Download or read book Tranexamic Acid Use And Preoperative Haemoglobin Level Predict Perioperative Red Blood Cell Transfusions In Hip Arthroplasty written by Cristiana Campos and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and Goal of Study:There is a high prevalence of blood product transfusions among patients undergoing total hip replacement surgery.(1) Preoperative estimation of transfusion may be useful to optimize perioperative blood management.(2) The simplest methods to do this are those that identify patients at risk of requiring transfusion support on the basis of the surgical and few clinical parameters.(2) The aim of this study was to assess if we could find in our clinical practice predictors of transfusion.Materials and Methods: This is an observational retrospective study where 178 patients undergoing elective hip arthroplasty were considered. Demographic data (age and sex) as well as preoperative haemoglobin and use of tranexamic acid were included into a logistic regression for perioperative red blood cell transfusion. Data are presented as mean u00b1 standard deviation.Results and Discussion:The logistic regression model showed goodness of fit (Hosmer and Lemeshow test p = 0,953). Preoperative haemoglobin levels and the use of tranexamic acid were statistically significative (p

Download or read book Patient Blood Management written by Hans Gombotz and published by Georg Thieme Verlag. This book was released on 2015-11-10 with total page 443 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient Blood Management (PBM) is an innovative clinical concept that aims to reduce the need for allogenic blood transfusions, cut health-care costs, and avert or correct the risk factors related to blood transfusion, thus minimizing the rate of side effects and complications. This comprehensive hands-on volume offers a three-point approach for the implementation of PBM to improve patient outcome, focusing on how to prevent or treat anemia, reduce blood loss, and increase anemia tolerance. The book also goes beyond preoperative PBM, with detailed accounts of coagulation disorder management and the administration of coagulation products and platelet concentrates. Special Features: Presents a clear three-pillar strategy for the application of PBM: diagnosis and treatment of anemia, reduction of peri-interventional blood loss, and optimization of the tolerance to anemia in the everyday clinical setting Covers issues such as PBM during surgery, requirements for modern transfusion medicine, ordering blood products, the role of pre-anesthesia clinics, benchmarking processes, and potential implications of PBM in the public health sector Overview of research in PBM including landmark studies and current clinical trials Boxes in each chapter highlighting key information, core statements, and summaries A multidisciplinary and international team of contributors experienced in PBM Patient Blood Management is a guide for clinicians and residents whose patients are at risk for anemia, coagulation disorders, or severe blood loss. Anesthesiologists, surgeons, and specialists involved in the use of blood and blood products can use the book for quick reference or to learn more about a leading-edge concept for optimizing patient safety and improving outcome.

Download or read book Pre operative Fibrinogen Levels are Predictive of Blood Loss in Total Hip Replacement Surgery written by Filipa Pedrosa and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Fibrinogen is considered an essential part of the clotting cascade, crucial for the formation of the fibrin polymer. Studies have shown that low levels of fibrinogen are associated with increased blood loss and packed-red blood cells (PRBC) units transfused during surgery. Improving pre-operative fibrinogen levels could potentially reduce blood loss and the consumption of hemoderivatives. In this study, it was analyzed whether pre-operative levels of fibrinogen could predict peri-operative blood loss and PRBC transfusion in total hip replacement surgery (THR).Methods: A retrospective analysis of hemotherapeutic practice in elective THR performed at our hospital was conducted. Due to lack of data only 82 out of a total of 168 patients were included. Pre-operative fibrinogen and hemoglobin (Hb) levels were correlated with the post-operative hemoglobin in the first 48 hours, the hemoglobin fall (pre-operative hemoglobin minus lowest hemoglobin) and the number of PRBC units transfused. The study also includes characterization of the study population.Results: Mean age of the patients in this study was 64u00b113 years-old, with 44,6% females; 8,4% were ASA 1, 67,5% were ASA 2 and 22,9% were ASA 3. Half the cases underwent surgery with neuroaxial techniques. None of the patients had known coagulopathy or thrombocytopenia. Fibrinogen levels were categorized in the following groups: 200 mg/dL (3,6%), 200-300 mg/dL (37,3%), 300-400 mg/dL (49,4%) and 400 mg/dL (8,4%). The mean Hb fall was 3,74u00b11,68 g/dL with 50% of the patients needing transfusion with an average of 1,8u00b11,9 units of PRBC. The statistical analysis was performed using SPSS Statistics 21.0. A positive correlation was found between fibrinogen levels 300 mg/dL and the hemoglobin fall (p=0,022), applying Mann-Whitney test. Also according to these results, older patients ( 65 years-old) (p=0,05) and a higher ASA classification (p=0,002) were associated with lower pre-operative fibrinogen levels.Conclusion: In THR surgery, a higher fibrinogen threshold might be adequate to reduce peri-operative blood loss. Also older patients or patients with higher ASA physical status classification might be at risk of having lower fibrinogen. Therefore, routine pre-operative dosing of fibrinogen in these patients might be valuable. Implementation of protocols regarding pre-operative blood management can improve outcomes by reducing both blood loss and the need of transfusion.

