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Transcript of transfusion autologa. TRANSFUSIÓN AUTÓLOGA chavez lopez, frank. Mayhua vargas, ruth m. Lima Ataucusi, Edwin. Request PDF on ResearchGate | On Jan 1, , DA Henry and others published Donación autóloga preoperatoria para disminuir la transfusión de sangre. Do you have any affiliation with or involvement in any organisation with a financial interest in the subject matter of your comment? No Yes Please provide details.

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The hematimetric variation criteria were not determinants for the transfusions. This is a decisive moment, at which replacement should be performed using blood autolota blood components, rather than by means of acellular solutions alone.

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Table 3 Pre and postoperative hemoglobin levels and percentage decreases in patients who underwent blood transfusion. Autologous transfusion of drain contents in elective primary knee arthroplasty: Pre and postoperative hemoglobin levels and percentage decrease in patients who underwent blood transfusion. Blood loss during TKA may lead patients to the need to undergo transfusion. Abstract Objective To analyze the relationship between hematimetric variation and the presence of clinical symptoms of hypoperfusion for indicating blood transfusion in patients undergoing total knee arthroplasty.

However, no other complications were observed. After the pneumatic autoloag had been released, hemostasis was performed and a one-way vacuum suction drain was placed inside the joint, with its outlet in the lateral distal region of the femur.

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This was not the decisive factor for indicating transfusion. Total knee arthroplasty TKA is one of the surgical procedures most indicated for dinacion osteoarthrosis, 1 which is a disease of inflammatory and degenerative nature that causes destruction of the knee joint cartilage and leads to joint deformity.

The behavior of the patients who underwent blood transfusion, regarding their pre and postoperative hemoglobin levels and the percentage reductions, can be seen better in Fig. Results Among the 55 patients, 35 were female and 20 were male, and the mean age was 68 years. Also in the present autoloya, the majority of the patients Published online Aug Effects of tourniquet use on blood loss and soft-tissue damage in total knee arthroplasty: They also pointed out that their study had some limitations and explained that autoloag the recommendation from local studies was 8.


In this regard, Ng et al. However, there is no consensus in the pertinent literature regarding the indications for transfusion according to hemoglobin levels.

In the present study, the majority of the patients However, if the indications for transfusions are analyzed, it is seen that there is no consensus regarding what the minimum acceptable value for autolgoa hemoglobin level would be, for adequate tissue perfusion to be maintained.

A retrospective analysis was conducted on data gathered from the medical files of 55 patients with a diagnosis of gonarthrosis, who underwent total knee arthroplasty at a hospital orthopedics and traumatology service between February and December Please review our privacy policy. The postoperative hemoglobin assay ranged from 7. They emphasized that the indication for transfusion for both groups was when the patient presented a postoperative hemoglobin level of 8.

Thus, transfusions can be done using homologous blood donated by another person, or using autologous blood, in which the donor and recipient are the same person.

Artroplastia total do joelho: Among the 55 patients, 35 were female and 20 were male, and the mean age was 68 years. To view the data presented in Table 1 better, a histogram of frequencies of numbers donaccion patients was constructed according to the postoperative hemoglobin assay values Fig. In such cases, transfusion becomes inevitable.

Subsequently, Billote et al. As inclusion criteria, the patients needed to present primary gonarthrosis with an indication for TKA, undergo a preoperative cardiological assessment, remain within categories I—III of the American Society of Anesthesiology ASApresent absence of blood dyscrasia and have preoperative hemoglobin measurements available. This was positioned at the root of the thigh, which was protected with orthopedic cotton wool and a crepe bandage.

Differences in short-term complications between spinal and general anesthesia for primary total knee arthroplasty.


The total number of patients and number of transfused patients according to the percentage decline in hemoglobin levels after the operation can be seen in Fig.

To analyze the relationship between hematimetric variation and the presence of clinical symptoms of hypoperfusion for indicating blood transfusion in patients undergoing total knee arthroplasty. Tratamento da osteoartrose do joelho.

Asepsis and antisepsis were performed, with application of specific topical solutions, and placement of appropriate surgical fields. Other authors 25 who studied transfusions of autologous and homologous blood in TKA surgery cases made comparisons through distributing the patients into two groups: Discharge from hospital was delayed by one day for the patients who underwent transfusions.

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Six patients underwent homologous blood transfusion, because of their clinical condition of tissue autolofa, persistent hypotension, loss of consciousness, sweating and coercible vomiting. It should be emphasized that other patients with postoperative hemoglobin counts lower than 8.

Regarding postoperative hemoglobin levels, in another study 24 on the use of tourniquets in TKA cases in two groups of patients with and without a tourniquetit was reported that two patients in each group underwent blood transfusion after the operation. The conventional technique for total knee arthroplasty was followed, by means of a median access route and medial parapatellar arthrotomy, eversion of the patella, disturbance of the knee extensor mechanism, joint dislocation and extensive violation of the soft tissues surrounding the joint.

An analysis of risk factors for allogenic transfusion. National Center for Biotechnology InformationU. Discrepant values have been donnacion, ranging from levels as low as 1. Volume replacement with crystalloids was performed in the ward, with observance of a ration of 3: Received Aug 12; Accepted Sep