No Additional Benefit With Use of a Fibrin Sealant to Decrease Peri-Operative Blood Loss During Primary Total Knee Arthroplasty

被引：7

作者：

Maheshwari, Aditya V. ^{[1
]}

Korshunov, Yevgeiny ^{[1
]}

Naziri, Qais ^{[1
]}

Pivec, Robert ^{[1
]}

Mont, Michael A. ^{[2
]}

Rasquinha, Vijay J. ^{[1
]}

机构：

[1] Suny Downstate Med Ctr, Dept Orthopaed Surg & Rehabil, Brooklyn, NY 11203 USA

[2] Sinai Hosp, Ctr Joint Preservat & Replacement, Rubin Inst Adv Orthoped, Baltimore, MD 21215 USA

来源：

JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 11期

关键词：

total knee; fibrin sealant; hemostasis; RECOMBINANT-HUMAN-ERYTHROPOIETIN; HYPOTENSIVE EPIDURAL-ANESTHESIA; TOTAL JOINT ARTHROPLASTY; TRANEXAMIC ACID; AUTOLOGOUS BLOOD; TOURNIQUET USE; TRANSFUSION; REPLACEMENT; MANAGEMENT; SURGERY;

D O I：

10.1016/j.arth.2014.02.034

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Blood loss remains a substantial problem associated TKA. This study evaluated the efficacy of a fibrin sealant on: (1) blood loss; (2) blood transfusions; and (3) length of stay. We evaluated the records of 113 consecutive patients with sealant and 70 without sealant. There was no significant difference in the hemoglobin levels (all 9.5-10 g/dL) on each of three postoperative days. There was also no significant difference in the intraoperative blood loss, postoperative blood loss or the total perioperative blood loss in both groups. The mean requirement in each patient was 2.5 +/- 2.4 units in the fibrin sealant group compared to 2.0 +/- 0.8 units in the non-fibrin sealant group. We have stopped using fibrin sealant based on this study. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：2109 / 2112

页数：4

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