The Relative Risk of Infection from Transfusions After Arthroplasty: Commentary on articles by Richard Friedman, MD, FRCSC, et al.: "Allogeneic Blood Transfusions and Postoperative Infections After Total Hip or Knee Arthroplasty" and Erik T. Newman, MD, et al.: "Impact of Perioperative Allogeneic and Autologous Blood Transfusion on Acute Wound Infection Following Total Knee and Total Hip Arthroplasty"

The Journal of Bone and Joint Surgery (Impact Factor: 5.28). 02/2014; 96(4):e33. DOI: 10.2106/JBJS.M.01436
Source: PubMed
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    ABSTRACT: Clinical pathways for total joint arthroplasty have been shown to reduce costs and significantly impact perioperative outcomes mainly through reducing provider variability. Effective clinical pathways link evidence to individual practice and balance costs with local experience, outcomes, and access to resources for responsible perioperative management. Common components of clinical pathways with major impact on perioperative outcomes are: 1) implementing pathways designed to include multimodal analgesia with regional anesthesia, 2) use of tranexamic acid to reduce blood loss, and 3) preconditioning followed by participation in early, accelerated rehabilitation programs to prevent postoperative complications related to immobility. Copyright © 2014 Elsevier Inc. All rights reserved.
    Anesthesiology Clinics 11/2014; 32(4). DOI:10.1016/j.anclin.2014.08.006


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