METHOD OF BLOOD SAVING OF PATIENT AT ORTHOPEDIC SURGICAL INTERVENTIONS WITH PROGNOSTICATED SIGNIFICANT OR MASSIVE HEMORRHAGE

摘要

FIELD: medicine.;SUBSTANCE: invention concerns medicine, namely to orthopedic surgery and can be used at orthopedic operative measures with a prognosticated significant or massive hemorrhage, in particular, during endoprosthesis replacement of joints. For this purpose directly ahead of anaesthesia provide achievement of acute euvolemic hemodilutions by taking of an autoblood with a restoration of hemorrhage with crystalloids. Provide a controlled hypotension by administering of anaesthetic during all operative measure. For provision of intraoperative normovolemias perform administering of Gelofuzine and Reamberine preparations. Before wound mending, perform a reinfusion of the autoblood taken before the operation. Then carry out drainage of an operational wound performing in step by step with a reinfusion of drainage blood of high degree of clearing. Administer anticoagulants in 12 hours after an operative measure.;EFFECT: prevention of implantation syndrome.;3 ex