DOI: 10.36347/sjmcr.2014.v02i06.014

Pages: 394-396

Joint replacement surgeries are becoming more common now-a-days. Blood loss which occurs during these major surgeries is massive, mainly 1 to 1.5 litres for primary hip and knee replacement surgeries and 2 to 2.5 litres for revision surgery. As scientific data required for better management of blood loss and blood salvage are available, managing patient with blood loss more than 2 to 2.5 litres during intraoperative period is becoming easier with newer and modern methods of blood loss replacement therapy. Complication of allogenic blood transfusion like bacterial contamination, chemical errors which may lead to deaths of patient are becoming less common. This patient requires careful preoperative evaluation for HB and heamatocrit levels. Methods to decrease blood loss intraoperatively like regional anaesthesia ,tourniquet application , drugs like tranexamic acid ,systemic antifibrinolytics and postoperative replacement of blood loss with blood units is required. We are describing here a rare case report of a patient having cavernous haemangioma and osteoarthritis of right knee joint for replacement surgery, successfully managed perioperatively with blood loss of almost 2.5 litres.