Anesthesia Considerations: Hypotension and Hemodilution

  • Nigel E. Sharrock


There has been an ever-increasing interest in avoiding allogeneic blood transfusion. This began with the recognition of the risk of both hepatitis B virus transmission and transfusion reactions. Currently, concerns have focused on transmission of HIV, hepatitis C or Yersinia. In addition, there are immunologic consequences to transfusion, and an increased risk of infection in patients who are transfused.1 Finally, cost has become an issue. These multiple concerns have brought patients, surgeons, physicians, anesthesiologists, hematologists, and hospital administration personnel together (for a change) in a concerted effort to reduce the use of allogeneic transfusions.2 This chapter deals with three techniques that can have a major impact on transfusion requirements after total hip arthroplasty (THA).


Mean Arterial Pressure Transfusion Requirement Allogeneic Blood Transfusion Homologous Blood Transfusion Trigger 
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© Springer Science+Business Media New York 1999

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  • Nigel E. Sharrock

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