfusion in adults undergoing elective surgery

A literature review assessing the perioperative efficacy and safety of tranexamic acid in elective total hip and knee arthroplasty in UK practice

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