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Acta clinica Croatica, Vol. 61. No. Supplement 2, 2022.

Review article

https://doi.org/10.20471/acc.2022.61.s2.09

Contemporary Recommendations on Patient Blood Management in Joint Arthroplasty

Branko Tripković ; epartment of Anesthesiology, Reanimatology and Intensive care, University Hospital Zagreb, University of Zagreb School of Medicine
Sanja Jakovina Blažeković ; epartment of Anesthesiology, Reanimatology and Intensive care, University Hospital Zagreb, University of Zagreb School of Medicine
Vesna Bratić ; epartment of Anesthesiology, Reanimatology and Intensive care, University Hospital Zagreb, University of Zagreb School of Medicine
Marko Tripković ; epartment of Anesthesiology, Reanimatology and Intensive care, University Hospital Zagreb, University of Zagreb School of Medicine

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Abstract

Hip and knee replacement surgery are a common and effective procedure for the
relief of pain and loss of function. The number of procedures is increasing and great interest is given
how to improve outcome following hip and knee replacement surgery. Last two decades have been
characterized by many innovations in hip and knee replacement surgery including minimally invasive
technique but also by improvements in anesthetic technique and blood management.
The patients undergoing hip and knee replacement surgery are commonly elderly and have cosexisting
organ dysfunctions. These procedures are characterized by great perioperative disturbances
including cardiovascular complications, high incidence of thromboembolic complications, possible
significant perioperative blood loss, possible bone cement effect and high level of postoperative pain.
Anesthetic assessment of patients include preoperative preparations, intraoperative and
postoperative care. In this article, all problems of perioperative blood management are discussed. The
recent data of advantages of blood management for every patient are outlined. Blood management
include preoperative preparation, use of autologous blood in perioperative period and administration
of drugs for minimizing intraoperative blood loss. The final result of improvements in blood
management is reducing in blood loss and need for allogeneic blood and significant reduction in
perioperative morbidity.

Keywords

Joint Replacement Surgery; Blood Management; Autologous Blood; Tranexamic Acid

Hrčak ID:

284401

URI

https://hrcak.srce.hr/284401

Publication date:

1.9.2022.

Article data in other languages: croatian

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