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. 2010 Sep;6(2):190-8.
doi: 10.1007/s11420-009-9151-6. Epub 2010 Jan 28.

Alternative procedures for reducing allogeneic blood transfusion in elective orthopedic surgery

Kathrin Kleinert, Oliver M Theusinger, Johannes Nuernberg, Clément M L Werner

Alternative procedures for reducing allogeneic blood transfusion in elective orthopedic surgery

Kathrin Kleinert et al. HSS J. 2010 Sep.

Abstract

Perioperative blood loss is a major problem in elective orthopedic surgery. Allogeneic transfusion is the standard treatment for perioperative blood loss resulting in low postoperative hemoglobin, but it has a number of well-recognized risks, complications, and costs. Alternatives to allogeneic blood transfusion include preoperative autologous donation and intraoperative salvage with postoperative autotransfusion. Orthopedic surgeons are often unaware of the different pre- and intraoperative possibilities of reducing blood loss and leave the management of coagulation and use of blood products completely to the anesthesiologists. The goal of this review is to compare alternatives to allogeneic blood transfusion from an orthopedic and anesthesia point of view focusing on estimated costs and acceptance by both parties.

Keywords: EPO; allogeneic blood transfusion; autologous blood transfusion; blood loss; elective orthopedic surgery; fibrin sealant; hemodilution; iv iron; platelet gel; predonation.

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