Research Article

Autologous Blood Transfusion after Local Infiltration Analgesia with Ropivacaine in Total Knee and Hip Arthroplasty

Table 1

Patient characteristics, autotransfusion, and drainage blood data.

Patient characteristicsTKATHA

Number of patients enrolled (male, female)25 (10,15)27 (13,14)
Mean weight (kg) and range85 (59–135)80 (62–105)
Mean age and range (yr)65 (45–88)69 (47–86)
Number of patients given one autotransfusion2527
Number of patients given a second autotransfusion11
Preinfusion data
 Mean serum concentration (μg/mL) and range0.54 (0.27–0.79)a0.62 (0.32–0.97)
 Max. free concentration (μg/mL)0.0220.046
Postinfusion data (1-2 h)
 Mean serum concentration (μg/mL) and range0.79 (0.27–1.0)0.63 (0.29–1.0)
 Max. free concentration (μg/mL)0.0380.035
Mean infusion rate (mg/h) and range2.8 (0.42–7.2)2.8 (0.48–12)
Drainage blood data
 Mean drainage blood volume (mL) and range336 (93–977)190 (66–408)
 Mean drainage blood content of ropivacaine (mg) and range2.6 (0.49–7.2)1.9 (0.2–6.0)
Bolus injection I
 Mean time elapsed after surgery (h) and range8 (5–10)9 (4–13)
 Mean serum concentration (μg/mL) and range1.2 (0.52–1.9)b0.96 (0.48-1.7)d
 Max. free concentration (μg/mL)0.0900.060
Bolus injection II
 Mean time elapsed after bolus I (h) and range10 (7–12)8 (5–10)
 Mean serum concentration (μg/mL) and range1.7 (0.53–2.6)c1.5 (0.54–2.3)e
 Max. free concentration (μg/mL)0.110.070

a , 2 patients excluded due to late sampling after bolus injections.
b , 7 TKA patients did not receive Bolus I.
c , 4 TKA patients but not receive Bolus II.
d , 9 THA patients did not receive Bolus I.
e , 8 THA patients did not receive Bolus II.