Download or read book Tranexamic Acid And Transfusion Requirements In Primary And Revision Total Hip Arthroplasty written by Renata Soares Gouveia and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and Goal of StudyTranexamic acid (TXA) appears to reduce perioperative blood loss and transfusion requirements in major orthopaedic surgery. In our hospital, a TXA protocol for administration in elective primary total hip arthroplasty (PTHA) and revision total hip arthroplasty (RTHA) was implemented a year ago. It consists in 1g of TXA IV 15 min prior to incision, and the same dose repeated three to twelve hours after surgery if bleeding exceeds 500mL We aim to audit protocol implementation to investigate if haemoglobin variation and transfusion requirements lowered with protocol employment.Materials and MethodsRetrospective cohort study of patients submitted to PTHA and RTHA during an one-year period. We revised 286 clinical records and excluded 30 patients who had (1) no postoperative haemoglobin control, (2) unknown TXA doses or (3) timing, doses or route administration not according to the protocol. Of the 256 patients included, 206 underwent PTHA and the remaining 50 were submitted to RTHA.We compared transfusion requirements and postoperative haemoglobin drop in the TXA group vs the No TXA group in PTHA and RTHA patients (110 vs. 96 patients and 11 vs. 39 patients, respectively).SPSS version 22 was used for all statistical analysis, and a p-value

Download or read book Perioperative Blood Management written by Jonathan H. Waters and published by A A B B Press. This book was released on 2006-01-01 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Surgery of the Hip E Book written by Daniel J. Berry and published by Elsevier Health Sciences. This book was released on 2019-09-24 with total page 1344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Offering authoritative, comprehensive coverage of hip surgery, the 2nd Edition of Surgery of the Hip is the definitive guide to hip replacement, other open and arthroscopic surgical procedures, and surgical and nonsurgical management of the hip across the lifespan. Modeled after Insall & Scott Surgery of the Knee, it keeps you fully up to date with the latest research, techniques, tools, and implants, enabling you to offer both adults and children the best possible outcomes. Detailed guidance from expert surgeons assists you with your toughest clinical challenges, including total hip arthroplasty, pediatric hip surgery, trauma, and hip tumor surgery. Discusses new topics such as direct anterior approach for total hip arthroplasty, hip pain in the young adult, and hip preservation surgery. Contains new coverage of minimally invasive procedures, bearing surface selection, management of complications associated with metal and metal bearing surfaces, management of bone loss associated with revision THA, and more. Provides expert, personal advice in "Author’s Preferred Technique" sections. Helps you make optimal use of the latest imaging techniques, surgical procedures, equipment, and implants available. Covers tumors of the hip, hip instability and displacement in infants and young children, traumatic injuries, degenerative joint disorders, and rehabilitation considerations—all from both a basic science and practical clinical perspective.

Download or read book Perioperative Medical Management for Total Joint Arthroplasty written by Andrea Baldini and published by Springer. This book was released on 2014-11-01 with total page 325 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume describes the most recent medical guidelines for perioperative management in arthroplasty with the aim of facilitating excellent control of bleeding/thrombosis, pain and infection. For each area – hemostasis control, pain control and infection control – hot topics of key practical importance are discussed and contrasting perspectives are presented on controversial issues, covering the views of different practitioners and specialties. Using the information contained in this book, the practitioner will be in an excellent position to meet the principal goals of perioperative medical management. The information provided will assist in the choice of a multimodal guideline that minimizes the complication rate regarding bleeding and thromboembolism while not interfering with the patient’s recovery. Similarly, effective means of pain control and an optimized pain control protocol are discussed with a view to shortening hospital stay and achieving functional milestones that meet the patient’s expectations. Finally, host, wound and environmental factors relevant to infection and its prevention are explained, with discussion of the best means of prophylaxis, treatment and imaging. Surgeons, anesthesiologists and all medical practitioners and staff involved in the field of total hip and knee arthroplasty will find this book to be of value in their daily clinical practice. It will assist in the provision of enhanced medical management that ensures quicker recovery of the patient with fewer complications.

