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Review
. 2015 Dec;27(4):201-8.
doi: 10.5371/hp.2015.27.4.201. Epub 2015 Dec 30.

Patient Blood Management in Hip Replacement Arthroplasty

Jong Hee Lee  1 , Seung Beom Han  1
Affiliations
Review

Patient Blood Management in Hip Replacement Arthroplasty

Jong Hee Lee et al. Hip Pelvis. 2015 Dec.

Abstract

Perioperative blood transfusions are common in total hip arthroplasty because of preoperative anemia and perioperative blood loss. Perioperative anemia and the need for allogeneic blood transfusion are related with increased morbidity. To reduce perioperative allogeneic blood transfusion, keeping the preoperative hemoglobin level above 12.0 g/dL is important in orthopedic patients. By using the anti-fibrinolytic agent or perioperative cell salvage, reduce intraoperative blood loss is very important for the reduction of perioperative blood loss. As a transfusion trigger, low hemoglobin is another important target to reduce the transfusion rate. Because blood management is closely connected with prognosis, it has become a new challenge in orthopedic surgery.

Keywords: Allogenic transfusion; Blood management; Total hip arthroplasty.

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Figures

Fig. 1
Fig. 1. Example of preoperative patient blood management. GP: general practitioner, ABT: allogenic blood transfusion, FBC: full blood count, Hb: hemoglobin, EPO: erythropoietin, I.V.: intravenous.
Fig. 2
Fig. 2. Algorithm about the postoperative patient blood management. Hb: hemoglobin, pt.: patient, F/U: follow up.
See this image and copyright information in PMC

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