Bloodless Surgery & Bloodless Medicine

Bloodless Surgery & Bloodless Medicine

Bloodless surgery refers to surgery that doesn’t use blood transfusions. A blood transfusion occurs when a patient is given donated blood or blood components through a tube inserted into a vein in the arm. 

Blood transfusions are generally used to replace blood that’s lost due to injury, illness, or surgery. Many patients, however, refuse transfusions for religious purposes, medical reasons, or other safety concerns.

The team at Beach Orthopaedic Specialty Institute understands and respects this view; in fact, Dr. Christopher Woodson, Dr. Raymond Klug and Dr. Johannes Bernbeck are all bloodless surgeons that specialize in bloodless medicine.

Bloodless Surgery & Bloodless Medicine Techniques & Tools

Bloodless surgeons make sure to screen patients for anemia and treat it before proceeding, ensure patients lose as little blood as possible throughout their care, and help patients’ bodies make the best use of the oxygen in the bloodstream.

In order to achieve this, they use various bloodless surgery techniques and tools, including, but not limited to:

Cell saver system

A cell saver system is used during surgery to collect, recirculate, and readminister the patient’s own blood, which would otherwise have been lost.


Electrocautery uses electrocoagulation to stop vessels from bleeding during surgery. An electrosurgical coagulator limits internal bleeding by clotting the patient’s blood during surgery.

Harmonic scalpel

A harmonic scalpel uses ultrasonic energy to cut and coagulate simultaneously.

Intraoperative hypotension anesthesia

Intraoperative hypotension anesthesia is used during surgery to lower blood pressure in order to minimize bleeding.

Micro sampling

Micro sampling is when very small amounts of blood are drawn for testing, rather than the larger quantities routinely drawn.

Skin monitor

A skin monitor is used during surgery to track oxygen levels in the skin.

Synthetic erythropoietin

Synthetic erythropoietin is a hormone used prior to surgery; this stimulates the patient’s bone marrow to produce more red blood cells, boosting the patient’s hemoglobin levels before surgery.

Volume expanders

These are fluids administered intravenously to dilute the blood. Diluted blood contains a lower concentration of red blood cells, thus reducing the amount of red blood cells lost.

The Benefits of Bloodless Medicine

Bloodless medicine and surgery is a safe, proven, and effective method of treating patients without the use of blood or blood products like red cells, white cells, platelets, and/or plasma. 

What’s more, research shows that patients who don’t receive blood transfusions experience fewer infections, recover faster, and end up leaving the hospital sooner than those who do.

Other benefits include:

  • Faster healing times
  • Fewer reactions from blood stored for a longer period of time
  • No risk from receiving the wrong blood in error
  • Fewer heart attacks and strokes after surgery
  • Reduced reliance on and associated costs of regional and national blood supplies
  • Fewer unnecessary blood draws
  • Reduced demand for blood and blood products

Next Steps

Any patient can request bloodless surgery techniques from their surgeon. The risks, benefits, and alternatives of this approach should be discussed and agreed upon. If this is an approach you would like to explore, please bring it up with your orthopedic surgeon at Beach Orthopaedic Specialty Institute.

Orthopaedic Sports Medicine
Arthroscopy of the Shoulder, Knee & Hip
Joint Preservation & Reconstructive Surgery
Bloodless Surgery

Dr. Raymond Klug, Orthopedic Surgeon specializing in shoulder and elbow surgery

Shoulder and Elbow Surgery
Sports Medicine
Bloodless Surgery

Dr. Johannes Bernbeck

Spine Surgery
Bloodless Surgery


Contact BOSI to learn more about our bloodless medicine options and to make an appointment today.