Carl L. Nelson, M.D.

Dr. Nelson is well known for his efforts to reduce intraoperative blood loss in major elective orthopaedic procedures. In the mid-1980s, he demonstrated in Jehovah's Witness patients that a range of techniques can significantly reduce intraoperative bleeding, precluding the need for transfusion. In this video segment, Dr. Nelson's discussion includes both technical tips and suggestions for a stylized surgical approach that emphasizes precision and efficiency. He emphasizes the role of anesthesia in controlling bleeding and profiles key steps during implant surgery where clear communication with the anesthesiologist is vital. Newer technologies that are presented include hemodynamic monitoring, which may help surgeons better access patients intraoperatively.

References
1. Sparling EA, Nelson CL, Lavender RC, Smight NJ The use of erythropoietin in the management of Jehovah's Witnesses undergoing revision total hip arthroplasty J Bone J Surg 78A(10),1548-1552, Oct 1996
2. Nelson CL, Day LJ, Murray DG, Ritter MA, Schurman DJ Symposium: Blood Conserving Techniques Contemporary Orthop 23(4):373-408, Oct 1991
3. Nelson CL, Bowen WS: Total hip arthroplasty in Jehovah's witness without blood transfusion J Bone J Surg 68(A):350-353

• Total Run Time: 10:22 minutes
• Catalog Number: 2016
• Publication Date: December 1998

• DVD/iPod: $95.00
• VHS (NTSC): $95.00
• VHS (PAL): $95.00