[Suitable and successful management in preoperative deposit of autologous blood transfusion in cases of orthopedic elective surgeries].
To reveal the suitable and successful management in preoperative deposit of autologous blood, the 307 cases who had autologous blood transfusion during orthopedic elective surgery were studied retrospectively. Light body weight(less than 43 kg), predonative anemic condition(less than 11.3 g/dl in Hb concentration), and the aged(older than 68 yrs) were the main factors causing less deposit than scheduled amount. Less deposit (< 766 ml in THA), when preoperative low Hb concentration and unexpectedly massive bleeding added to it, was responsible for necessity of homologous blood transfusion. Combination of 400 ml-donation with 200 ml-donation, and gradual increase of rhEPO administration, are effective to prevent from unexpectedly less deposit.
Hiroshima
K
K
Department of Orthopedics, Osaka National Hospital.
Satoh
M
M
D001803:Blood Transfusion; D001804:Blood Transfusion, Autologous / Q000379:methods*; D017558:Elective Surgical Procedures; D005260:Female; D006801:Humans; D009985:Orthopedics; D012189:Retrospective Studies