An algorithm to reduce allogenic red blood cell transfusions for major orthopedic surgery.

Slappendel R, Dirksen R, Weber EW, van der Schaaf DB
Acta Orthop Scand 2003;74(5):569-575.
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NATA Review

The recommended measures to reduce the use of blood transfusions are certainly right and one can recommend to follow the proposals. However, the excellent results of small trials investigated by the authors and the historical comparisons are surprising, and without further details excluding any bias, etc., the results are difficult to understand.

Volker Kretschmer

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