Epoetin Alfa in Low Hematocrit Patients to Facilitate Autologous Blood Donation in Total Hip Replacement: A Randomized, Double-Blind, Placebo- Controlled, Dose-Ranging Study

1998 ◽  
Vol 100 (2) ◽  
pp. 69-76 ◽  
Author(s):  
F. Mercuriali ◽  
G. Inghilleri ◽  
E. Biffi ◽  
M.T. Colotti ◽  
A. Vinci ◽  
...  
1995 ◽  
Vol 65 (6) ◽  
pp. 449-449
Author(s):  
P. D. Hughes ◽  
M. J. Gillespie ◽  
K. E. Downes ◽  
M. Done ◽  
J. Major ◽  
...  

2009 ◽  
Vol 6 (1) ◽  
pp. 66-70 ◽  
Author(s):  
Friedrich Boettner ◽  
Eric I. Altneu ◽  
Brendan A. Williams ◽  
Matthew Hepinstall ◽  
Thomas P. Sculco

1991 ◽  
Vol 66 (06) ◽  
pp. 652-656 ◽  
Author(s):  
Per Anders Flordal ◽  
Karl-Gösta Ljungström ◽  
Jan Svensson ◽  
Brenda Ekman ◽  
Gustaf Neander

SummaryTwelve patients undergoing total hip replacement, with regional anaesthesia and with dextran infusion for plasma expansion and thromboprophylaxis, were given the vasopressin analogue desmopressin (DDAVP) or placebo in a randomized, double-blind prospective study. In controls (n = 6) we found a prolongation of the bleeding time, low factor VIII (FVIII) and von Willebrand factor (vWF) and a decrease in antithrombin III to levels known to be at risk for venous thrombosis. Desmopressin shortened postoperative bleeding time, gave an early FVIII/vWF complex increase, prevented antithrombin III from falling to critically low values and appeared to activate the fibrinolytic system, both by tPA increase and PAI-1 decrease.Thus in the controls we found changes in both coagulation and fibrinolysis indicating a haemorrhagic diathesis as well as a risk for thromboembolism. Desmopressin induced factor changes that possibly reduce both risks.


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