background: increased costs and mortality associated with inappropriate blood transfusions have led to investigations about blood request and blood transfusion techniques. we investigated the transfusion status in patients who underwent orthopedic surgery in poursina hospital (rasht, iran) to optimizing blood usage and determine if a scheduled transfusion program for every orthopedic surgery co...

Background: Allogeneic blood transfusion in patients undergoing total joint arthroplasty (TJA) has been shown tonegatively affect patient outcomes. This study aimed to examine if there is a correlation between operative time and theneed for allogeneic blood transfusions during TJA.Methods: We performed a retrospective review of 866 patients who underwent primary TJA during a o...

The purpose of this study was to analyze the cost effectiveness of the cell saver in reducing homologous blood transfusion requirements in patients undergoing primary total hip arthroplasties. In patients who had predonated autologous blood, the addition of the cell saver neither reduced the homologous blood requirements nor the percentage of patients exposed to banked blood. In patients withou...

BACKGROUND Aprotinin and tranexamic acid are routinely used to reduce bleeding in cardiac surgery. There is a large difference in agent price and perhaps in efficacy. METHODS In a prospective, randomized, partially blinded study, 168 cardiac surgery patients at high risk for bleeding received either a full-dose aprotinin infusion, tranexamic acid (10-mg/kg load, 1-mg x kg(-1) x h(-1) infusion...

BACKGROUND Patients having unilateral breast reconstruction often require a second stage procedure on the contralateral breast to improve symmetry. In order to provide immediate symmetry and minimize the frequency and extent of secondary procedures, we began performing simultaneous contralateral balancing operations at the time of initial reconstruction. This study examines the indications, saf...

The efficacy of predeposited autologous blood transfusion (PABT) with and without intra/postoperative blood salvage to reduce or eliminate the need for homologous blood transfusion (HBT) in primary total hip or knee replacement surgery was investigated by retrospective and prospective studies. Depending on the type of surgery, one to three units of PABT eliminated the need for HBT in 50 to 78% ...