Canada lags in use of blood conservation techniques

February 04, 2002

The use of blood conservation techniques in elective surgery reduces the risk of infection and transfusion reactions that result from using allogeneic blood products, but Brian Feagan and colleagues report that use of these techniques remains low in Canada.

The authors reviewed 4535 medical records from patients who underwent elective orthopedic procedures at 19 Canadian hospitals between June 1998 and January 1999. They found that of the 4422 patients whose eligibility status was known, 2561 (57.9%) were eligible to participate in an autologous blood donation (ABD) program. However, only 842 (18.6%) of the patients predonated blood, and blood-conservation techniques (reinfusion of blood lost during surgery) were used in only 2.4% of all cases.

The authors report that while blood-conservation techniques are being used more frequently than when they conducted a similar study in 1995/96 and found only 8% of 2233 patients had participated in an ABD program, the numbers remain low.

In a related commentary, Battista Borghi recommends greater cooperation among anesthetists, surgeons and transfusionists in order to take advantage of alternatives to autologous blood donation during and following surgery.
p. 310 Transfusion practice practices for elective orthopedic surgery
-- B.G. Feagan et al

p. 332 Reducing the risk of allogenic blood transfusion
-- B. Borghi

Contacts:Dr. Brian Feagan, Director, London Clinical Trials Research Group, John P. Robarts Research Institute, London; tel. 519 663-3589

Prof. Battista Borghi, Departmental Module of Research in Anaesthesia, IRCCS Rizzoli Orthopaedic Insitute, Bologna, Italy email:

Canadian Medical Association Journal

Related Surgery Articles from Brightsurf:

Decision conflict before cancer surgery correlates with lower activity after surgery
Nearly one-third of cancer patients who decide to undergo surgery for their condition may have second thoughts, and this decision conflict may lead to less favorable treatment outcomes in both the near- and long-term, according to a team of investigators at Massachusetts General Hospital and Ariadne Labs.

Examining association between weight loss before bariatric surgery, risk of death after surgery
Researchers looked at whether a patient's body weight and weight loss before bariatric surgery were associated with risk of death within 30 days after surgery using data from nearly 500,000 patients in the US and Canada.

Guidelines for thyroid surgery published in Annals of Surgery
The first set of comprehensive, evidence-based clinical guidelines for surgical treatment of thyroid disease -- developed by an expert panel assembled by the American Association of Endocrine Surgeons (AAES) -- was published today by Annals of Surgery.

Colorectal surgery patients use fewer opioids, report less pain with enhanced recovery after surgery
Colorectal surgery patients who were a part of an enhanced recovery after surgery (ERAS) program had less pain, while using nearly half as many opioids, according to research being presented at the ANESTHESIOLOGY® 2019 annual meeting.

Video assisted lung surgery reduces complications and hospital stays compared to open surgery
Video-assisted thoracic surgery is associated with lower in-hospital complications and shorter length of stay compared with open surgery among British patients who were diagnosed at an early stage of lung cancer, according to research presented today the IASLC 2019 World Conference on Lung Cancer, hosted by the International Association for the Study of Lung Cancer.

Most deaths related to noncardiac surgery occur after surgery and after discharge from hospital
It's not the operating room that is risky for patients undergoing noncardiac surgery; it's the recovery period.

Study looks at opioid use after knee surgery
A small study looked at whether reducing the number of opioid tablets prescribed after knee surgery would reduce postoperative use and if preoperative opioid-use education would reduce it even more.

Surgery patients are getting older every year
A new BJS (British Journal of Surgery) analysis reveals that people undergoing surgery in England are getting older at a faster rate than the general population.

Children requiring thyroid surgery have better outcomes at high-volume surgery centers
New research recently published in the Journal of Pediatric Surgery found that post-operative success rates of pediatric thyroid patients, particularly children who require a thyroidectomy, correlate with the institution's patient volume.

Do negative public attitudes toward weight loss surgery stop some patients from having surgery?
Most patients who qualify for weight loss surgery don't have the procedure despite its safety and effectiveness.

Read More: Surgery News and Surgery Current Events is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to