The program of blood saving, result of 15 years of experience, includes predeposit (1977) hemodilution (1979) intra (1984) and postoperative (1985) salvage, careful intra and postoperative bleeding control, use of homologous transfusion only in case of intolerated anaemia even for 7-8g/dl Hb values. The use of autologous compared to homologous transfusion passed from 19% in 1984 to 62% in 1992. In 1992 in the surgical division of the 1st Anaesthesia and Intensive Care unit, 414 patients underwent prosthetic hip and knee surgery, 8% of these patients were homologously transfused.
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2.
BorghiB., LariS., CapannaR., CampanacciM.Autotransfusion with recovery of blood loss in conservative surgery for tumors of the lower limbs. Proceedings 4th Int Simposium on: limbs salvage in muscolo-scheletal oncology. Tokyo: Spring Verlag1987; 681–6.
3.
BorghiB., CaroliG.C.Controversial elements in blood saving program.Minerva Anestesiol1992; 58: 599–601.
4.
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5.
BorghiB., de SimoneN., ElmarK., BugamelliS., CoppolaG.Technical and clinical aspects of blood recovery in orthopaedics and trauma surgery.4th vol. Recent Advances in Anaesthesia, pain, intensive care and emergency.Trieste: Tipografia Moderna1989; 405–14.
6.
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7.
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8.
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9.
BugamelliS., BorghiB., de SimoneN., ElmarK., RanocchiR., MattioliR.Monitoring and recovery of postoperative blood loss in hip surgery: fix negative aspiration versus controlled aspiration pressure.Minerva Anestesiologica1991; 57(9): 722–3.
10.
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11.
BorghiB., de SimoneN., MattioliR., ZanoniA., LariS.How safe is hemodilution?Proceeding meeting on: hemodilution.Torino: Duemme1991; 51–8.
12.
OrianiG., GaiettaT., MeazzaD., RonzioA., SacchiC.Safe hematocrit in orthopaedic and trauma surgery.Proceeding 20th National postgraduate course in Intensive Care.Padova: Piccin, 1990; 19–27.
