Title of article :
Establishing transfusion needs in burn patients
Author/Authors :
Kara K. Criswell، نويسنده , , Richard L. Gamelli، نويسنده ,
Issue Information :
روزنامه با شماره پیاپی سال 2005
Pages :
3
From page :
324
To page :
326
Abstract :
Background Despite blood-conservation techniques, hemorrhage during burn excision remains substantial. It is difficult to predict the blood loss that will occur per operation and how many units the patient will require during surgery. This may result in high cross-match-to-transfusion ratios (CMTRs). Methods A retrospective chart review from 2001 to 2003 was performed. All adult patients with >20% total body surface area burns who underwent surgery were included in the study. Variables examined were centimeters excised, estimated blood loss, packed red blood cells transfused during surgery, preoperative and postoperative hematocrit, and CMTR. Results There were 273 operations. The average estimated blood loss was 820 mL, and; the median posttransfusion hematocrit was 27. Based on the area excised and units transfused, a ratio of packed red blood cells/cm excised was determined. A total of 1.78 U blood were transfused/1000 cm2 excised to keep hematocrit between 25 and 31; P = 0.02. Conclusions Estimation of excision area can predict transfusion need, which at our institution yields a low CMTR.
Keywords :
Blood , Burn , Cross-match–to–transfusion ratio , Excision conservation
Journal title :
The American Journal of Surgery
Serial Year :
2005
Journal title :
The American Journal of Surgery
Record number :
617867
Link To Document :
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