The utility of the perioperative autologous transfusion system OrthoPAT® in total hip replacement surgery: A prospective study

Archives of Orthopaedic and Trauma Surgery

Volumn 128, Issue 10, 2008, Pages 1031-1038

  del Trujillo, María Monte ^a   Carrero, Antonio ^a   Muñoz, Manuel ^b  

^a Regional Blood Centre   (Spain)

^b UNIVERSITY OF MÁLAGA   (Spain)

Author keywords

Allogeneic blood transfusion; Length of hospital stay; Perioperative blood salvage; Postoperative infection; Total hip replacement

Indexed keywords

ADULT; AGED; ANEMIA; ARTICLE; BLEEDING; BLOOD AUTOTRANSFUSION; BLOOD SALVAGE; CLINICAL EFFECTIVENESS; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; ERYTHROCYTE; FEMALE; HEMOGLOBIN DETERMINATION; HUMAN; INFUSION SYSTEM; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; PERIOPERATIVE COMPLICATION; POSTOPERATIVE INFECTION; PRIORITY JOURNAL; REPEAT PROCEDURE; TOTAL HIP PROSTHESIS; TREND STUDY;

AGED; ARTHROPLASTY, REPLACEMENT, HIP; BLOOD LOSS, SURGICAL; BLOOD TRANSFUSION, AUTOLOGOUS; FEMALE; HUMANS; MALE; MIDDLE AGED; POSTOPERATIVE HEMORRHAGE; PROSPECTIVE STUDIES;

EID: 53149094705     PISSN: 09368051     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00402-007-0440-6     Document Type: Article

References (40)

