Study to estimate the average blood loss in different orthopedic procedures: A retrospective review

Khan, Mohammad Noah; Jamal, Khalid; Shafiq, Hassan; Qureshi, Ammal Imran; Khan, Basharat Ghafoor; Farrukh, Sadia

doi:10.1016/j.amsu.2021.102965

Cited by 3 publications

(1 citation statement)

References 12 publications

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“…Tis correlated to a study done in Saudi Arabia that found no diference in the use of tourniquets in TKR surgeries [20]. Te use of tourniquets has largely been associated with lower levels of bleeding in patients intraoperatively [24], contrary to the results of our study. Some of the surgeries were associated with longer intraoperative duration, which might have ofset the mean Hb drop results.…”

Section: Advances In Orthopedicssupporting

confidence: 84%

Postoperative Hemoglobin Drop and the Associated Factors among Elective Orthopedic Surgeries in Northern Tanzania

Ashir,

Maya,

Saiyed

et al. 2024

Advances in Orthopedics

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Background. Having an estimated level of Hb drop in different orthopedic surgeries would help plan for surgery from pre- to postoperative periods. The aim of this study was to assess the Hb drop and the associated factors during the intraoperative period among elective orthopedic surgeries. Methods. This was an analytic cross-sectional study conducted between October 2022 and March 2023, which included all patients admitted for elective orthopedic surgery who met the inclusion criteria. Data were collected before and after the patient was operated on. Information was analyzed using t-tests and ANOVA to establish the statistical significance of the Hb drop. Results. A total of 195 participants were enrolled. The majority of the participants were male (62.1%), with the main etiology of symptoms being motor traffic accidents (31.8%). The most affected site was the femur (36.4%), followed by the spine (23.6%). The highest mean Hb drop was in total hip replacement surgeries (4.19 g/dL), with the overall mean Hb drop being 2.75 g/dL. A statistically significant difference was identified in diathermy use, duration of surgery, and patients with chronic illnesses. Conclusion. With a mean Hb drop of 2.75 g/dL, the application of diathermy and surgeries with shorter durations resulted in a reduced Hb drop. These factors should be incorporated to minimize the drop in Hb in orthopedic surgeries. Accounting for differences in surgeries, there should not be delays in patients who have a preoperative Hb level that can sustain the mean Hb drop recorded in the study.

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Section: Advances In Orthopedicssupporting

confidence: 84%

Postoperative Hemoglobin Drop and the Associated Factors among Elective Orthopedic Surgeries in Northern Tanzania

Ashir,

Maya,

Saiyed

et al. 2024

Advances in Orthopedics

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Considerations for an ideal post-surgical wound dressing aligned with antimicrobial stewardship objectives: a scoping review

et al. 2023

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Objective: Most surgical wounds heal by primary or secondary intention. Surgical wounds can present specific and unique challenges including wound dehiscence and surgical site infection (SSI), either of which can increase risk of morbidity and mortality. The use of antimicrobials to treat infection in these wounds is prevalent, but there is now an imperative to align treatment with reducing antimicrobial resistance and antimicrobial stewardship (AMS). The aim of this review was to explore the published evidence identifying general considerations/criteria for an ideal post-surgical wound dressing in terms of overcoming potential wound healing challenges (including infection) while supporting AMS objectives. Method: A scoping review examining evidence published from 1954–2021, conducted by two authors acting independently. Results were synthesised narratively and have been reported in line with PRISMA Extension for Scoping Reviews. Results: A total of 819 articles were initially identified and subsequently filtered to 178 for inclusion in the assessment. The search highlighted six key outcomes of interest associated with post-surgical wound dressings: wound infection; wound healing; physical attributes related to comfort, conformability and flexibility; fluid handling (e.g., blood and exudate); pain; and skin damage. Conclusion: There are several challenges that can be overcome when treating a post-surgical wound with a dressing, not least the prevention and treatment of SSIs. However, it is imperative that the use of antimicrobial wound dressings is aligned with AMS programmes and alternatives to active antimicrobials investigated.

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Therapeutic evidence of tranexamic acid effectiveness in reducing postoperative blood loss among patients with femoral shaft fractures: a randomized clinical trial

Khameneh,

Bozorgmanesh,

Shiri

et al. 2023

EGJH

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Objective We aimed to evaluate the effect of tranexamic acid on decreasing surgery-related blood loss among patients diagnosed with femoral shaft fracture. Patients and methods This double-blinded, randomized, clinical trial was designed on 60 patients, who have been referred for femoral shaft fracture surgery to the Arak Valiasr Hospital. The eligible patients were assigned into intervention and control groups using balanced block randomization. For patients administered 10 mg/kg of intravenous tranexamic acid slowly to the first group before the surgery, when strict control of vital signs and standard monitoring were utilized throughout the procedure. The amount of blood loss during and after the surgery (6 and 24 h later) and hemoglobin and hematocrit at, before, and after the procedure was measured, and data was analyzed by SPSS 22 (IBM Corp.). Results The clinical evidence revealed lower levels of hemoglobin and hematocrit in the control than in the intervention group within postoperative 24 h (P=0.001), while less blood loss was observed in the intervention group during surgery and at 6 and 24 h later (P=0.001). Conclusion Our results highlight strong support for the hypothesis that in femoral shaft fractures, a tranexamic acid regime significantly decreases blood loss, and subsequently a postoperative improvement in hemoglobin and hematocrit levels was made in patients in the intervention group versus those in the control group. Hence, tranexamic acid administration seems to be an excellent, safe option for controlling bleeding in orthopedic surgeries, where a possible intraoperative blood loss is expected and the clinical circumstances of the patient allow them.

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Study to estimate the average blood loss in different orthopedic procedures: A retrospective review

Cited by 3 publications

References 12 publications

Postoperative Hemoglobin Drop and the Associated Factors among Elective Orthopedic Surgeries in Northern Tanzania

Postoperative Hemoglobin Drop and the Associated Factors among Elective Orthopedic Surgeries in Northern Tanzania

Considerations for an ideal post-surgical wound dressing aligned with antimicrobial stewardship objectives: a scoping review

Therapeutic evidence of tranexamic acid effectiveness in reducing postoperative blood loss among patients with femoral shaft fractures: a randomized clinical trial

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