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N. J. Fiddian - One of the best experts on this subject based on the ideXlab platform.
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the use of a closed Suction Drain in total knee arthroplasty
Journal of Bone and Joint Surgery-british Volume, 2003Co-Authors: C. N. A. Esler, C. Blakeway, N. J. FiddianAbstract:We prospectively randomised 100 patients undergoing cemented total knee replacement to receive either a single deep closed-Suction Drain or no Drain.The total blood loss was significantly greater in those with a Drain (568 ml versus 119 ml, p < 0.01; 95% CI 360 to 520) although those without lost more blood into the dressings (55 ml versus 119 ml, p < 0.01; 95% CI −70 to 10). There was no statistical difference in the postoperative swelling or pain score, or in the incidence of pyrexia, ecchymosis, time at which flexion was regained or the need for manipulation, or in the incidence of infection at a minimum of five years after surgery in the two groups.We have been unable to provide evidence to support the use of a closed-Suction Drain in cemented knee arthroplasty. It merely interferes with mobilisation and complicates nursing. Reinfusion Drains may, however, prove to be beneficial.
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the use of a closed Suction Drain in total knee arthroplasty a prospective randomised study
Journal of Bone and Joint Surgery-british Volume, 2003Co-Authors: C. N. A. Esler, C. Blakeway, N. J. FiddianAbstract:We prospectively randomised 100 patients undergoing cemented total knee replacement to receive either a single deep closed-Suction Drain or no Drain. The total blood loss was significantly greater in those with a Drain (568 ml versus 119 ml, p versus 119 ml, p We have been unable to provide evidence to support the use of a closed-Suction Drain in cemented knee arthroplasty. It merely interferes with mobilisation and complicates nursing. Reinfusion Drains may, however, prove to be beneficial.
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The use of a closed-Suction Drain in total knee arthroplasty
The Journal of Bone and Joint Surgery. British volume, 2003Co-Authors: C. N. A. Esler, C. Blakeway, N. J. FiddianAbstract:We prospectively randomised 100 patients undergoing cemented total knee replacement to receive either a single deep closed-Suction Drain or no Drain. The total blood loss was significantly greater in those with a Drain (568 ml versus 119 ml, p versus 119 ml, p We have been unable to provide evidence to support the use of a closed-Suction Drain in cemented knee arthroplasty. It merely interferes with mobilisation and complicates nursing. Reinfusion Drains may, however, prove to be beneficial.
C. N. A. Esler - One of the best experts on this subject based on the ideXlab platform.
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the use of a closed Suction Drain in total knee arthroplasty
Journal of Bone and Joint Surgery-british Volume, 2003Co-Authors: C. N. A. Esler, C. Blakeway, N. J. FiddianAbstract:We prospectively randomised 100 patients undergoing cemented total knee replacement to receive either a single deep closed-Suction Drain or no Drain.The total blood loss was significantly greater in those with a Drain (568 ml versus 119 ml, p < 0.01; 95% CI 360 to 520) although those without lost more blood into the dressings (55 ml versus 119 ml, p < 0.01; 95% CI −70 to 10). There was no statistical difference in the postoperative swelling or pain score, or in the incidence of pyrexia, ecchymosis, time at which flexion was regained or the need for manipulation, or in the incidence of infection at a minimum of five years after surgery in the two groups.We have been unable to provide evidence to support the use of a closed-Suction Drain in cemented knee arthroplasty. It merely interferes with mobilisation and complicates nursing. Reinfusion Drains may, however, prove to be beneficial.
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the use of a closed Suction Drain in total knee arthroplasty a prospective randomised study
Journal of Bone and Joint Surgery-british Volume, 2003Co-Authors: C. N. A. Esler, C. Blakeway, N. J. FiddianAbstract:We prospectively randomised 100 patients undergoing cemented total knee replacement to receive either a single deep closed-Suction Drain or no Drain. The total blood loss was significantly greater in those with a Drain (568 ml versus 119 ml, p versus 119 ml, p We have been unable to provide evidence to support the use of a closed-Suction Drain in cemented knee arthroplasty. It merely interferes with mobilisation and complicates nursing. Reinfusion Drains may, however, prove to be beneficial.
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The use of a closed-Suction Drain in total knee arthroplasty
The Journal of Bone and Joint Surgery. British volume, 2003Co-Authors: C. N. A. Esler, C. Blakeway, N. J. FiddianAbstract:We prospectively randomised 100 patients undergoing cemented total knee replacement to receive either a single deep closed-Suction Drain or no Drain. The total blood loss was significantly greater in those with a Drain (568 ml versus 119 ml, p versus 119 ml, p We have been unable to provide evidence to support the use of a closed-Suction Drain in cemented knee arthroplasty. It merely interferes with mobilisation and complicates nursing. Reinfusion Drains may, however, prove to be beneficial.
C. Blakeway - One of the best experts on this subject based on the ideXlab platform.
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the use of a closed Suction Drain in total knee arthroplasty
Journal of Bone and Joint Surgery-british Volume, 2003Co-Authors: C. N. A. Esler, C. Blakeway, N. J. FiddianAbstract:We prospectively randomised 100 patients undergoing cemented total knee replacement to receive either a single deep closed-Suction Drain or no Drain.The total blood loss was significantly greater in those with a Drain (568 ml versus 119 ml, p < 0.01; 95% CI 360 to 520) although those without lost more blood into the dressings (55 ml versus 119 ml, p < 0.01; 95% CI −70 to 10). There was no statistical difference in the postoperative swelling or pain score, or in the incidence of pyrexia, ecchymosis, time at which flexion was regained or the need for manipulation, or in the incidence of infection at a minimum of five years after surgery in the two groups.We have been unable to provide evidence to support the use of a closed-Suction Drain in cemented knee arthroplasty. It merely interferes with mobilisation and complicates nursing. Reinfusion Drains may, however, prove to be beneficial.
