Increased interleukin-6 in collected drainage blood after total knee arthroplasty: An association with febrile reactions during retransfusion

Authors

  • Martin Handel
  • Jochen Winkler
  • Rainer F Hörnlein
  • Hinnak Northoff
  • Peter Heeg
  • Martin Teschner
  • Stefan Sell

DOI:

https://doi.org/10.1080/00016470152846600

Abstract

We determined interleukin-6 (IL-6) concentrations in collected shed drainage blood intended for retransfusion in a prospective study in 81 patients after total knee replacement. We found large increases in IL-6 levels, averaging 6.5 (SD 3.9) ng/mL, in shed blood collected in the first 6 postoperative hours. 3 patients had febrile reactions after collected blood was retransfused. The IL-6 levels in the drainage blood of these patients were very high (9.6-13.4 ng/mL). In the blood collected after 6 hours, IL-6 concentrations increased to 47 (SD 33) ng/mL (p < 0.001). These results suggest a relation between increased interleukin-6 concentrations in shed drainage blood and the occurrence of febrile reactions after retransfusion of such blood.

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Published

2001-01-01

How to Cite

Handel, M., Winkler, J., Hörnlein, R. F., Northoff, H., Heeg, P., Teschner, M., & Sell, S. (2001). Increased interleukin-6 in collected drainage blood after total knee arthroplasty: An association with febrile reactions during retransfusion. Acta Orthopaedica, 72(3), 270–272. https://doi.org/10.1080/00016470152846600

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