Revision total hip arthroplasty in Jehovah's Witnesses.

@article{Harwin2012RevisionTH,
  title={Revision total hip arthroplasty in Jehovah's Witnesses.},
  author={S. Harwin and R. Pivec and Aaron J. Johnson and Qais Naziri and Michael A Mont},
  journal={Orthopedics},
  year={2012},
  volume={35 8},
  pages={
          e1145-51
        }
}
Revision total hip arthroplasty (THA) is associated with greater blood loss than primary THA. Jehovah's Witnesses will not accept transfusions of blood or blood products and are thus at an increased risk for complications due to perioperative anemia. The purpose of this study was to report the clinical outcomes, radiographic outcomes, morbidity, and mortality of Jehovah's Witnesses who were medically optimized and underwent revision THA. Databases from 2 institutions were reviewed to identify… Expand
View on PubMed
healio.com
9 Citations
Background Citations
3
Methods Citations
1

9 Citations

Citation Type

Citation Type

Blood management strategies in primary and revision total knee arthroplasty for Jehovah's Witness patients.
TLDR
An overview of various potential preoperative, intraoperative, and postoperative blood management measures that may be used for the care of Jehovah's Witnesses who undergo knee arthroplasty procedures is provided. Expand
Revision Total Hip Arthroplasty in Jehovah’s Witnesses at a Public Hospital: Practical Recommendations for a Low-Resource Setting
TLDR
It is believed that the extrapolation of these crucial principles to the broader category of primary arthroplasty in the general population can be used to reduce the rate of blood transfusion, increase access to surgery, and improve outcomes. Expand
Bloodless surgery by a regional intraarterial tourniquet during primary and revision THA.
TLDR
Temporary internal tourniquets used as an adjuvant to surgery significantly reduce intraoperative blood loss during primary and revision THA and showed a significant reduction in hemoglobin immediately postoperatively compared with preoperative values. Expand
A protocol avoiding allogeneic transfusion in joint arthroplasties
TLDR
In patients who do not want allogeneic transfusions, the protocol developed is a safe alternative to perform joint arthroplasties and could be done without transfusion using this protocol in most of the patients. Expand
What (if any) Special Factors Should Come into Preoperative Assessment of Patients for Bloodless Surgery
TLDR
The field of bloodless surgery emerged in the 1960s when cardiac surgeons in Texas developed a ‘bloodless prime’ for cardiopulmonary bypass machines, enabling major cardiac surgery in patients excluded from such surgeries for reasons related to transfusion. Expand
Two-stage surgery on pregnant woman with a giant cell tumor of bone who refused blood transfusion: A case report.
TLDR
Pregnancy is not a pathological condition, but it can complicate the decision-making process with respect to choosing the best treatment for pregnant patients who require surgery, which requires a prudent selection of anesthetic drugs, surgical methods and analgesic agents. Expand
How do we treat life‐threatening anemia in a Jehovah's Witness patient?
TLDR
A protocol‐based algorithm to the management of life‐threatening anemia in JW patients is described and review time to anemia reversal and patient outcomes using this approach are described. Expand
Risk‐adjusted clinical outcomes in patients enrolled in a bloodless program
Although clinical outcomes have been reported for patients who do not accept allogeneic blood transfusion (ABT), many previous studies lack a control group, fail to use risk adjustment, and focus… Expand
Use of perioperative erythropoietin without pharmacologic thrombosis prophylaxis.

References

SHOWING 1-10 OF 50 REFERENCES
Primary and revision total hip replacement in patients who are Jehovah's Witnesses.
TLDR
The authors herein review their past and current experiences in the perioperative blood management of this patient population in an attempt to address the need for careful delineation and specific treatment guidelines. Expand
Total hip arthroplasty in Jehovah's Witnesses without blood transfusion.
TLDR
One hundred patients who were Jehovah's Witnesses underwent total hip replacement without transfusion, of which eighty-nine procedures were performed under hypotensive anesthesia, with a significant reduction in blood loss. Expand
Mortality, morbidity, and 1-year outcomes of primary elective total hip arthroplasty.
TLDR
Patients and surgeons in the United Kingdom should have access to this information when making a decision about THA, and patients and surgeons should be aware of the risks of adverse outcomes. Expand
Total hip replacement in Jehovah's Witnesses under spinal anesthesia without transfusion.
TLDR
Patients who were Jehovah's Witnesses underwent 107 total hip replacements without transfusion and sustained an average intraoperative blood loss of 300 mL, which was a significant reduction compared with that in controlled groups of patients reported by other authors. Expand
Aprotinin Decreases Blood Loss in Patients Undergoing Revision or Bilateral Total Hip Arthroplasty
TLDR
It is questionable whether the slight reduction in blood loss justifies routine use of this expensive drug, despite two recent studies showing decreased blood loss in patients given aprotinin undergoing primary hip replacement surgery. Expand
Early postoperative mortality following total hip arthroplasty in a community setting: a single surgeon experience.
TLDR
This experience of a single surgeon with a high volume community practice performing both primary and revision total hip arthroplasty, documents a low but significant incidence of postoperative death in the first 3 months of surgery. Expand
Effects of Tranexamic Acid on Blood Loss during Total Hip Arthroplasty
TLDR
A single dose of intravenous TA given 10 minutes prior to THA is a cost-effective and safe means of minimising blood loss and reduction in haemoglobin concentrations as well as the need for allogenic blood transfusion, without increasing the risk of thromboembolic events. Expand
Prospective randomized evaluation of the need for blood transfusion during primary total hip arthroplasty with use of a bipolar sealer.
TLDR
There were no significant differences between the treatment and control groups in terms of the need for blood transfusions or overall blood loss, and this bipolar sealing device was discontinued in uncomplicated primary total hip arthroplasty patients at this institution. Expand
Intraoperative red blood-cell salvage in revision hip surgery. A case-matched study.
TLDR
The first study in which the use of intraoperative red blood-cell salvage in revision hip arthroplasty was evaluated by matching patients on the basis of age, sex, and operative variables significantly lowered the allogeneic transfusion requirement. Expand
Antifibrinolytics in Major Orthopaedic Surgery
  • J. Eubanks
  • Medicine
  • The Journal of the American Academy of Orthopaedic Surgeons
  • 2010
TLDR
Large meta‐analyses suggest that antifibrinolytics can be safely and efficaciously employed to decrease perioperative blood loss and transfusion requirements. Expand
...
1
2
3
4
5
...