Reinfusion of unwashed salvaged blood after total knee arthroplasty in patients with rheumatoid arthritis
Open Access
- 14 October 2008
- journal article
- research article
- Published by Springer Science and Business Media LLC in International Orthopaedics
- Vol. 33 (6), 1615-1618
- https://doi.org/10.1007/s00264-008-0661-5
Abstract
Autotransfusion with unwashed salvaged blood (USB) is effective for avoiding allogeneic blood transfusion (ABT) in patients undergoing total knee arthroplasty (TKA). We performed a retrospective study to determine the percentage of patients receiving ABT and the volume of postoperative blood drainage after introduction of autotransfusion with USB for patients with rheumatoid arthritis (RA) undergoing TKA. In 100 patients without autotransfusion (group 1) and 100 patients receiving autotransfusion of USB (group 2), we compared the number of patients who required ABT, as well as the postoperative drainage volume, ABT volume, and autotransfusion volume. In group 1, 83% of the patients received ABT, while only 47% received ABT in group 2, and there was a significant decrease (p < 0.001). However, the postoperative drainage volume was significantly increased in group 2 (p < 0.001).Keywords
This publication has 25 references indexed in Scilit:
- Retransfusion of filtered shed blood in primary total hip and knee arthroplasty: a prospective randomized clinical trialTransfusion, 2007
- The effectiveness of reinfusion after total knee replacement. A prospective randomised controlled studyInternational Orthopaedics, 2006
- Transfusion of autologous blood from reinfusion systems in total knee arthroplastyInternational Orthopaedics, 2006
- Clinical efficacy of postoperative autologous transfusion of filtered shed blood in hip and knee arthroplastyTransfusion, 2004
- Arthritis is linked to local and systemic activation of coagulation and fibrinolysis pathwaysJournal of Thrombosis and Haemostasis, 2003
- Incidence and risk factors for allogenic blood transfusion during major joint replacement using an integrated autotransfusion regimenEuropean Journal of Anaesthesiology, 2000
- Reinfusion of postoperative wound drainage in total joint arthroplastyThe Journal of Arthroplasty, 1994
- Postoperative blood retrieval and transfusion in cementless total knee arthroplastyThe Journal of Arthroplasty, 1992
- Total blood loss in major joint arthroplasty: A comparison of cemented and noncemented hip and knee operationsThe Journal of Arthroplasty, 1988
- Coagulation abnormalities in rheumatoid diseaseArthritis & Rheumatism, 1976