41-228
Autotransfusión predepósito en artroplastia total de cadera como programa de ahorro de sangre alogénica
Predeposit autologous transfusion in total hip artrhoplasty like allogenic blood saving program
R. LÓPEZ LOZANO, A. PASCUAL RAMÍREZ, A. SILVESTRE MUÑOZ, R. GOTERRIS VICIEDO*, A. TERUEL CASASUS*, C. ARBONA CASTAÑO*, F. GOMAR SANCHO. SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. HOSPITAL CLÍNICO UNIVERSITARIO DE VALENCIA. DEPARTAMENTO DE CIRUGÍA. FACULTAD DE MEDICINA. UNIVERSIDAD DE VALENCIA. * SERVICIO DE HEMATOLOGÍA Y HEMOTERAPIA. HOSPITAL CLÍNICO UNIVERSITARIO DE VALENCIA.
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008
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Resumen (ES)
Transfusion requirements in orthopaedic surgery
are raised and therefore costs are high. There are different
allogenic blood saving techniques but predeposit autotransfusion
is the gold-standard at present. We performed a
retrospective study with the objective of valuing the requierement
decreasement of allogenic transfusion in hip program
orthopaedic surgery through blood saving methods,
specially predeposit autologous transfusion. Autologous
transfusion's great problem was the raised cost-effectiveness.
The main reason for the price increase of techniques
used is the high number of donned units and not transfused
after surgery which you end up with a low productive method.
Anaemia pre-surgery and overtransfusion can easily be
avoided with clear inclusion lines in blood saving programs
and no liberal transfusion protocols. The best way to save
allogenic blood in total hip arthroplasty can be established
by means of an interdisciplinar program but individualized
for specific tipe of surgery and for patient's characteristics
like initial haemoglobin and sex. Predeposit autologous
transfusion is adequate in hip program orthopaedic surgery
because its effectiveness in allogenic blood saving, its good
tolerance and it is a safe method.
are raised and therefore costs are high. There are different
allogenic blood saving techniques but predeposit autotransfusion
is the gold-standard at present. We performed a
retrospective study with the objective of valuing the requierement
decreasement of allogenic transfusion in hip program
orthopaedic surgery through blood saving methods,
specially predeposit autologous transfusion. Autologous
transfusion's great problem was the raised cost-effectiveness.
The main reason for the price increase of techniques
used is the high number of donned units and not transfused
after surgery which you end up with a low productive method.
Anaemia pre-surgery and overtransfusion can easily be
avoided with clear inclusion lines in blood saving programs
and no liberal transfusion protocols. The best way to save
allogenic blood in total hip arthroplasty can be established
by means of an interdisciplinar program but individualized
for specific tipe of surgery and for patient's characteristics
like initial haemoglobin and sex. Predeposit autologous
transfusion is adequate in hip program orthopaedic surgery
because its effectiveness in allogenic blood saving, its good
tolerance and it is a safe method.
Palabras clave (ES):
Artroplastia
Transfusión
Autotransfusión
total
Prótesis
Predepósito
perioperatoria
Operatoria
Ahorro
de
Anemia
sangre
Cadera
Resumen (EN)
Transfusion requirements in orthopaedic surgery
are raised and therefore costs are high. There are different
allogenic blood saving techniques but predeposit autotransfusion
is the gold-standard at present. We performed a
retrospective study with the objective of valuing the requierement
decreasement of allogenic transfusion in hip program
orthopaedic surgery through blood saving methods,
specially predeposit autologous transfusion. Autologous
transfusion's great problem was the raised cost-effectiveness.
The main reason for the price increase of techniques
used is the high number of donned units and not transfused
after surgery which you end up with a low productive method.
Anaemia pre-surgery and overtransfusion can easily be
avoided with clear inclusion lines in blood saving programs
and no liberal transfusion protocols. The best way to save
allogenic blood in total hip arthroplasty can be established
by means of an interdisciplinar program but individualized
for specific tipe of surgery and for patient's characteristics
like initial haemoglobin and sex. Predeposit autologous
transfusion is adequate in hip program orthopaedic surgery
because its effectiveness in allogenic blood saving, its good
tolerance and it is a safe method.
are raised and therefore costs are high. There are different
allogenic blood saving techniques but predeposit autotransfusion
is the gold-standard at present. We performed a
retrospective study with the objective of valuing the requierement
decreasement of allogenic transfusion in hip program
orthopaedic surgery through blood saving methods,
specially predeposit autologous transfusion. Autologous
transfusion's great problem was the raised cost-effectiveness.
The main reason for the price increase of techniques
used is the high number of donned units and not transfused
after surgery which you end up with a low productive method.
Anaemia pre-surgery and overtransfusion can easily be
avoided with clear inclusion lines in blood saving programs
and no liberal transfusion protocols. The best way to save
allogenic blood in total hip arthroplasty can be established
by means of an interdisciplinar program but individualized
for specific tipe of surgery and for patient's characteristics
like initial haemoglobin and sex. Predeposit autologous
transfusion is adequate in hip program orthopaedic surgery
because its effectiveness in allogenic blood saving, its good
tolerance and it is a safe method.
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