择期骨科手术中减少异体输血的替代程序。
Alternative procedures for reducing allogeneic blood transfusion in elective orthopedic surgery.
出版信息
HSS J. 2010 Sep;6(2):190-8. doi: 10.1007/s11420-009-9151-6. Epub 2010 Jan 28.
Abstract
Perioperative blood loss is a major problem in elective orthopedic surgery. Allogeneic transfusion is the standard treatment for perioperative blood loss resulting in low postoperative hemoglobin, but it has a number of well-recognized risks, complications, and costs. Alternatives to allogeneic blood transfusion include preoperative autologous donation and intraoperative salvage with postoperative autotransfusion. Orthopedic surgeons are often unaware of the different pre- and intraoperative possibilities of reducing blood loss and leave the management of coagulation and use of blood products completely to the anesthesiologists. The goal of this review is to compare alternatives to allogeneic blood transfusion from an orthopedic and anesthesia point of view focusing on estimated costs and acceptance by both parties.
摘要
围手术期失血是择期骨科手术中的一个主要问题。异体输血是治疗围手术期失血导致术后血红蛋白降低的标准方法，但它有许多公认的风险、并发症和成本。异体输血的替代方法包括术前自身输血和术中回收加术后自体输血。骨科医生通常不了解减少失血的不同术前和术中可能性，而将凝血的管理和血液制品的使用完全留给麻醉师。本综述的目的是从骨科和麻醉的角度比较异体输血的替代方法，重点是估计成本和双方的接受程度。
相似文献
1
Alternative procedures for reducing allogeneic blood transfusion in elective orthopedic surgery.择期骨科手术中减少异体输血的替代程序。
HSS J. 2010 Sep;6(2):190-8. doi: 10.1007/s11420-009-9151-6. Epub 2010 Jan 28.
2
Methods of reducing allogeneic blood demand in orthopedic surgery.减少骨科手术中异体血需求的方法。
Ortop Traumatol Rehabil. 2012 May-Jun;14(3):199-214. doi: 10.5604/15093492.1002044.
3
[A comparison of autologous transfusion procedures in hip surgery].[髋关节手术中自体输血程序的比较]
Anaesthesist. 1991 Apr;40(4):205-13.
4
5
Hemodilution as a method to reduce transfusion requirements in adolescent spine fusion surgery.血液稀释作为一种减少青少年脊柱融合手术输血需求的方法。
Spine (Phila Pa 1976). 1999 Feb 1;24(3):219-22; discussion 223-4. doi: 10.1097/00007632-199902010-00005.
6
Efficacy of autotransfusion in spine surgery: comparison of autotransfusion alone and with hemodilution and apheresis.自体输血在脊柱手术中的疗效：单纯自体输血与联合血液稀释和血液成分单采的比较。
Spine (Phila Pa 1976). 1996 Dec 1;21(23):2795-800. doi: 10.1097/00007632-199612010-00016.
7
A meta-analysis of the effectiveness of cell salvage to minimize perioperative allogeneic blood transfusion in cardiac and orthopedic surgery. International Study of Perioperative Transfusion (ISPOT) Investigators.一项关于细胞回收在心脏和骨科手术中减少围手术期异体输血有效性的荟萃分析。围手术期输血国际研究（ISPOT）调查组。
Anesth Analg. 1999 Oct;89(4):861-9. doi: 10.1097/00000539-199910000-00009.
8
Platelet-rich plasma and platelet gel: a review.富血小板血浆和血小板凝胶：综述
J Extra Corpor Technol. 2006 Jun;38(2):174-87.
9
Autologous blood donation in cardiac surgery: reduction of allogeneic blood transfusion and cost-effectiveness.心脏手术中的自体输血：减少异体输血及成本效益
J Cardiothorac Vasc Anesth. 2005 Oct;19(5):589-96. doi: 10.1053/j.jvca.2005.04.017.
10
Cost-effectiveness of cell salvage and alternative methods of minimising perioperative allogeneic blood transfusion: a systematic review and economic model.细胞回收及减少围手术期异体输血替代方法的成本效益：系统评价与经济模型
Health Technol Assess. 2006 Nov;10(44):iii-iv, ix-x, 1-210. doi: 10.3310/hta10440.
引用本文的文献
1
Should We Use Intra-articular Tranexamic Acid Before or After Capsular Closure During Total Knee Replacement? A Study of 100 Knees.全膝关节置换术中，我们应在关节囊闭合前还是闭合后使用关节腔内氨甲环酸？一项针对100例膝关节的研究。
Indian J Orthop. 2021 Apr 1;56(1):103-109. doi: 10.1007/s43465-021-00380-y. eCollection 2022 Jan.
2
Reducing perioperative blood loss with antifibrinolytics and antifibrinolytic-like agents for patients undergoing total hip and total knee arthroplasty.使用抗纤溶药物及类抗纤溶药物减少全髋关节置换术和全膝关节置换术患者围手术期失血
J Orthop. 2019 Jul 2;16(6):513-516. doi: 10.1016/j.jor.2019.06.025. eCollection 2019 Nov-Dec.
