Quality of blood prepared for autotransfusion in primary cemented total hip replacement.
We have measured levels of contaminants (products of cell lysis and other substances) in blood salvaged from patients undergoing primary cemented total hip replacement. Washing of this blood removed an average of 91.4% of the free haemoglobin mass, reduced white cell lysozyme concentrations by 86% and almost totally eliminated fats and particulate matter. Osmotic fragility was significantly improved by washing although not to control levels.
Roberts
D R
DR
Department of Anaesthetics, Repatriation General Hospital, Daw Park, Adelaide, South Australia.
Mah
E T
ET
Nyman
T L
TL
Davis
R W
RW
D000925:Anticoagulants; D001769:Blood; D016063:Blood Loss, Surgical; D001790:Blood Physiological Phenomena; D001804:Blood Transfusion, Autologous / Q000379:methods*; D001843:Bone Cements / Q000627:therapeutic use*; D002498:Centrifugation; D002784:Cholesterol / Q000097:blood; D005374:Filtration; D006454:Hemoglobins / Q000032:analysis; D006622:Hip Prosthesis; D006801:Humans; D009113:Muramidase / Q000097:blood; D009996:Osmotic Fragility; D012965:Sodium Chloride; D014280:Triglycerides / Q000097:blood
D000925:Anticoagulants; D001843:Bone Cements; D006454:Hemoglobins; D014280:Triglycerides; D012965:Sodium Chloride; D002784:Cholesterol; D009113:Muramidase