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Does the suction drain diameter matter? Bleeding analysis after total knee replacement comparing different suction
Marcos George de Souza Leao1, Gladys Martins Pedroza Neta1, Thiago Montenegro da Silva1
1Fundação Hospital Adriano Jorge, Serviço de Ortopedia e Traumatologia, Manaus, AM, Brazil.
Objectives:
To evaluate bleeding and the estimated blood loss in patients who underwent total knee replacement (TKR) with different closed suction drains (3.2-mm and 4.8-mm gauge).
Methods:
This was a randomized controlled trial with 22 patients who underwent TKR and were divided into two groups: Group I, with 11 patients in whom the 3.2-mm suction drain was used, and Group II, with 11 patients in whom the 4.8-mm suction drain was used. The hematocrit was measured after 24, 48 and 72 h after surgery in order to calculate the estimated blood loss. The drained volume was measured 3, 6, 12, 24, and 48 h after TKR, and thereafter both groups were compared.
Results:
Regarding the hematocrit, there were no differences between groups in measured periods (24, 48, and 72 h after surgery). The total bleeding measured at the suction drains within 48 h was higher in Group II, with a statistically significant difference (p = 0.005); in the first 24 h, there was major bleeding in Group II (mean 893 mL), with a significant difference (p = 0.004). Between 24 and 48 h, there was no statistically significant difference in both groups (p = 0.710). The total estimated bleeding was higher in Group I, with mean of 463 mL, versus 409 mL in Group II, with no statistical significance (p = 0.394).
Conclusions:
Bleeding was higher in the group that used the 4.8 mm gauge suction drain, with no differences in hematocrit and estimated blood loss.
