Blood Management in Outpatient Total Hip Arthroplasty
Based on a series of 407 outpatient total hip arthroplasties performed by a single surgeon, a standardized protocol for blood loss management in outpatient arthroplasty was developed consisting of a presurgical hematocrit of greater than 36%, administration of tranexamic acid, prophylactic introduction of albumin, hypotensive epidural anesthesia, monopolar electrocautery, and bipolar sealer. This protocol uses techniques that alone are not novel but together create a standardized and reproducible pathway that when implemented can increase the safety of outpatient hip arthroplasty.
Source: Orthopedic Clinics of North America - Category: Orthopaedics Authors: Samuel Gray McClatchy, Joseph T. Cline, Carson M. Rider, Zachary K. Pharr, William M. Mihalko, Patrick C. Toy Source Type: research