Current trends in blood conservation in total knee arthroplasty.

作者: Gwo-Chin Lee , Thomas Hawes , Fred D Cushner , W Norman Scott

DOI: 10.1097/01.BLO.0000187338.25250.6A

关键词:

摘要: There is a lack of consensus with regard to ways minimize blood transfusions after total knee arthroplasty. We surveyed 434 members the American Association Hip and Knee Surgeons, each whom averaged 18 years in practice performed an average between 100 150 replacements year, about their preferences practices regarding conservation during Of those surveyed, only 24% reported that there was program place at institutions. Fifty-nine percent routinely asked patients donate before unilateral bilateral replacements. The amount collected 1.32 units (range, 1-4 units) 2.04 arthroplasty, respectively. Nearly half (47.5%) they rarely ever prescribed epoetin alfa because combination cost, time, labor issues. Furthermore, majority (84%) has not had any experience use antifibrinolytics. Overall, mean transfusion rate replacement estimated be less than 5% 0%-20%) whereas 10% 20% 5%-20%).

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