Anaesthesia and blood loss in total hip replacement

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General anaesthesia and total hip replacement.

TOTAL HIP REPLACEMENT has become a frequent procedure since the initial work of Charnley, McKee, Watson, Ferrar and Ring in the early 1960s. The most popular technique, that of Miiller, ~ involves a socket prosthesis fixed in the acetabulum with acrylic bone cement. A femoral prosthesis is then fixed in the medullary cavity with the same acrylic cement. Peroperative complications associated wit...

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Developmental dysplasia of the hip (DDH) or congenital hip dysplasia (CDH) is the most prevalent developmental childhood hip disorder. It includes a wide spectrum of hip abnormalities ranging from dysplasia to subluxation and complete dislocation of the hip joint. The natural history of neglected DDH in adults is highly variable. The mean age of onset of symptoms is 34.5 years for dysplastic DD...

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The effect of an intravenous bolus of tranexamic acid on blood loss in total hip replacement.

Tranexamic acid is a fibrinolytic inhibitor which reduces blood loss in total knee replacement. We examined the effect on blood loss of a standardised intravenous bolus dose of 1 g of tranexamic acid, given at the induction of anaesthesia in patients undergoing total hip replacement and tested the potential prothrombotic effect by undertaking routine venography. In all, 36 patients received 1 g...

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Intravascular balloon to minimize blood loss during total hip replacement in a Jehovah's Witness.

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Total hip replacement, lower limb blood flow and venous thrombogenesis.

The effect of Charnley cemented total hip replacement on venous blood flow in the legs and its relationship to deep-vein thrombosis were investigated in 413 patients. Blood flow was measured using strain-gauge plethysmography before operation, after surgery, and after discharge from hospital. There was a significant reduction in both venous capacitance and venous outflow, affecting both legs bu...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 1977

ISSN: 0003-2409,1365-2044

DOI: 10.1111/j.1365-2044.1977.tb09981.x