Blood management: issues and options.
Blood management in the perioperative period of the total joint arthroplasty procedure has evolved over the last 3 decades. Strategies have changed and are changing based on a better understanding of blood loss and blood replacement options in this patient population. Patient-specific options based on preoperative hemoglobin levels and patient comorbidities as well as anticipated blood loss have been developed and studied. Patient-specific blood management programs have provided cost-efficient care with low morbidity.
Callaghan
John J
JJ
Department of Orthopedics and Rehabilitation, University of Iowa, 01029 JPP, Iowa City, IA 52242, USA.
O'Rourke
Michael R
MR
Liu
Steve S
SS
D000465:Algorithms; D019644:Arthroplasty, Replacement, Hip; D019645:Arthroplasty, Replacement, Knee; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D001803:Blood Transfusion; D006438:Hemodilution; D006801:Humans