1. Biedler AE, Scheneider SO, Seyfert U, Rensing H, Grenner S, Gimdt M, Bauer I, Bauer M (2002) Impact of alloantigens and storage-associated factors on stimulated cytokine response in an in vitro model of blood transfusion. Anesthesiology 97:1102-1109
2. Carless P, Moxey A, O'Connell D, Henry D (2004) Autologous transfusion techniques: A systematic review of their efficacy. Transf Med 14:123-144
3. Carrero A, Trujillo MM, Muñoz M (2006) Postoperative washed red cell reinfusion reduces allogeneic transfusion requirements after total knee replacement. Transf Altern Transf Med 8:203-209
4. Cuenca J, García-Erce JA, Martínez AA, Solano VM, Molina J, Muñoz M (2005) Role of Parenteral iron in the management of anaemia in the elderly patient undergoing displaced subcapital hip fracture repair. Preliminary data. Arch Orthop Trauma Surg 125:342-347
5. Engelfriet CP, Reesink HW (2006) Perioperative blood salvage (International Forum). Vox Sang 91:185-192
6. Feagan BG, Wong CJ, Lau CY, Wheeler SL, Sue-A-Quant G, Kirkley A (2001) Transfusion practice in elective orthopaedic surgery. Tranfus Med 11:87-95
7. García-Erce JA, Cuenca J, Muñoz M, Izuel M, Martínez AA, Herrera A, Solano VM, Martínez F (2005) Perioperative stimulation of erythropoiesis with intravenous iron and erythropoietin reduces transfusion requirements in patients with hip fracture. A prospective observational study. Vox Sang 89:235-243
8. Gharehbahian A, Haque G, Truman C, Evans R, Morse H, Newman J et al (2004). Effect of autologous salvaged blood on post-operative natural killer cell precursor frequency. Lancet 363:1025-1030
9. Gramolini R (2002) The impact of perioperative autotransfusion system orthopat haemonetics in orthopedic surgery. Transfus Altern Transfus Med 4(Suppl):27-29
10. Gross JB (1983) Estimating the allowable blood loss:cOrrect for dilution. Anesthesiology 56:557-558
11. Grover M, Talwalkar S, Casbard A, Boralessa H, Contreras M, Boralessa H, Brett S, Golhill DR, Soni N (2006) Silent myocardial ischaemia and haemoglobin concentration: A randomized controlled trial on transfusion strategy in lower limb arthroplasty. Vox Sang 90:105-112
12. Hansen E, Pawlik M (2004) Reasons against the retransfusion of unwashed wound blood. Transfusion 44(Suppl 1):45S-53S
13. Horan TC, Gaynes RP, Martone WJ, Jarvis WR, Emori TG (1992) Centres for Disease Control definitions of nosocomial surgical site infections, 1992: A modification of CDC definitions of surgical wound infections. Infect Control Hosp Epidemiol 13:606-608
14. Huet C, Salmi LR, Fergusson D, Koopman-van Gements AW, Rubens F, Laupacis A (1999) A meta-analysis of the effectiveness of cell salvage to minimize perioperative allogeneic blood transfusion in cardiac and orthopaedic surgery. International study of Perioperative Transfusion (ISPOT) Investigators. Anesth Analg 89:861-869
15. Innerhofer P, Wiedermann FJ, Tiefenthaler W, Schobersberger W, Klinger A, Velik-Salchner C, Salner E, Irschick E, Kuhbacher G (2001) Are leukocytes in salvaged washed autologous blood harmful for the recipient? The results of a pilot study. Anesth Analg 93:566-572
16. Innerhofer P, Klinger A, Klimmer C, Fries D, Nussbaumer W (2005) Risk for postoperative infection after transfusion of white blood cell-filtered allogeneic or autologous blood components in orthopedic patients undergoing primary arthroplasty. Transfusion 45:103-110
17. Jones HW, Savage L, White C, Goddard R, Lumley H, Kashif F, Gurusany K (2004) Postoperative aotologous blood salvage drains. Are they useful in primary uncemented hip and knee arthroplasty? A prospective study of 186 cases. Acta Orthop Belg 70:466-473
18. Leal SR, Muñoz M, Páramo JA, García-Erce JA, for the Spanish Expert Panel on Alternatives to Allogeneic Blood Transfusion (2006) Spanish consensus statement on alternatives to allogeneic blood transfusions: The Seville's document Transfus Altern Transfus Med 8:178-202
19. Lisander B, Ivarsson I, Jacobsson SA (1998) Intraoperative autotransfusion is associated with modest reduction of allogeneic transfusion in prosthetic hip surgery. Acta Anaesthesiol Scand 42:707-1712
20. Llewelyn CA, Taylor RS, Todd AAM, Stevens W, Murphy MF, Williamson LM, for the Leucodepletion Study Group (2004) The effect of universal leukoreduction on postoperative infections and length of hospital stay in elective orthopedic and cardiac surgery Transfusion 44:489-500
21. Mundy GM, Birtwistle SJ, Power RA (2005) The effect of iron supplementation on the level of haemoglobin after lower limb arthroplasty. J Bone Joint Surg Br 87-B:213-217
22. Muñoz M, García-Vallejo JJ, Ruiz MD, Romero R, Olalla E, Sebastián C (2004) Transfusion of post-operative shed blood: laboratory characteristics and clinical utility. Eur Spine J 13(Suppl 1):S107-S113
23. Muñoz M, Ariza D, Garcerán MJ, Gómez A, Campos A (2005). Benefits of postoperative shed blood reinfusion in patients undergoing unilateral total knee replacement. Arch Orthop Trauma Surg 125:385-389
24. Muñoz M, Ariza D, Romero A, Muñoz M, Prat I, Gómez A (2005) Evaluación del sistema de autotransfusión OrthoPAT, utilizando modelos experimentales de simulación de recuperación de sangre intra y postoperatoria. Rev Esp Anestesiol Reanim 53:321-327
25. Muñoz M, Cobos A, Campos A, Ariza D, Muñoz E, Gómez A (2005) Impact of postoperative shed blood transfusion, with or without leucocyte reduction, on acute-phase response to surgery for total knee replacement. Acta Anaesthesiol Scand 49:1182-1190
26. Muñoz M, Kühlmorgen B, Ariza D, Haro E, Marroquí A, Ramírez G (2007) Which patients are more likely to benefit of postoperative shed blood reinfusion after unilateral total knee replacement?Vox Sang 92:136-141
27. Muñoz M, Muñoz E, Navajas A, Campos A, Rius F, Gómez A (2006) Impact of post-operative unwashed shed blood retrieved after total knee arthroplasty, on endotoxin-stimulated tumour necrosis factor alpha release in vitro. Anesthesiology 104:267-272
28. Muñoz M, Naveira E, Seara J, Palmer JH, Cuenca J, García-Erce JA (2006) Role of parenteral iron on transfusion requirements after total hip replacement. A pilot study. Transfus Med 16:137-142
29. Muñoz M, Romero A, Campos A, Ramírez G (2004) Detection of fat particles in postoperative shed blood from orthopaedic surgery using hematologic cell counter. Transfusion 44:620-622
30. Newman JH, Bowers M, Murphy J (1997). The clinical advantage of autologous transfusion. A randomised, controlled study after knee replacement. J Bone Joint Surg (Br) 79-B:630-632
31. Ramírez G, Romero A, García-Vallejo JJ, Muñoz M (2002). Detection and removal of fat particles from postoperative salvaged shed blood in orthopedic surgery. Transfusion 42:66-75
32. Rollo VJ, Hozack WJ, Rothman RH, Chao W, Eng KO (1995). Prospective radomized evaluation of blood salvage techniques for primary total hip arthroplasty. J Arthroplasty 10:532-539
33. Rosencher N, Kerkkamp HE, Macheras G, Munuera LM, Menichella G, Barton DM, Cremers S, Abraham IL, OSTHEO investigation (2003) Orthopedic surgery transfusion haemoglobin European overview (OSTHEO) study: Blood management in elective knee and hip arthroplasty in Europe. Transfusion 43:459-469
34. Scottish Intercollegiate Guidelines Network (2004). Perioperative blood transfusion for elective surgery. A national clinical guideline. www.sign.ac.uk
35. So-Osman C, Nelissen RGHH, Eikenboom HCJ, Brand A (2006) Efficay, safety and user - friendlines of two devices for postoperative autologous shed red blood cell re-infusion in elective orthopaedic surgery patients: A randomized pilot study. Tranfus Med 16:321-328
36. Strümper D, Weber EWG, Gielen-Wijffels S, van Drumpt R, Bulstra S, Slappendel R, Durieux ME, Marcus MA (2004) Clinical efficacy of postoperative autologous transfusion of filtered shed blood in hip and knee arthroplasty. Transfusion 44:1567-1571
37. Sutton PM, Cresswell T, Livesey JP, Speed K, Bagga T (2004) Treatment of anaemia after joint replacement. J Bone Joint Surg Br 86-B:31-33
38. Tobias JD (2004) Strategies for minimizing blood loss in orthopedic surgery. Semin Hematol 41(Suppl 1):145-156
39. Waters JR, Meier HH, Waters JH (2007) An economic analysis of costs associated with development of a cell salvage program. Anesth Analg 104:869-875
40. Wheatherall M, Maling TJ (2004) Oral iron therapy for anaemia after orthopaedic surgery: Randomised clinical trial. ANZ J Surg 74:1049-1051