Key result
High FFP/RBC and platelet/RBC ratios successfully manage massive hemorrhage during revision total hip arthroplasty.
Why the study?
Does early administration of high ratio FFP/RBC and platelet/RBC blood products improve outcomes in massive haemorrhage during revision THA?
Case Report (n=1)
Does early administration of high ratio FFP/RBC and platelet/RBC blood products improve outcomes in massive haemorrhage during revision THA?
Early administration of blood products with high FFP/RBC and platelet/RBC ratios may be beneficial in managing massive haemorrhage during revision THA.
May aid haemorrhage control in revision THA; hypothesis-generating and requires prospective trials before practice change.
Revision total hip arthroplasty (THA) is an orthopaedic surgery that is known to be associated with excessive bleeding. The rates of mortality and morbidity are high in patients with massive haemorrhage. The patient in this study was administered blood products with high fresh frozen plasma/red blood cell (RBC) suspension ratio and high platelet/RBC suspension ratio without waiting for haemostasis test results. This study suggests that this approach might prove beneficial in reducing the incidence of intra- and postoperative complications. this study presents our experience with a patient who underwent THA and required a transfusion that was three times her estimated total blood volume. The patient was successfully managed with close monitoring of haemorrhage and timely administration of blood and blood products before hypotension and loss of consciousness occurred.
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Kandemir et al. (2016) conducted a case report in Revision total hip arthroplasty with massive haemorrhage (n=1). Massive blood transfusion with high FFP/RBC and high platelet/RBC ratio was evaluated on Successful management of haemorrhage without hypotension and loss of consciousness. Administration of blood products with high FFP/RBC and platelet/RBC ratios successfully managed massive haemorrhage during revision total hip arthroplasty.
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