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Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 1997 Nov;79(6):438–440.

Blood loss during primary total hip arthroplasty: use of preoperative measurements to predict the need for transfusion.

R W Walker 1, J R Rosson 1, J M Bland 1
PMCID: PMC2502963  PMID: 9422872

Abstract

The blood loss resulting from total hip arthroplasty was studied in 53 patients. Calculated blood loss exceeded measured blood loss in all cases. The most significant predictor of postoperative packed-cell volume (PCV) was the preoperative PCV. In a further 37 patients the preoperative PCV was used successfully to predict the postoperative PCV and the need for transfusion.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. An H. S., Mikhail W. E., Jackson W. T., Tolin B., Dodd G. A. Effects of hypotensive anesthesia, nonsteroidal antiinflammatory drugs, and polymethylmethacrylate on bleeding in total hip arthroplasty patients. J Arthroplasty. 1991 Sep;6(3):245–250. doi: 10.1016/s0883-5403(06)80171-3. [DOI] [PubMed] [Google Scholar]
  2. Bonnett C. A., Lapin R., Docuyanan G. B. Total hip replacement in Jehovah's Witnesses under spinal anesthesia without transfusion. Orthop Rev. 1987 Jan;16(1):43–47. [PubMed] [Google Scholar]
  3. Bourke D. L., Smith T. C. Estimating allowable hemodilution. Anesthesiology. 1974 Dec;41(6):609–612. doi: 10.1097/00000542-197412000-00015. [DOI] [PubMed] [Google Scholar]
  4. Gross J. B. Estimating allowable blood loss: corrected for dilution. Anesthesiology. 1983 Mar;58(3):277–280. doi: 10.1097/00000542-198303000-00016. [DOI] [PubMed] [Google Scholar]
  5. Hays M. B., Mayfield J. F. Total blood loss in major joint arthroplasty. A comparison of cemented and noncemented hip and knee operations. J Arthroplasty. 1988;3 (Suppl):S47–S49. doi: 10.1016/s0883-5403(88)80008-1. [DOI] [PubMed] [Google Scholar]
  6. Lotke P. A., Faralli V. J., Orenstein E. M., Ecker M. L. Blood loss after total knee replacement. Effects of tourniquet release and continuous passive motion. J Bone Joint Surg Am. 1991 Aug;73(7):1037–1040. [PubMed] [Google Scholar]
  7. McSwiney M. M., O'Farrell D., Joshi G. P., McCarroll S. M. Blood transfusion in total hip arthroplasty: guidelines to eliminate overtransfusion. Can J Anaesth. 1993 Mar;40(3):222–226. doi: 10.1007/BF03037034. [DOI] [PubMed] [Google Scholar]
  8. Modig J. Regional anaesthesia and blood loss. Acta Anaesthesiol Scand Suppl. 1988;89:44–48. doi: 10.1111/j.1399-6576.1988.tb02842.x. [DOI] [PubMed] [Google Scholar]
  9. Nelson C. L., Bowen W. S. Total hip arthroplasty in Jehovah's Witnesses without blood transfusion. J Bone Joint Surg Am. 1986 Mar;68(3):350–353. [PubMed] [Google Scholar]
  10. Roberts J. M., Fu F. H., McClain E. J., Ferguson A. B., Jr A comparison of the posterolateral and anterolateral approaches to total hip arthroplasty. Clin Orthop Relat Res. 1984 Jul-Aug;(187):205–210. [PubMed] [Google Scholar]

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