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the use of a closed Suction Drain in total knee arthroplasty a prospective randomised study
Journal of Bone and Joint Surgery-british Volume, 2003Co-Authors: C. N. A. Esler, C. Blakeway, N. J. FiddianAbstract:We prospectively randomised 100 patients undergoing cemented total knee replacement to receive either a single deep closed-Suction Drain or no Drain. The total blood loss was significantly greater in those with a Drain (568 ml versus 119 ml, p versus 119 ml, p We have been unable to provide evidence to support the use of a closed-Suction Drain in cemented knee arthroplasty. It merely interferes with mobilisation and complicates nursing. Reinfusion Drains may, however, prove to be beneficial.
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The use of a closed-Suction Drain in total knee arthroplasty
The Journal of Bone and Joint Surgery. British volume, 2003Co-Authors: C. N. A. Esler, C. Blakeway, N. J. FiddianAbstract:We prospectively randomised 100 patients undergoing cemented total knee replacement to receive either a single deep closed-Suction Drain or no Drain. The total blood loss was significantly greater in those with a Drain (568 ml versus 119 ml, p versus 119 ml, p We have been unable to provide evidence to support the use of a closed-Suction Drain in cemented knee arthroplasty. It merely interferes with mobilisation and complicates nursing. Reinfusion Drains may, however, prove to be beneficial.
T W R Briggs - One of the best experts on this subject based on the ideXlab platform.
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autotransfusion Drains in total knee replacement are they alternatives to homologous transfusion
International Orthopaedics, 2007Co-Authors: T Abuzakuk, Senthil V Kumar, Y Shenava, C Bulstrode, J A Skinner, S R Cannon, T W R BriggsAbstract:We prospectively randomised 104 consecutive patients undergoing primary cemented total knee arthroplasty into two groups of 52 patients each, with one group to receive a standard Suction Drain (Redivac) and the other, an autologous transfusion Drain (Bellovac). Randomisation was achieved using the software programme MINIM, which was set to randomly allocate patients to either of the two groups based on their age, sex and body mass index (BMI). All procedures were performed under pneumatic tourniquet. Drains were released in the recovery room 20 min after surgery and removed 24 h following surgery. Blood collected in the standard Suction Drain (control group) was discarded, while blood collected in the autologous transfusion Drains (study group) was transfused unwashed back to the patient within 6 h of collection. Thirteen patients (25%) in the study group had two or more units of homologous blood transfused in addition to the blood collected postoperatively and re-transfused (average: 438 ml). Twelve patients (23%) in the control group had two or more units of homologous blood transfused. No sepsis, transfusion reactions or coagulopathies were associated with the autologous blood transfused in the study group. The use of the autologous transfusion system (Bellovac) proved to be safe but failed to reduce the need for postoperative homologous blood transfusion following uncomplicated total knee arthroplasty.
Yoshiyasu Arai - One of the best experts on this subject based on the ideXlab platform.
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methicillin resistant staphylococcus aureus nasal swab and Suction Drain tip cultures in 4573 spinal surgeries efficacy in management of surgical site infections
Spine, 2017Co-Authors: Atsuyuki Kawabata, Kenichiro Sakai, Hirokazu Sato, Shinichi Sasaki, Ichiro Torigoe, Masaki Tomori, Masato Yuasa, Yu Matsukura, Yoshiyasu AraiAbstract:STUDY DESIGN A retrospective single-center study. OBJECTIVE To assess the diagnostic value of methicillin-resistant Staphylococcus aureus (MRSA) nasal swab and Suction Drain tip cultures. SUMMARY OF BACKGROUND DATA The prognostic value of MRSA nasal swab and Suction Drain tip cultures has not been firmly established in spinal surgery. METHODS This study retrospectively included 4573 consecutive patients who underwent spinal surgery between January 2008 and December 2014. Patients diagnosed with infectious disease were excluded. Prophylactic antibiotics were administered intraoperatively and postoperatively for 48 hours. MRSA nasal swab cultures were taken from all patients before surgery. Drains were removed when the volume of postoperative fluid Drainage was less than 50 mL in the preceding 24 hours and cultures were made. Surgical site infection (SSI) was defined according to Centers for Disease Control and Prevention criteria. RESULTS SSI was identified in 94 cases (2.1%) and bacteria were isolated in 87 cases (92.6%). Positive MRSA nasal swab cultures were identified in 49 cases (1.1%). There was no significant difference in the SSI positivity rate between the MRSA nasal swab culture (+) and (-) groups. Positive Drain tip cultures were found in 382 cases (8.4%), 28 of which developed SSI. There was a significant difference in the SSI positivity rate between the Drain tip culture (+) and (-) groups. The sensitivity of Drain tip culture was 29.8% and the specificity was 92.1%. In 16 of the 28 patients in the SSI (+) group with positive Drain cultures, the same bacteria were isolated from the surgical site, giving a bacteria matching rate of 57.1%. CONCLUSION MRSA nasal swab and Drain tip cultures were not useful for predicting SSI. However, Drain tip culture had a high positivity rate in the SSI group and the coincidence rate for the causative pathogen was relatively high. LEVEL OF EVIDENCE 4.
