Patient Blood Management During Major Orthopaedic and Traumatological Surgery at Renaissance University Hospital Center in Chad

Beufoutcham Kachare C, Kader NDIAYE, Adamou ABBASSI, Fandebnet SINIKI, Bonte ADJOUGOULTA KOBOY, Yannick Canton KESSELY, Mahamat Abderraman Guillaume ZALBA

Abstract: Introduction: To determine "Patient Blood Management" intraoperatively in major orthopedic and trauma surgery at the Centre Hospitalier Universitaire la Renaissance (CHU - R). Patients and methods: This was a descriptive, cross - sectional study conducted over a period of seven (07) months from January 01 to July 30, 2023 in the operating theatre. All consenting patients undergoing major orthopaedic or traumatological surgery were included in the study. Variables aimed at reducing intraoperative blood loss were studied. Results: A total of 216 cases were collected, of which 50 met our criteria and 86% were male. The mean age was 52 years, and the 21 - 30 age group was the most affected (30%). Centromedullary nailing was the most frequent procedure in Traumatology (74%), including Gamma nailing 50%, and total hip replacement (THR) in Orthopedics (26%).82% of patients had intraoperative blood loss ?1000 of which 28% had between 1501 and 2000ml. Among the strategies evaluated, the efficacy of ATX was demonstrated by the reduction in blood loss by ricocheting the hemoglobin level in the group who benefited from it (1025ml versus 1484ml). Other strategies, such as anesthesia and surgical techniques, did not show a significant difference in intraoperative blood loss. Intraoperative autotransfusion was not applied. Conclusion: Our study is part of a clinical audit to evaluate Patient Blood Management practices in orthopaedic and traumatological surgery. Only tranexamic acid showed significant efficacy in intraoperative blood conservation.

Keywords: Patient Blood Management, orthopaedic and traumatological surgery and CHU La renaissance

How to Cite?: Beufoutcham Kachare C, Kader NDIAYE, Adamou ABBASSI, Fandebnet SINIKI, Bonte ADJOUGOULTA KOBOY, Yannick Canton KESSELY, Mahamat Abderraman Guillaume ZALBA, "Patient Blood Management During Major Orthopaedic and Traumatological Surgery at Renaissance University Hospital Center in Chad", Volume 13 Issue 10, October 2024, International Journal of Science and Research (IJSR), Pages: 833-838, https://www.ijsr.net/getabstract.php?paperid=SR241004155127, DOI: https://dx.doi.org/10.21275/SR241004155127