Massive Blood Transfusion during Revision Total Hip Arthroplasty under Combined Spinal Epidural Anaesthesia

KANDEMİR T., KANDEMİR E., AŞKIN T., DAL T., KILIÇ Y., ÜNVER S.

Turkish Journal of Anesthesia and Reanimation, cilt.44, 2016 (Hakemli Dergi) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 44
  • Basım Tarihi: 2016
  • Doi Numarası: 10.5152/tjar.2016.32858
  • Dergi Adı: Turkish Journal of Anesthesia and Reanimation
  • Derginin Tarandığı İndeksler: Other Indexes
  • Anahtar Kelimeler: Total hip arthroplasty, massive haemorrhage, massive transfusion, fresh frozen plasma, platelet suspension, HEMORRHAGE, TRAUMA
  • Lokman Hekim Üniversitesi Adresli: Hayır

Özet

Revision total hip arthroplasty (THA) is an orthopaedic surgery that is known to be associated with excessive bleeding. The rates of mortality and morbidity are high in patients with massive haemorrhage. The patient in this study was administered blood products with high fresh frozen plasma/red blood cell (RBC) suspension ratio and high platelet/RBC suspension ratio without waiting for haemostasis test results. This study suggests that this approach might prove beneficial in reducing the incidence of intra-and postoperative complications. this study presents our experience with a patient who underwent THA and required a transfusion that was three times her estimated total blood volume. The patient was successfully managed with close monitoring of haemorrhage and timely administration of blood and blood products before hypotension and loss of consciousness occurred.