The Journal of bone and joint surgery. American volume
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J Bone Joint Surg Am · Sep 1995
Randomized Controlled Trial Clinical TrialBlood salvage after total hip arthroplasty.
We performed a prospective, randomized study to determine the effect of postoperative collection and reinfusion of unwashed, filtered, salvaged blood on the transfusion requirements of 232 patients managed with a total hip replacement. Patients who were scheduled to have a primary or revision procedure were advised to predeposit two or four units of autologous blood, respectively, before the operation. In addition, intraoperative blood salvage was performed for all patients who had a revision procedure. ⋯ No complications or episodes of hypotension, confusion, cardiac or pulmonary compromise, febrile reaction, or coagulopathy were observed during or after the reinfusion of the unwashed, filtered, salvaged blood. No reinfusions were interrupted or discontinued. We found that postoperative reinfusion of unwashed, filtered, salvaged blood was associated with a decreased prevalence of homologous transfusion after a total hip replacement among patients for whom preoperatively donated autologous blood was not available.(ABSTRACT TRUNCATED AT 250 WORDS)