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[Delayed autologous transfusion in prosthetic surgery of the hip and knee]
C Couvret1, A Baud, F Narcisse
1Département d'Anesthésie-Réanimation, CHU, Tours.
Blood sparing methods used during hip or knee prosthesis implantation or change in 360 patients during the years 1990-1992 were evaluated. For delayed transfusion of autologous blood the main counter-indication was unstable cardiovascular condition. Such cases being excluded, the method was used in 64.2% of all cases. No homologous blood was needed in 68.9% of patients. This result was obtained in 55% of the cases by delayed transfusion of autologous blood and in 13.9% by peroperative normovolaemic haemodilution.
Blood sparing methods used during hip or knee prosthesis implantation or change in 360 patients during the years 1990-1992 were evaluated. For delayed transfusion of autologous blood the main counter-indication was unstable cardiovascular condition. Such cases being excluded, the method was used in 64.2% of all cases. No homologous blood was needed in 68.9% of patients. This result was obtained in 55% of the cases by delayed transfusion of autologous blood and in 13.9% by peroperative normovolaemic haemodilution.