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Spar på blodet
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Der er flere gode grunde til at undgå homolog blod Immuno-supprimerende Øget infektioktions rate Øget blødnings tendens Potentiel overførsel af sygdomme Forsinket sårheling
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Medtronic's autoLog™ Autotransfusion System
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Præoperativt Tjekke hæmoglobin Blødnings tendens ? Seponere relevant medicin ! NSAID, Acetylsalicylsyre, Plavix, Maravan m.fl. Give jern Give erythropoietin ?
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Peroperativt Haemostase Cyklocapron Autotransfusion Fibrin Sealant
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RESULTS: The mean postoperative blood loss was 580 ml (standard deviation [SD], 240 ml) in the auto-FTA group and 810 ml (SD, 341 ml) in the control group; the difference was significant (230 ml, p 1200 ml in any single patient was significantly lower in the auto-FTA group (4%) than in the control group (20%) [p=0.01]. CONCLUSION: Auto-FTA is a safe and effective means of reducing perioperative blood loss in THA.
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Postoperativt Cyklocapron Frisk frossen plasma Kompression Dræn blod
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Links National Hemophilia Foundation http://www.hemophilia.org/ http://www.hemophilia.org/ Institutet för hälso- och sjukvårdsekonomi http://www.ihe.se/ http://www.ihe.se/ Transfusion Matters http://www.transfusionguidelines.org/ http://hospital.blood.co.uk/ Thrombelastography (TEG) http://www.abdn.ac.uk/~ans087/trustwebsite/TEG/sld001.htm http://www.transfusionguidelines.org/ http://hospital.blood.co.uk/ http://www.abdn.ac.uk/~ans087/trustwebsite/TEG/sld001.htm Multiplate® - Multiplate Platelet Function Analyzer http://www.multiplate.net/ http://www.multiplate.net/
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Autologous donation Alterations in immune function Bacterial contamination Transfusion errors
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