Perioperative Blood Management Strategies for Patients Undergoing Total Hip Arthroplasty: Where Do We Currently Stand on This Matter?

Total hip replacement (THR) has proved to be a reliable treatment for the end stage of hip osteoarthritis. It is acommon orthopaedic procedure with excellent results, but is associated with significant blood loss and high ratesof allogeneic blood transfusion (ABT). The potential complications and adverse events after ABT, combined with theongoing research, have resulted in multimodel, multidisciplinary blood management strategies adoption, aiming toreduce the blood loss and transfusion rates. Many reviews and meta-analyses have tried to demonstrate the bestblood management strategies. The purpose of this study is to review any evidence-based blood conserving technique,dividing them in three stages: preoperative, intraoperative and postoperative.Level of evidence: III

Keywords:

Anemia , Blood loss , Blood management , Total hip arthroplasty , Tranexamic acid , Transfusion