A restrictive use of both autologous donation and recombinant human erythropoietin is an efficient policy for primary total hip or knee arthroplasty.
Finally a paper which tries to tell us when not to use these expensive modalities. Predonation and erythropoetin are essential tools in the reduction of allogeneic transfusion but their precise role is still being defined. Here are some tips on how to use them more efficiently. A very useful paper. – Peter Earnshaw
This case control cohort study reports that the efficacy of acute normovolemic hemodilution as a blood conservation technique appears limited due to the usually poor clinical status of patients undergoing femoro-distal bypass grafts. – Philippe Van der Linden
Perioperative blood salvage as an alternative to predonating blood for primary total knee and hip arthroplasty.
This retrospective study shows again that intra- and postoperative blood salvage can minimize allogeneic transfusions. For the recent discussion about the use of unwashed drainage blood the paper is remarkable in demonstrating that cell washing is feasible. The cost analysis is (as usual) limited to a specific situation, as the cell sever costs are high […]
Case report on recombinant coagulation factor VIIa in the treatment of three haemophilia A patients with inhibitors in Singapore.
This is a first case report on using rFVIIa (Novoseven) to treat hemophilia patients with high response inhibitors to factor VIII in Singapore. The patients had bleeding with moderate severity, and it is noticeable that all of them responded very well to few doses and less amount of Novoseven than is usually recommended, due to […]