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Effect of enhanced recovery after surgery with multidisciplinary collaboration on nursing outcomes after total knee arthroplasty

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World Journal of Clinical Cases 2023年第32期11卷 7745-7752页

作者： Jing Liu Qian-Qian Zheng Yang-Tao Wu Operating Room Shangrao People's HospitalShangrao 334000Jiangxi ProvinceChina

BACKGROUND There is a lack of studies on the effects of enhanced recovery after surgery(ERAS)with multidisciplinary collaboration on the nursing outcomes of total knee arthroplasty(TKA).AIM To explore the effect of ERAS with multidisciplinary collaboration on nursing outcomes after *** We retrospectively analyzed the clinical data of 80 patients who underwent TKA at a tertiary hospital between January 2021 and December *** patients were divided into two groups according to the nursing mode:the ERAS group(n=40)received ERAS with multidisciplinary collaboration,and the conventional group(n=40)received routine *** following indicators were compared between the two groups:length of hospital stay,hospitalization cost,intraoperative blood loss,hemoglobin level 24 h after surgery,visual analog scale(VAS)score for pain,range of motion(ROM)of the knee joint,Hospital for Special Surgery(HSS)knee score,and postoperative *** The ERAS group had a significantly shorter length of hospital stay,lower hospitalization cost,less intraoperative blood loss,higher hemoglobin level 24 h after surgery,lower VAS score for pain,higher knee joint ROM,and higher HSS knee score than the conventional group(all P0.05).CONCLUSION Multidisciplinary collaboration with ERAS can reduce blood loss,shorten hospital stay,and improve knee function in patients undergoing TKA.

关键词： Arthroplasty,replacement,knee Retrospective studies Range of motion,articular Length of stay blood loss,surgical Hemoglobins

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Surgeons often underestimate the amount of blood loss in replacement surgeries

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Chinese Journal of Traumatology 2014年第4期17卷 225-228页

作者： Ganesan Ganesan Ram Perumal Suresh Phagal Varthi Vijayaraghavan Department of Orthopaedics Sri Ramachandra Medical Collage Porur Chennai-600116 Tamilnadu India

Objective：To assess the accuracy of the clinically estimated blood loss （EBL） when compared with the actual blood loss （ABL） in replacement ***：This prospective study was done in Sri Ramachandra Medical Centre from April 2011 to April *** 140 patients undergoing total hip replacement or total knee replacement were included with the inclusion criteria being patients with haemoglobin higher than 100 g/ml and coagulation profile within normal *** criteria were intake of antiplatelet drug or anti-coagulant,bleeding disorders,thrombotic episode,and haematological *** were 65 men and 75 *** this study,the consultants were free to use any clinical method to estimate the blood loss,including counting the blood-soaked mops and gauze pieces （estimating the volume of blood carded in all the mops and gauzes）,measuring blood lost to suction bottles and blood in and around the operative *** ABL was calculated based on a modification of the Gross＇s formula using haematocrit ***：In 42 of the 140 cases,the EBL exceeded the *** cases had a negative difference in blood loss （or DIFF-BL＜0） and were included in the overestimation group,which accounted for 30％ of the study *** the remaining 98 cases （70％）,the ABL exceeded the *** they were put into the underestimation group who had a positive difference in blood loss （DIFF-BL＞0）.We found that when the average blood loss was small,the accuracy of estimation was *** when the average blood loss exceeded 500 ml,the accuracy rate decreased *** suggested that clinical estimation is inaccurate with the increase of blood ***：This study has shown that using clinical estimation alone to guide blood transfusion is *** this study,70％ of patients had their blood loss underestimated,proving that surgeons often underestimate blood loss in replacement surgeries.

关键词： Hemoglobins blood loss,surgical Erythrocyte transfusion Hematocrit

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