Blood conservation: Preoperative, perioperative, and postoperative blood management options

Brian P. Chalmers, Matthew P. Abdel

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Perioperative blood loss during elective total joint arthroplasty (TJA) can be significant, traditionally resulting in high blood transfusion rates. However, due to the risks and costs of allogeneic blood transfusion, the focus in contemporary TJA has been on strategies to minimize perioperative blood loss. While a multimodal approach is paramount in elective TJA, three main factors have contributed dramatically to the reduced allogeneic blood transfusion rates: (1) preoperative assessment and treatment of anemia, (2) expanded use of antifibrinolytics, particularly tranexamic acid (TXA), and (3) a restrictive transfusion strategy postoperatively.

Original languageEnglish (US)
Pages (from-to)259-263
Number of pages5
JournalSeminars in Arthroplasty JSES
Issue number4
StatePublished - Dec 2017


  • Blood conservation
  • Total hip arthroplasty (THA)
  • Total joint arthroplasty (TJA)
  • Total knee arthroplasty (TKA)
  • Tranexamic acid (TXA)

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


Dive into the research topics of 'Blood conservation: Preoperative, perioperative, and postoperative blood management options'. Together they form a unique fingerprint.

Cite this