Prolonged operative time increases risk of blood loss and transfusion requirements in revision hip surgery
Authors: Manara, J., Sandhu, H., Wee, M., Odutola, A., Wainwright, T., Knowles, C., Middleton, R.
Journal: European Journal of Orthopaedic Surgery and Traumatology
Publication Date: 01/10/2020
Volume: 30
Issue: 7
Pages: 1181-1186
eISSN: 1432-1068
ISSN: 1633-8065
DOI: 10.1007/s00590-020-02677-4
Abstract:Introduction: Revision hip surgery is well documented to have a high association with substantial blood loss and the associated need for a blood transfusion. This exposes the patient to increased risk of transfusion reaction and blood borne infection. There are many strategies to minimize allogeneic transfusion rates in revision surgery such as pre-operative autologous donation, peri-operative tranexamic acid, thrombin sealants, normovolaemic haemodilution, intra-operative blood salvage and the use of post-operative autologous drains. Patients and methods: We prospectively looked at 177 consecutive cases performed at one centre by a single surgical and anaesthetic team to identify which patient and operative factors were most significant in minimizing the requirement for an allogeneic blood transfusion. Results: Our results identified the duration of surgery as being the only significant variable affecting the level of blood loss. We noted a 3% increase in the probability of massive blood loss (' 2000 mls) for every minute of increased surgical time in our series. Conclusions: We conclude that measures to minimize the duration of surgery would be beneficial in reducing blood loss and the risks of requiring blood transfusions in revision hip surgery.
https://eprints.bournemouth.ac.uk/33999/
Source: Scopus
Prolonged operative time increases risk of blood loss and transfusion requirements in revision hip surgery.
Authors: Manara, J., Sandhu, H., Wee, M., Odutola, A., Wainwright, T., Knowles, C., Middleton, R.
Journal: Eur J Orthop Surg Traumatol
Publication Date: 10/2020
Volume: 30
Issue: 7
Pages: 1181-1186
eISSN: 1432-1068
DOI: 10.1007/s00590-020-02677-4
Abstract:INTRODUCTION: Revision hip surgery is well documented to have a high association with substantial blood loss and the associated need for a blood transfusion. This exposes the patient to increased risk of transfusion reaction and blood borne infection. There are many strategies to minimize allogeneic transfusion rates in revision surgery such as pre-operative autologous donation, peri-operative tranexamic acid, thrombin sealants, normovolaemic haemodilution, intra-operative blood salvage and the use of post-operative autologous drains. PATIENTS AND METHODS: We prospectively looked at 177 consecutive cases performed at one centre by a single surgical and anaesthetic team to identify which patient and operative factors were most significant in minimizing the requirement for an allogeneic blood transfusion. RESULTS: Our results identified the duration of surgery as being the only significant variable affecting the level of blood loss. We noted a 3% increase in the probability of massive blood loss (> 2000 mls) for every minute of increased surgical time in our series. CONCLUSIONS: We conclude that measures to minimize the duration of surgery would be beneficial in reducing blood loss and the risks of requiring blood transfusions in revision hip surgery.
https://eprints.bournemouth.ac.uk/33999/
Source: PubMed
Prolonged operative time increases risk of blood loss and transfusion requirements in revision hip surgery
Authors: Manara, J., Sandhu, H., Wee, M., Odutola, A., Wainwright, T., Knowles, C., Middleton, R.
Journal: EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY
Publication Date: 2020
Volume: 30
Issue: 7
Pages: 1181-1186
eISSN: 1432-1068
ISSN: 1633-8065
DOI: 10.1007/s00590-020-02677-4
https://eprints.bournemouth.ac.uk/33999/
Source: Web of Science
Prolonged operative time increases risk of blood loss and transfusion requirements in revision hip surgery
Authors: Manara, J., Harvey, S., Wee, M., Odutola, A., Wainwright, T., Knowles, C., Middleton, R.
Journal: European Journal of Orthopaedic Surgery & Traumatology
Publication Date: 04/05/2020
Publisher: Springer Nature
ISSN: 1633-8065
https://eprints.bournemouth.ac.uk/33999/
Source: Manual
Prolonged operative time increases risk of blood loss and transfusion requirements in revision hip surgery.
Authors: Manara, J., Sandhu, H., Wee, M., Odutola, A., Wainwright, T., Knowles, C., Middleton, R.
Journal: European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
Publication Date: 10/2020
Volume: 30
Issue: 7
Pages: 1181-1186
eISSN: 1432-1068
ISSN: 1633-8065
DOI: 10.1007/s00590-020-02677-4
Abstract:Introduction
Revision hip surgery is well documented to have a high association with substantial blood loss and the associated need for a blood transfusion. This exposes the patient to increased risk of transfusion reaction and blood borne infection. There are many strategies to minimize allogeneic transfusion rates in revision surgery such as pre-operative autologous donation, peri-operative tranexamic acid, thrombin sealants, normovolaemic haemodilution, intra-operative blood salvage and the use of post-operative autologous drains.Patients and methods
We prospectively looked at 177 consecutive cases performed at one centre by a single surgical and anaesthetic team to identify which patient and operative factors were most significant in minimizing the requirement for an allogeneic blood transfusion.Results
Our results identified the duration of surgery as being the only significant variable affecting the level of blood loss. We noted a 3% increase in the probability of massive blood loss (> 2000 mls) for every minute of increased surgical time in our series.Conclusions
We conclude that measures to minimize the duration of surgery would be beneficial in reducing blood loss and the risks of requiring blood transfusions in revision hip surgery.https://eprints.bournemouth.ac.uk/33999/
Source: Europe PubMed Central