Allogeneic blood transfusion reduction by risk-based protocol in total joint arthroplasty.

Rashiq S, Jamieson-Lega K, Komarinski C, Nahirniak S, Zinyk L, Finegan B
Can J Anaesth 2010;57(4):343-349.
NATA Rating :
Review by : G. Inghilleri
NATA Review

The authors demonstrate a significant reduction in allogeneic blood transfusions (ABT) by utilizing erythropoietin, preoperative autologous blood donation or iron support according to an algorithm that, preoperatively, identifies 4 different levels of ABT risk and consequently 4 different treatment options. The use of retrospective controls limits the strengths of the study conclusions but the relevance of a comprehensive perioperative blood management strategy based on body weight and hematocrit seems to be confirmed.

– Giovanni Inghilleri

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