Helping Hands for Blood Conservation Techniques and Perioperative Planning Part 7 May 2001 The List of Clinics with Special Blood Conservation Programs is by no means complete It does not take position as to the size of the clinic nor compare it with other clinics or make recommendations for some of them to be used in a special situation. Some of the clinics are small , others are big multidiciplinary Centers. But it tells us something about the special techniques used and the number of clinics using them , and it can help us to see where some of them can be found, and also gives an idea of the effectiveness of the methods. We doe not recommend any particular clinic nor doe we recommend any specific treatment. Table of Contents Table of Contents.............................................................................................................................................. 1 STARTING SPECIAL BLOOD CONSERVATION PROGRAMS ............................................................ 6 Introduction.................................................................................................................................................... 6 CLINICS WITH SPECIAL BLOOD CONSERVATION PROGRAMS .................................................. 10 1. AUSTRALIA............................................................................................................................................... 10 1) KALEEYA HOSPITAL MEDICAL CENTRE....................................................................................... 10 Fremantle Kaleeya Hospital - East Freemantle 6158, WA, AT ......................................................... 10 2. UNITED KINGDOM (UK)........................................................................................................................ 11 A. Community Hospitals Group Plc. ........................................................................................................... 11 1) Ashtead Hospital................................................................................................................................. 11 2) Duchy Hospital ................................................................................................................................... 11 3) Fitzwilliam Hospital ........................................................................................................................... 11 4) Mount Stuart Hospital......................................................................................................................... 11 5) Oaks Hospital...................................................................................................................................... 11 6) Pinhill Hospital ................................................................................................................................... 11 7) The Rivers Hospital ............................................................................................................................ 11 8) Springfield Medical Centre................................................................................................................. 12 9) Winfield Hospital................................................................................................................................ 12 10) The Yorkshire Clinic ........................................................................................................................ 12 3. ISRAEL ....................................................................................................................................................... 12 A. Holon ...................................................................................................................................................... 12 1) Wolfson Medical Center ................................................................................................................ 12 4. SCHWEIZ................................................................................................................................................... 15 1. Clinique Cecil Lausanne .......................................................................................................................... 15 1. Participating departments.................................................................................................................... 16 a. Surgery ........................................................................................................................................... 16 b. Medicine......................................................................................................................................... 16 c. Obstetrics........................................................................................................................................ 16 5. SWEDEN..................................................................................................................................................... 17 1. Sahlgrenska University Hospital Gothenburg.......................................................................................... 17 1. Participating departments.................................................................................................................... 17 2. Participating doctors............................................................................................................................ 17 2. Lund University Hospital Lund, Sweden................................................................................................. 17 K.R Part 7 of Helping Hands of Blood Conservation Techniques, May 2001 Page 2 1. Participating departments.................................................................................................................... 17 2. Participating doctors............................................................................................................................ 17 3. Linköping University Hospital Linköping, Sweden ................................................................................ 18 1. Participating departments.................................................................................................................... 18 2. Participating doctors............................................................................................................................ 18 4. Nu-Medical Service—Uddevalla Hospital Uddevalla, Sweden.............................................................. 18 1. Participating departments.................................................................................................................... 18 2. Participating doctors............................................................................................................................ 18 1) Uddevalla Hospital Orthopedic Clinic................................................................................................ 18 The Brochure: ......................................................................................................................................... 18 a. MEASURES AVAILABLE AT UDDEVALLA HOSPITAL BLOODCONSERVATION TEAM .. 18 1. Anaesthesiological methods................................................................................................................ 19 Acute Haemodilution ......................................................................................................................... 19 Cell Saver ........................................................................................................................................... 19 Separation of Plasma and Platelets..................................................................................................... 19 Platelet Gel ......................................................................................................................................... 19 Hypotensive Anaesthesia ................................................................................................................... 19 2. Intraoperative drugs ............................................................................................................................ 19 Desmopressin (DDAVP).................................................................................................................... 19 Tranexamic Acid (TA) ....................................................................................................................... 19 3. Surgical devices and supplies.............................................................................................................. 19 Cautery (including Argon Beam Coagulator (ABC) .......................................................................... 19 Laser................................................................................................................................................... 19 Surgicel, Spongostan, Avitene,Tisseel ,Bone wax, Local Anaesthesia with Adrenaline. .................. 19 POSTOPERATIVE MEASURES.......................................................................................................... 19 1. Continued blood loss postoperatively............................................................................................. 19 - Cell Saver connected to drainage tube (Maximum 6 hours) ....................................................... 19 - Antifibrinolytic Drugs (Desmopressin, Tranexamic Acid) ......................................................... 20 - Consider early re-operation if