Download or read book Modern Monitoring in Anesthesiology and Perioperative Care written by Andrew B. Leibowitz and published by Cambridge University Press. This book was released on 2020-05-07 with total page 419 pages. Available in PDF, EPUB and Kindle. Book excerpt: Close monitoring of patients during anesthesia is crucial for ensuring positive treatment outcomes and patient safety. The increasing availability of new technologies and the repurposing of older monitors means more patient data is at anesthesiologists' fingertips than ever before. However, this flood of options can be overwhelming. A practical resource for understanding this array of clinical monitoring options in anesthesia, this important text focuses on real-world applications in anesthesia and perioperative care. Reviewing the evidence for improved patient outcomes for monitoring technology, neurological monitoring, echocardiography systems and ultrasound are amongst the techniques covered in a head-to-toe approach. Statistics used by manufacturers to gain approval for their technology are discussed, as well as the under-appreciated risks associated with monitoring such as digital distraction. Future monitoring technologies including wearable systems are explored in depth. Focusing on applied practice, this book is an essential text for front-line healthcare professionals in anesthesia.

Download or read book Perioperative Care of the Orthopedic Patient written by C. Ronald MacKenzie and published by Springer Nature. This book was released on 2020-03-19 with total page 479 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although a number of comprehensive texts pertaining to perioperative medicine are available, this remains the only one that focuses specifically on the patient undergoing orthopedic surgery, now in a revised and expanded second edition. Beginning with chapters covering preoperative evaluations and general principles and practices of perioperative medicine, the book then considers anesthesiologic management in orthopedic surgery and the role of postoperative pain management. This is followed by a section on medical management in specific clinical settings, discussing patients with connective tissue disease, cardiac disease, chronic pulmonary and renal diseases, diabetes and neurological diseases, among others. A fourth section covers specific perioperative problems in orthopedic surgery, such as care of the elderly patient, venous thromboembolism, infection, nutrition, compartment syndrome and bone health. Finally, the role of allied services, quality improvement and ethics are highlighted. Selected case studies are included to illustrate real-world perioperative issues and management strategies in orthopedic surgery, now moved to their respective chapters for ease of use and reference. The shaded key points and chapter objectives boxes at the beginning of each chapter, and the summary points at the end of each chapter, have been retained and updated within a full-color interior. Written by experts at the top-ranked Hospital for Special Surgery in New York, Perioperative Care of the Orthopedic Patient, 2e will be a comprehensive, multidisciplinary manual providing preoperative considerations, postoperative complications, and guidelines for the anesthetic and medical management of patients undergoing orthopedic surgery. It will be an valuable resource for orthopedic surgeons, sports medicine specialists and allied professionals involved in orthopedic surgery.

Download or read book Insall Scott Surgery of the Knee E Book written by W. Norman Scott and published by Elsevier Health Sciences. This book was released on 2011-09-09 with total page 2138 pages. Available in PDF, EPUB and Kindle. Book excerpt: Online and in print, Insall & Scott Surgery of the Knee, edited by W. Norman Scott, MD, and 11 section editors who are experts in their fields, is your complete, multimedia guide to the most effective approaches for diagnosis and management of the full range of knee disorders affecting patients of all ages. From anatomical and biomechanical foundations, to revision total knee replacement, this authoritative reference provides the most up-to-date and complete guidance on cutting-edge surgical procedures, the largest collection of knee videos in one knee textbook. Expanded coverage and rigorous updates—including 40 online-only chapters—keep you current with the latest advances in cartilage repair and regeneration, allograft and autografts, computer robotics in total knee arthroplasty, and other timely topics. This edition is the first book ever endorsed by The Knee Society. Access the full text - including a wealth of detailed intraoperative photographs, a robust video library, additional online-only chapters, a glossary of TKR designs, quarterly updates, and more - at www.expertconsult.com. Get all you need to know about the clinical and basic science aspects of the full range of knee surgeries as well as the latest relevant information, including imaging and biomechanics; soft tissue cartilage; ligament/meniscal repair and reconstructions; partial and total joint replacement; fractures; tumors; and the arthritic knee. Master the nuances of each new technique through step-by-step instructions and beautiful, detailed line drawings, intraoperative photographs, and surgical videos. See exactly how it’s done. Watch master surgeons perform Partial and Primary TKR, Revision TKR, Tumor Replacement, Fracture Treatment, and over 160 videos on the expertconsult.com. Find information quickly and easily thanks to a consistent, highly templated, and abundantly illustrated chapter format and streamlined text with many references and chapters appearing online only. Access the fully searchable contents of the book online at www.expertconsult.com, including 40 online-only chapters, a downloadable image library, expanded video collection, quarterly updates, and a glossary of TKR designs with images and text from various device manufacturers. Grasp and apply the latest knowledge with expanded coverage of cartilage repair and regeneration techniques, expanded ligament techniques in allograft and autografts, computer robotics in surgical prognostics, fitting and techniques in partial and total knee arthroplasty, and more. Consult with the best. Renowned knee surgeon and orthopaedic sports medicine authority Dr. W. Norman Scott leads an internationally diverse team of accomplished specialists—many new to this edition—who provide dependable guidance and share innovative approaches to reconstructive surgical techniques and complications management.

