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Blood Conservation Techniques and Autologous Blood Use in Elective Orthopedic Surgery
Fred J. McGlynn, M.D.
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Material Covered: Awareness of homologous blood transfusion risks, including AIDS transmission and the extremely high demand for blood in orthopedics (40% of U.S. units annually), has made this topic "hot." Knowledge in this area is changing rapidly. In response, attitudes and operative methods are changing. An NIH panel on blood transfusions after surgery discovered that 25% of transfused units were unjustified because surgeons were automatically ordering blood transfused based on laboratory levels - a misinformed "transfusion trigger."
In this segment, featured expert Dr. McGlynn presents the up-to-date guidelines he and his colleagues follow to eliminate - or at least minimize - exposure to homologous blood during routine elective orthopedic procedures, including primary TKA and THA, revision TKA and THA, and bilateral TKA.
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