Blood Management Strategies in Total Knee Arthroplasty

David Liu, Michael Dan, Sara Martinez Martos, Elaine Beller

Research output: Contribution to journalArticleResearchpeer-review

Abstract

A perioperative blood management program is one of a number of important elements for successful patient care in total knee arthroplasty (TKA) and surgeons should be proactive in its application. The aims of blood conservation are to reduce the risk of blood transfusion whilst at the same time maximizing hemoglobin (Hb) in the postoperative period, leading to a positive effect on outcome and cost. An individualized strategy based on patient specific risk factors, anticipated blood loss and comorbidities are useful in achieving this aim. Multiple blood conservation strategies are available in the preoperative, intraoperative and postoperative periods and can be employed in various combinations. Recent literature has highlighted the importance of preoperative Hb optimization, minimizing blood loss and evidence-based transfusion guidelines. Given TKA is an elective procedure, a zero allogenic blood transfusion rate should be the aim and an achievable goal.

Original languageEnglish
Pages (from-to)179-87
Number of pages9
JournalKnee surgery & related research
Volume28
Issue number3
DOIs
Publication statusPublished - Sep 2016

Fingerprint

Knee Replacement Arthroplasties
Postoperative Period
Blood Transfusion
Hemoglobins
Bloodless Medical and Surgical Procedures
Intraoperative Period
Preoperative Period
Comorbidity
Patient Care
Guidelines
Costs and Cost Analysis

Cite this

Liu, David ; Dan, Michael ; Martinez Martos, Sara ; Beller, Elaine. / Blood Management Strategies in Total Knee Arthroplasty. In: Knee surgery & related research. 2016 ; Vol. 28, No. 3. pp. 179-87.
@article{821f914c8e504344957095a7c189f259,
title = "Blood Management Strategies in Total Knee Arthroplasty",
abstract = "A perioperative blood management program is one of a number of important elements for successful patient care in total knee arthroplasty (TKA) and surgeons should be proactive in its application. The aims of blood conservation are to reduce the risk of blood transfusion whilst at the same time maximizing hemoglobin (Hb) in the postoperative period, leading to a positive effect on outcome and cost. An individualized strategy based on patient specific risk factors, anticipated blood loss and comorbidities are useful in achieving this aim. Multiple blood conservation strategies are available in the preoperative, intraoperative and postoperative periods and can be employed in various combinations. Recent literature has highlighted the importance of preoperative Hb optimization, minimizing blood loss and evidence-based transfusion guidelines. Given TKA is an elective procedure, a zero allogenic blood transfusion rate should be the aim and an achievable goal.",
author = "David Liu and Michael Dan and {Martinez Martos}, Sara and Elaine Beller",
year = "2016",
month = "9",
doi = "10.5792/ksrr.2016.28.3.179",
language = "English",
volume = "28",
pages = "179--87",
journal = "Knee surgery & related research",
issn = "2234-0726",
number = "3",

}

Blood Management Strategies in Total Knee Arthroplasty. / Liu, David; Dan, Michael; Martinez Martos, Sara; Beller, Elaine.

In: Knee surgery & related research, Vol. 28, No. 3, 09.2016, p. 179-87.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Blood Management Strategies in Total Knee Arthroplasty

AU - Liu, David

AU - Dan, Michael

AU - Martinez Martos, Sara

AU - Beller, Elaine

PY - 2016/9

Y1 - 2016/9

N2 - A perioperative blood management program is one of a number of important elements for successful patient care in total knee arthroplasty (TKA) and surgeons should be proactive in its application. The aims of blood conservation are to reduce the risk of blood transfusion whilst at the same time maximizing hemoglobin (Hb) in the postoperative period, leading to a positive effect on outcome and cost. An individualized strategy based on patient specific risk factors, anticipated blood loss and comorbidities are useful in achieving this aim. Multiple blood conservation strategies are available in the preoperative, intraoperative and postoperative periods and can be employed in various combinations. Recent literature has highlighted the importance of preoperative Hb optimization, minimizing blood loss and evidence-based transfusion guidelines. Given TKA is an elective procedure, a zero allogenic blood transfusion rate should be the aim and an achievable goal.

AB - A perioperative blood management program is one of a number of important elements for successful patient care in total knee arthroplasty (TKA) and surgeons should be proactive in its application. The aims of blood conservation are to reduce the risk of blood transfusion whilst at the same time maximizing hemoglobin (Hb) in the postoperative period, leading to a positive effect on outcome and cost. An individualized strategy based on patient specific risk factors, anticipated blood loss and comorbidities are useful in achieving this aim. Multiple blood conservation strategies are available in the preoperative, intraoperative and postoperative periods and can be employed in various combinations. Recent literature has highlighted the importance of preoperative Hb optimization, minimizing blood loss and evidence-based transfusion guidelines. Given TKA is an elective procedure, a zero allogenic blood transfusion rate should be the aim and an achievable goal.

U2 - 10.5792/ksrr.2016.28.3.179

DO - 10.5792/ksrr.2016.28.3.179

M3 - Article

VL - 28

SP - 179

EP - 187

JO - Knee surgery & related research

JF - Knee surgery & related research

SN - 2234-0726

IS - 3

ER -