Alternative Procedures for Reducing Allogeneic Blood Transfusion in Elective Orthopedic Surgery

Kathrin Kleinert, MD
Department of Orthopaedics, Balgrist University Hospital

Oliver M. Theusinger, MD
Institute of Anaesthesiology, University Hospital Zurich

Johannes Nuernberg, MD
Institute of Anaesthesiology, University Hospital Zurich

Clément M. L. Werner, MD, PhD
Department of Orthopaedics, Balgrist University Hospital
Division of Trauma Surgery, Department of Surgery, University Hospital Zurich

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.

This article appears in HSS Journal: Volume 6, Number 2.
View the full article at springerlink.com.

About the HSS Journal

HSS Journal, an academic peer-reviewed journal, is published twice a year, February and September, and features articles by internal faculty and HSS alumni that present current research and clinical work in the field of musculoskeletal medicine performed at HSS, including research articles, surgical procedures, and case reports.


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