3
Operative Time Directly Correlates with Blood Loss and Need for Blood Transfusion in Total Joint Arthroplasty.在全关节置换术中，手术时间与失血量及输血需求直接相关。
Arch Bone Jt Surg. 2019 May;7(3):229-234.
4
Postoperative intravenously administered iron sucrose versus postoperative orally administered iron to treat post-bariatric abdominoplasty anaemia (ISAPA): the study protocol for a randomised controlled trial.术后静脉注射蔗糖铁与术后口服铁剂治疗减重后腹壁成形术后贫血（ISAPA）：一项随机对照试验的研究方案
Trials. 2016 Apr 12;17:196. doi: 10.1186/s13063-016-1300-x.
5
6
Minorities are less likely to receive autologous blood transfusion for major elective orthopaedic surgery.少数族裔在接受大型择期骨科手术时接受自体输血的可能性较小。
Clin Orthop Relat Res. 2014 Nov;472(11):3559-66. doi: 10.1007/s11999-014-3793-5. Epub 2014 Jul 16.
7
Patient blood management in orthopaedic surgery: a four-year follow-up of transfusion requirements and blood loss from 2008 to 2011 at the Balgrist University Hospital in Zurich, Switzerland.骨科手术中的患者血液管理：2008年至2011年瑞士苏黎世巴尔格里斯特大学医院输血需求和失血情况的四年随访
Blood Transfus. 2014 Apr;12(2):195-203. doi: 10.2450/2014.0306-13.
8
Blood management and transfusion strategies in 600 patients undergoing total joint arthroplasty: an analysis of pre-operative autologous blood donation.600 例全关节置换术患者的血液管理和输血策略：术前自体输血分析。
Blood Transfus. 2013 Jul;11(3):370-6. doi: 10.2450/2013.0197-12. Epub 2013 May 7.
本文引用的文献
1
Efficacy of red blood cell transfusion in the critically ill: a systematic review of the literature.红细胞输注对危重症患者的疗效：文献系统综述
Crit Care Med. 2008 Sep;36(9):2667-74. doi: 10.1097/CCM.0b013e3181844677.
2
Coagulation monitoring: current techniques and clinical use of viscoelastic point-of-care coagulation devices.凝血监测：粘弹性即时检测凝血设备的当前技术及临床应用
Anesth Analg. 2008 May;106(5):1366-75. doi: 10.1213/ane.0b013e318168b367.
3
Developments in the therapeutic use of erythropoiesis stimulating agents.促红细胞生成素刺激剂治疗用途的进展
Br J Haematol. 2008 May;141(3):287-97. doi: 10.1111/j.1365-2141.2007.06948.x.
4
Thrombosis with erythropoietic stimulating agents-does iron-deficient erythropoiesis play a role?促红细胞生成素与血栓形成——缺铁性红细胞生成起作用吗？
Semin Dial. 2008 May-Jun;21(3):210-1. doi: 10.1111/j.1525-139X.2008.00435.x. Epub 2008 Apr 6.
5
Perioperative anaemia management: consensus statement on the role of intravenous iron.围手术期贫血管理：关于静脉铁剂作用的共识声明
Br J Anaesth. 2008 May;100(5):599-604. doi: 10.1093/bja/aen054. Epub 2008 Mar 27.
6
A novel intravenous iron formulation for treatment of anemia in inflammatory bowel disease: the ferric carboxymaltose (FERINJECT) randomized controlled trial.一种用于治疗炎症性肠病贫血的新型静脉铁制剂：羧基麦芽糖铁（FERINJECT）随机对照试验。
Am J Gastroenterol. 2008 May;103(5):1182-92. doi: 10.1111/j.1572-0241.2007.01744.x. Epub 2008 Mar 26.
7
Iron and thrombosis.铁与血栓形成
Ann Hematol. 2008 Mar;87(3):167-73. doi: 10.1007/s00277-007-0416-1. Epub 2007 Dec 8.
8
Treatment of iron deficiency anemia in orthopedic surgery with intravenous iron: efficacy and limits: a prospective study.静脉铁剂治疗骨科手术中的缺铁性贫血：疗效与局限性：一项前瞻性研究
Anesthesiology. 2007 Dec;107(6):923-7. doi: 10.1097/01.anes.0000291441.10704.82.
9
Current risk for transfusion transmitted infections.输血传播感染的当前风险。
Curr Opin Hematol. 2007 Nov;14(6):671-6. doi: 10.1097/MOH.0b013e3282e38e8a.
10
Pragmatic treatment versus elaborative but incomplete testing: a Hobson's choice?务实治疗与详尽但不完整的测试：霍布森的选择？
Anesthesiology. 2007 Oct;107(4):526-9. doi: 10.1097/01.anes.0000282095.72213.85.
Zotero 插件