Anesthesia & Clinical Research
Open Access
ISSN: 2155-6148
+44 1223 790975
ISSN: 2155-6148
+44 1223 790975
Thomas Giral
Cochin University Hospital, Assistance Publique, Hopitaux de Paris,
Paris
France
Research Article
Bleeding Kinetics after Total Hip or Knee Replacement: A Prospective Observational Study
Author(s): Thomas Giral, Antoine Tesniere, Lorenn Bellamy, Yves Ozier, Charles Marc Samama and Nadia RosencherThomas Giral, Antoine Tesniere, Lorenn Bellamy, Yves Ozier, Charles Marc Samama and Nadia Rosencher
Background and objectives: The objective was to assess the kinetics of postoperative bleeding after total hip or knee replacement, with or without administration of tranexamic acid, in order to anticipate red blood cell transfusion thresholds in the recovery room.
Materials and methods: This was a prospective, observational, single-center study. All patients undergoing primary or revision total hip or knee replacement were enrolled for two months. Patients were managed using a multimodal strategy designed to reduce the need for red blood cell transfusion. Postoperative bleeding kinetics was assessed according to the drop of hemoglobin levels between the arrival in the recovery room and day one after surgery.
Results: A total of 106 patients were included. The mean transfusion rate was 18%. Nadir hemoglobin levels w.. View More»
DOI:
10.4172/2155-6148.1000355