39-220

Resultados de un programa de ahorro de sangre en prótesis de rodilla unilateral

Results of a blood saving program in total knee replacement

A.J. PANISELLO SEBASTIÁ*, J.A. GARCÍA ERCE **, A. HERRERA RODRÍGUEZ*, L. HERRERO BARCOS*, A. MARTÍNEZ MARTÍN*. *SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA Y * SERVICIO DE HEMATOLOGÍA. HOSPITAL UNIVERSITARIO MIGUEL SERVET
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008


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Resumen (ES)

Total knee replacement is a procedure that frequently
need postoperative blood transfusion. Instead of allogeneic
blood, predeposit autologous transfusion has been
proposed as a safe and efficient choice; nevertheless, this
procedure is not free of debate due to the anaemia caused to
the patients and the high number of no-used, and lost, units.
We report the results of a no restrictive program of blood
autologous transfusion in patients having a knee replacement,
in the period between 2001 to 2003. The numbers show
a slight decrease in the rate of allogeneic blood transfusion;
nonetheless, with a short efectivenuess. We analyse other
alternatives for blood transfusion and in what patients this
procedure should be done.

Palabras clave (ES):

de
sangre
Transfusión
Anemia
Parcial
Unicompartimental
Artroplastia
Prótesis
Ahorro
Rodilla
Hemorragia

Resumen (EN)

Total knee replacement is a procedure that frequently
need postoperative blood transfusion. Instead of allogeneic
blood, predeposit autologous transfusion has been
proposed as a safe and efficient choice; nevertheless, this
procedure is not free of debate due to the anaemia caused to
the patients and the high number of no-used, and lost, units.
We report the results of a no restrictive program of blood
autologous transfusion in patients having a knee replacement,
in the period between 2001 to 2003. The numbers show
a slight decrease in the rate of allogeneic blood transfusion;
nonetheless, with a short efectivenuess. We analyse other
alternatives for blood transfusion and in what patients this
procedure should be done.

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