Associated lesions in multiple trauma of the pelvis. Diagnostic and therapeutic considerations.

On the basis of 80 cases of traumatic lesion of the pelvis with associated vascular and visceral lesions, observed between 1985 and 1994 at the Department of Surgery in Modena and at the Rizzoli Orthopaedic Institute in Bologna, the options for diagnosis as related to the specificity of lesions are examined, and the choices of indications and surgical technique are illustrated.

[Hypotension controlled with ATP in orthopedic surgery: incidence of atrio-ventricular conduction disorders].

Adenosine triphosphate (ATP) has been effectively used for induced hypotension in man. Atrio-Ventricular (A-V) conduction disturbances have been observed after adenosine bolus injection and during continuous ATP i.v.

Anesthesiologic findings in surgery for the treatment of trauma of the pelvis.

The authors discuss the numerical increase in fractures of the acetabulum and the extent of surgical indications for their treatment, emphasizing the modernness and the usefulness of methods used to save blood in this type of surgery, which often involves a considerable loss. Out of 150 operations performed between 1985 and 1990 for trauma of the pelvis, 35% of the patients was not transfused with homologous blood, 25% was transfused with 1 U, 40% with several units (4.7 U on the average).

Autologous blood pre-deposit in cemented hip arthroplasty.

The authors examine one of the methods used to avoid homologous blood transfusion in patients submitted to cemented hip arthroplasty. Although the series is not a numerous one (25 cases) it does show that even the pre-deposit of single unit of autologous blood is capable of eliminating the need for homologous blood transfusion in 96% of all cases.