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Collegium antropologicum, Vol.32 No.1 May 2008. -

Several methods have been found to be successful in reducing the need for allogeneic transfusion among the patients

undergoing total hip replacement. The purpose of this prospective study was to analyse the quality and evaluate the effect

of postoperative autotransfusion on the need for allogeneic transfusion following total hip replacement. The prospective

study was performed in two groups of patients undergoing total hip replacement. Before the operative procedure all patients

in both groups predonated two doses of autologous blood. In GROUP 1. the system for postoperative collection and

transfusion of shed blood was used. In GROUP 2. the patients underwent total hip replacement without blood salvage

system. Standard suction collection sets were used postoperatively. In this group shed blood was not transfused to the patients.

The samples of preoperative donated autologus blood, allogeneic blood and postoperative collected autologous

blood were analysed for number of red cells, hemoglobin, hematocrit, platelets, white blood cells, values of potassium, sodium,

free hemoglobin and acid base status. The postoperatively blood salvage significantly reduced the use of allogeneic

transfusion among patients managed with total hip replacement allogeneic transfusion received 12 % patients in Group

1 and 80% patients in Group 2; p



Autor: Branko Tripković - Damir Buković - Katarina Šakić - Šime Šakić - Nevia Buković - Branko Radaković -

Fuente: http://hrcak.srce.hr/



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