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Perioperative autot...
Perioperative autotransfusion and functional coagulation analysis in total hip replacement
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- Ekbäck, Gustav (author)
- Department of Anesthesiology and Intensive Care and Regional Blood Center, Örebro Medical Center Hospital, Örebro, Sweden
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- Schött, Ulf (author)
- Lund University,Lunds universitet,Anestesiologi och intensivvård,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Anesthesiology and Intensive Care,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Department of Anesthesiology and Intensive Care and Regional Blood Center, Örebro Medical Center Hospital, Örebro, Sweden
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- Axelsson, K. (author)
- Department of Anesthesiology and Intensive Care and Regional Blood Center, Örebro Medical Center Hospital, Örebro, Sweden
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- Carlberg, M. (author)
- Department of Anesthesiology and Intensive Care and Regional Blood Center, Örebro Medical Center Hospital, Örebro, Sweden
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(creator_code:org_t)
- Wiley, 1995
- 1995
- English.
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In: Acta Anaesthesiologica Scandinavica. - : Wiley. - 0001-5172 .- 1399-6576. ; 39:3, s. 390-395
- Related links:
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http://www.ncbi.nlm....
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- Functional coagulation analyses like Sonoclot and thromboelastography have not been evaluated during perioperative autotransfusion. We have prospectively studied three different transfusion regimes in 45 patients undergoing total hip arthroplasty. Blood losses were replaced either with heterologous erythrocyte concentrate (group I), intra- and postoperative autotransfusion of blood salvaged with cellsaver technique (group II) or predonated autologous erythrocyte concentrates together with salvaged blood (group III). Routine and functional coagulation analyses with a Sonoclot were performed preoperatively, 6 hours postoperatively (6 h), day 1–5 and 10. An early postoperative hypo- and late postoperadve hypercoagulative phase could be detected with Sonoclot signs of platelet function and fibrin deposition in all groups. Sonoclot coagulation analyses better correlated to both blood loss and dextran dosage than APTT and platelet count in the routine coagulation analyses. Functional coagulation analysis has a potential use in individualizing plasmasubstitution and thromboprophylaxis regimes during autotransfusion in THR.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
Keyword
- Anesthetics
- local-bupivacaine
- anesthetic techniques
- spinal anesthesia
- autotransfusion
- coagulation analysis: low molecular weight heparin
- dextran
- MEDICINE
- MEDICIN
Publication and Content Type
- ref (subject category)
- art (subject category)
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