title: [PERIOPERATIVE BLOOD MANAGEMENT STRATEGIES FOR JOINT ARTHROPLASTY].
abstract: OBJECTIVE
  To summarize the perioperative blood management strategies for joint arthroplasty.
  
  
  METHODS
  The literature concerning preoperative, intraoperative, and postoperative blood management was reviewed and summarized.
  
  
  RESULTS
  At present, a variety of blood management and conservation strategies are available. Preoperative strategies include iron supplementation, erythropoietin (EPO), and preoperative autologous donation (PAD). Intraoperative options include acute normovolemic hemodilution (ANH), antifibrinolytics, and the use of a tourniquet. Postoperative strategies include the use of reinfusion systems and guided transfusion protocols. Preoperatively, administration of either simple EPO or a combination of EPO and PAD can be efficacious in anemic patients. Intraoperatively, tourniquet use and tranexamic acid can effectively control bleeding. Postoperatively, appropriate transfusion indications can avoid unnecessary blood transfusions.
  
  
  CONCLUSIONS
  Perioperative blood management strategies for joint arthroplasty should be integrated for the individual patient using a variety of ways to reduce perioperative blood loss and blood transfusion, and promote the rehabilitation of patients.
authors.forename: Lintao
authors.initials: L
authors.lastname: Li
authors.forename: Haishan
authors.initials: H
authors.lastname: Wu
authors.forename: Yuli
authors.initials: Y
authors.lastname: Wu
authors.forename: Peiliang
authors.initials: P
authors.lastname: Fu
authors.forename: Zheru
authors.initials: Z
authors.lastname: Ding
mesh_terms: D000933:Antifibrinolytic Agents / Q000008:administration & dosage; D001178:Arthroplasty; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D001803:Blood Transfusion; D001804:Blood Transfusion, Autologous; D006438:Hemodilution / Q000379:methods*; D006801:Humans; D011182:Postoperative Care; D019106:Postoperative Hemorrhage / Q000517:prevention & control*; D011300:Preoperative Care / Q000379:methods*; D014148:Tranexamic Acid
chemical_list: D000933:Antifibrinolytic Agents; D014148:Tranexamic Acid