Download or read book Orthogeriatrics written by Paolo Falaschi and published by Springer Nature. This book was released on 2021 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new open access edition supported by the Fragility Fracture Network aims at giving the widest possible dissemination on fragility fracture (especially hip fracture) management and notably in countries where this expertise is sorely needed. It has been extensively revised and updated by the experts of this network to provide a unique and reliable content in one single volume. Throughout the book, attention is given to the difficult question of how to provide best practice in countries where the discipline of geriatric medicine is not well established and resources for secondary prevention are scarce. The revised and updated chapters on the epidemiology of hip fractures, osteoporosis, sarcopenia, surgery, anaesthesia, medical management of frailty, peri-operative complications, rehabilitation and nursing are supplemented by six new chapters. These include an overview of the multidisciplinary approach to fragility fractures and new contributions on pre-hospital care, treatment in the emergency room, falls prevention, nutrition and systems for audit. The reader will have an exhaustive overview and will gain essential, practical knowledge on how best to manage fractures in elderly patients and how to develop clinical systems that do so reliably.

Download or read book Anesthesia for Spine Surgery written by Ehab Farag and published by Cambridge University Press. This book was released on 2012-05-17 with total page 477 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive guide to anesthesia specifically for spine surgery, explaining procedures from the point of view of both anesthesiologists and surgeons.

Download or read book Oxford Textbook of Anaesthesia written by Jonathan G. Hardman and published by Oxford University Press. This book was released on 2017-06-27 with total page 1630 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new definitive resource addresses the fundamental principles of anaesthesia, underpinning sciences and the full spectrum of clinical anaesthetic practice. An international team of experts provide trustworthy, effective, and evidence-based guidance enabling clinicians to provide the very best clinical care to patients.

Download or read book Trauma Induced Coagulopathy written by Hunter B. Moore and published by Springer Nature. This book was released on 2020-10-12 with total page 802 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first edition of this publication was aimed at defining the current concepts of trauma induced coagulopathy by critically analyzing the most up-to-date studies from a clinical and basic science perspective. It served as a reference source for any clinician interested in reviewing the pathophysiology, diagnosis, and management of the coagulopathic trauma patient, and the data that supports it. By meticulously describing the methodology of most traditional as well as state of the art coagulation assays the reader is provided with a full understanding of the tests that are used to study trauma induced coagulopathy. With the growing interest in understanding and managing coagulation in trauma, this second edition has been expanded to 46 chapters from its original 35 to incorporate the massive global efforts in understanding, diagnosing, and treating trauma induced coagulopathy. The evolving use of blood products as well as recently introduced hemostatic medications is reviewed in detail. The text provides therapeutic strategies to treat specific coagulation abnormalities following severe injury, which goes beyond the first edition that largely was based on describing the mechanisms causing coagulation abnormalities. Trauma Induced Coagulopathy 2nd Edition is a valuable reference to clinicians that are faced with specific clinical challenges when managing coagulopathy.

Download or read book Cervical Laminoplasty written by K. Nakamura and published by Springer Science & Business Media. This book was released on 2003-07-24 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cervical laminoplasty for the treatment of ossification of the posterior longitudinal ligament was developed and refined in Japan during the 1970s. Since that time, various cervical laminoplasty techniques have been further analyzed and modified, and have proven to be clinically successful. Until now cervical laminoplasty has been practiced primarily in Japan, and surgeons outside Japan had only limited access to the detailed English literature needed to make full use of the procedures. This book fills that gap in English information and provides a detailed, up-to-date guide to performing safe and effective cervical laminoplasty. Drawing on the latest knowledge from Japan, the book covers the history of cervical laminoplasty, surgical anatomy, basic procedures, modified procedures, possible complications, and perspectives on the future of expansive laminoplasty. This volume by leaders in the field is an excellent guide for all surgeons interested in laminoplasty.

Download or read book Use of Autologous Blood written by and published by . This book was released on 1994 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Patient Blood Management in Cardiac Surgery written by Christian von Heymann and published by Springer. This book was released on 2019-06-03 with total page 219 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a multidisciplinary approach to the maintenance of hemostasis and minimisation of blood loss in patients undergoing cardiac surgery. All aspects of patient blood management are covered that may contribute to a reduction in perioperative bleeding and transfusion requirements in cardiac surgery. This is achieved through practical cases and a theoretical background that gives a better understanding of patient hemostasis and the occurrence of bleeding complications. This book is relevant to cardiac surgeons, anesthesiologists, clinical perfusionists, hematologists and intensivists.