Anales de la RANM

76 A N A L E S R A N M R E V I S T A F U N D A D A E N 1 8 7 9 POSTOPERATIVE BLOOD SALVAGE AFTER KNEE ARTHROPLASTY Valbuena I, et al. An RANM. 2022;139(01): 67 - 77 In view of this results, we will be able to detect preoperatively those patients with a higher risk of hemorrhage and/or bleeding. This will allow us to improve their postoperative care after TKA. In the same way, all efforts must be focused on offering those patients with preoperative anaemia an effective optimization, which is one of the most important pillar of Patient Blood Management. The use of blood salvage in TKA showed benefits reducing allogenic blood transfusion and length of hospital stay. Postoperative blood salvage would remain an effective, safe and cheap alternative to tranexamic acid, especially in those patients with a high risk of thromboembolism events operated of TKA, in which the use of tranexamic acid remains controversial. 1. Kuperman EF, Schweizer M, Joy P, Gu X, Fang MM. The effects of advanced age on primary total knee arthroplasty: a meta-analysis and systematic review. BMC geriatr. 2016; 16: 41. 2. Leigheb M, Pogliacomi F, Bosetti M et al. Postoperative blood salvage versus alloge- neic blood transfusion in total knee and hip arthroplasty: a literature review. Acta Bio- med. 2016; 87 (Suppl 1): 6-14. 3. García-Erce JA, Manuel S, Cuenca J, Ortega P. La hemoglobina preoperatoria como único factor predictor de las necesidades transfu- sionales en la artroplastia de rodilla. Rev Eso Anestesiol Reanim. 2002; 49; 254-260. 4. Shander A, Van Aken H, Colomina MJ, et al. Patient blood management in Europe. Br J Anaesth. 2012; 109(1): 55-68. 5. Smilowitz NR, Oberweis B, S.Nukala S et al. Association between anemia, bleeding, and transfusion with long-term mortality fo- llowing noncardiac surgery. Am J Med. 2016; 129(3): 315-323. e2. 6. Meier J, Filipescu D, Kozek-Langenecker S et al. Intraoperative transfusion practices in Europe. Br J Anaesth. 2016; 116(2): 255-261. 7. Horstmann W, Slappendel R, Van Hellemond G, Castelein R, CPM. V. Safety of retransfu- sion of filtered shed blood in 1819 patients after total hip or knee arthroplasty. Transfus Altern Transfus Med. 2010; 11(2): 57-64. 8. Gharehbaghian A, Haque KM, Truman C et al. Effect of autologous salvaged blood on postoperative natural killer cell precursor frequency. Lancet. 2004; 363(9414): 1025- 1030. 9. Kirkos JM, Krystallis CT, Konstantinidis PA, Papavasiliou KA, Kyrkos MJ, Ikonomidis LG. Postoperative re-perfusion of drained blood in patients undergoing total knee arthroplas- ty: is it effective and cost-efficient? Acta or- thopaedica Belgica. 2006; 72(1): 18-23. 10. Moonen AF, Thomassen BJ, van Os JJ, Verburg AD, Pilot P. Retransfusion of filtered shed blood in everyday orthopaedic practice. Trans- fusion Med. 2008; 18(6): 355-359. 11. Muñoz, M, Ariza D, Campos A, Martín-Mon- tañez E, Pavia, J. The cost of post-operative shed blood salvage after total knee arthroplas- ty: an analysis of 1,093 consecutive procedu- res. Blood Transfus. 2013;11(2): 260-271. 12. So-Osman C, Nelissen RG, Koopman-van Ge- mert AW et al. Patient blood management in elective total hip- and knee-replacement sur- gery (part 2): a randomized controlled trial on blood salvage as transfusion alternative using a restrictive transfusion policy in pa- tients with a preoperative haemoglobin above 13 g/dl. Anesthesiology. 2014; 120(4): 852- 860. 13. Cip J, Widemschek M, Benesch T, Waibel R, Martin A. Does single use of an autologous transfusion system in TKA reduce the need for allogenic blood?: a prospective randomi- zed trial. Clin Orthop Relat Res. 2013; 471(4): 1319-1325. 14. Abuzakuk T, Senthil Kumar V, Shenava Y et al. Autotransfusion drains in total knee re- placement: Are they alternatives to homolo- gous transfusion? Int Orthop, 2007; 31(2): 235-239. 15. Thomassen, BJ, den Hollander PH, Kaptijn HH, Nelissen RG, Pilot P. Autologous wound drains have no effect on allogeneic blood transfusions in primary total hip and knee re- placement: a three-arm randomised trial. Bone Joint J. 2014; 96-B(6): 765-771. 16. Zhou Q, Zhou Y, Wu H et al. Changes of hae- moglobin and hematocrit in elderly patients receiving lower joint arthroplasty without allo- geneic blood transfusion. Chin Med J (Engl). 2015; 128(1): 75-78. 17. Mayer-Rollnik S, Harms C, Bernasconi L et al. Evaluation of autologous retransfusion from a closed suction drainage system for patient blood management in elective total hip and knee replacement: a two cohort study. Eur J Anaesthesiol. 2020; 37(3): 180-186. 18. Kourtzis N, Pafilas D, Kasimatis G. Blood sa- ving protocol in elective total knee arthroplas- ty. Am J Surg. 2004; 187: 261-267. 19. Crescibene A, Martire F, Gigliotti P, Rende A, Candela M. Postoperative autologous reinfu- sion in total knee replacement. J Blood Trans- fus. 2015; 2015: 826790. 20. Thomas D, Wareham K, Cohen D, Hutchings H. Autologous blood transfusion in total knee replacement surgery. Br J Anaesth. 2001; 86(5): 669-673. 21. Fraga G, Ramos-Luengo A, Miyagi M, Rodri- guez-Tato P, Berberana M, Gonzalez L. De- crease in allogenic transfusions due to the spread of use of postoperative retransfusion systems in knee replacement surgery. Rev Esp Anestesiol Reanim. 2013; 60(6): 308-312. 22. Gombotz H, Rehab PH, Shander A, Hofmann A. Blood use in elective surgery: the Austrian benchmark study. Transfusion. 2007; 47(8): 1468-1480. CONCLUSIONS BIBLIOGRAPHY