EFFECT OF ISOVOLEMIC HAEMODILUTION IN NONANEMIC PATIENTS UNDERGOING TOTAL HIP REPLACEMENT

Czech version

Authors: Bořek Kučera; Radek Hart; Václav Štipčák
Authors‘ workplace: Department of Ortopaedics and Traumatology General Hospital Znojmo ; Ortopedicko-traumatologické oddělení nemocnice Znojmo
Published in: Úraz chir. 14., 2006, č.4

Overview

Purpose of the study:
The aim of this prospective pilot study was to evaluate the efect of isovolemic hemodilution in nonanemic patients undergoing total hip arthroplasty.

Methods:
In 2004 and 2005, in 44 consecutive nonanemic patients who underwent elective, unilateral, primary total hip arthroplasty for primary osteoarthritis isovolemic haemodilution was performed at authors´ institution. The mean intraoperative blood loss was 410 ml.

Results:
The mean blood volume returned to the patient was 389 ml. No complications were observed during the isovolemic haemodilution. Postoperative blood transfusion was required only in 13 cases.

Conclusions:
Our study suggests that the isovolemic haemodilution might help to minimize different risks of blood transfusions and may reduce the cost for blood management for patients treated with large hip replacement.

Key words:
total hip replacement, isovolemic haemodilution.

Sources

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2. Bierbaum, B.E., Callaghan, J.J., Galante, J.O. et al. An analysis of blood management in patients having a total hip or knee arthroplasty. J Bone Joint Surg. 1999, 81A, 2–10.

3. Billote, D.B., Glisson, S.N., Green, D. et al. A prospective, randomized study of preoperative autologous donation for hip replacement surgery. J Bone Joint Surg. 2002, 84A, 1299–1304.

4. Larsen, R. et al. Anestézie. Praha: Grada Publishing, s.r.o. 1998. 362 s.

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Article was published in

Trauma Surgery

2006 Issue 4