Orthoteers homepage Advertise on Orthoteers
Orthoteers Junior Orthoteers Orthopaedic Biomechanics Orthopaedic World Literature Society Educational Resources Image Gallery About Orthoteers Orthoteers Members search

Autologous Blood Transfusion


1998 health circular regarding better blood transfusion advised a more rational use to blood transfusion. The recommendation advised that a Hospital Transfusion Committee be set up in all hospitals to monitor blood usage.

This recommendation was made for two reasons. The first is the mounting evidence that preoperative blood transfusion can alter the immune response of the recipient. This appears to be a homologous leucocyte effect, although there remains some debate about this. The decision by the risk analysis group to advise that all UK blood products be leucoreduced to decrease new variant CJD transmission has, reduced the immunomodulation effect , but added to production cost of blood products . A suggestion to monitor and rationalise blood use would therefore decrease costs and eliminate the risk to our patients of blood transmitted infections as yet unidentified.

The annual number of Total Knee replacements (TKR) and Total Hip Replacements (THR) has increased. The majority of orthopaedic patients who have received cell salvage have been patients undergoing TKR with a mean salvage of 1.5 units following washing and resuspension of post-operative wound drainage. All salvaged blood is post tourniquet release in these patients and collection is usually continued on the ward for up to 6 hours post-operatively.

Total hip replacement patients are selected for cell salvage if they are revisions or cementless procedures. The mean salvaged in these patients is 2.5 units.

In some open fractures it is possible to collect the blood in appropriately placed drapes allowing a degree of blood pooling. 

This is a preview of the site content. To view the full text for this site, you need to log in.
If you are having problems logging in, please refer to the login help page.

© 2005-2007 Orthoteers.co.uk - last updated by Len Funk on 06 April 2005Medical Merketing and SEO by Blue Medical 
Biomet supporting orthoteersThe British Orthopedic Association supporting OrthoteersOrthoteers is a non-profit educational resource. Click here for more details
Surgical Approaches
Analgesia and Orthopaedics
Autologous Blood Transfusion
Blood Management in Orthopaedic Sur...
Consent to Treatment
Epidural Analgesia
Grafts & Flaps
Hyponatraemia after orthopaedic sur...
Joseph Lister
Management of blood loss in Jehovah...
Other Medical Problems (Nonpulmonar...
Pulmonary Problems
Serological Investigations
Sterile Procedures - BOA Guidelines...
Sterilisation & Asepsis
Theatre Design & Ventilation
Thromboembolism in Orthopaedic surg...
Thromboprophylaxis in Trauma & Orth...
Wound Healing
Hide Menu