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Iran J Neurosurg 2024, 10 - Continuous Publishing: 0-0 |
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Ashraf A, Yousefzadeh-Chabok S, Shakeri boroujeni M, Fahimi A, Eslami kenarsari H. Relationship between the number of blood gauze consumed and hemoglobin drop in craniotomy surgeries. Iran J Neurosurg 2024; 10 : 27
URL: http://irjns.org/article-1-434-en.html
URL: http://irjns.org/article-1-434-en.html
Ali Ashraf * 
1, Shahrokh Yousefzadeh-Chabok2 , Mehrnoosh Shakeri boroujeni3 , Amirhossein Fahimi4 , Habib Eslami kenarsari5
1, Shahrokh Yousefzadeh-Chabok2 , Mehrnoosh Shakeri boroujeni3 , Amirhossein Fahimi4 , Habib Eslami kenarsari5
1- Poursina Clinical Research Development Unit, Hospital Poursina, Guilan University of Medical Sciences, Rasht, Iran , crdu_poursina@gums.ac.ir
2- Guilan Road Trauma Research Center, Trauma Institute, Guilan University of Medical Sciences, Rasht, Iran
3- Poursina Clinical Research Development Unit, Hospital Poursina, Guilan University of Medical Sciences, Rasht, Iran
4- Poursina Clinical Research Development Unit, Hospital Poursina, Guilan University of Medical Sciences, Rasht, Iran.
5- Vice-Chancellorship of Research and Technology, Guilan University of Medical Science, Rasht, Iran
2- Guilan Road Trauma Research Center, Trauma Institute, Guilan University of Medical Sciences, Rasht, Iran
3- Poursina Clinical Research Development Unit, Hospital Poursina, Guilan University of Medical Sciences, Rasht, Iran
4- Poursina Clinical Research Development Unit, Hospital Poursina, Guilan University of Medical Sciences, Rasht, Iran.
5- Vice-Chancellorship of Research and Technology, Guilan University of Medical Science, Rasht, Iran
Abstract: (45 Views)
Background and Aim: One of the common complications in craniotomy operations is bleeding, which is associated with serious complications and is sometimes life-threatening.
This study was designed to evaluate the relationship between suction blood volume and blood gas values with hemoglobin drop rate after craniotomy surgery and to identify factors affecting it in hospitalized patients. So that the doctor can use the results of this research to predict the amount of blood loss during the operation and avoid unnecessary blood transfusion in the patient.
Methods and Materials/Patients: 97 patients with a history of craniotomy surgery in the first 6 months of 2019 were included in the study. The information of the patients were recorded based on laboratory documentation. To calculate the volume of blood lost during the operation, the volume of blood suctioned from the operation description sheet and the volume of blood absorbed by gauzes were calculated and recorded by weighing them. Data were analyzed with IBM SPSS Statistics software version 22.
Results: The average age of the patients was 55.11 years and 59.8% were male.Hypertension was associated with 93.9% of the most common diseases and 32% of patients received blood during the operation. Based on the results of this study, blood volume, blood gauzes, suctioned blood and total blood volume are significantly related to hemoglobin drop and their ability to predict hemoglobin drop is 6.6%, 14.1% and 11.2% respectively. Be The cut-off point for excessive bleeding was calculated as 110.75 cc for blood gas weight, 275 cc for suctioned blood volume, and 391.8 cc for total bleeding volume.
Conclusion: The effect coefficient of blood weight of blood gauzes is higher than whole blood and suctioned blood respectively in predicting the amount of hemoglobin drop-in craniotomy surgery.
This study was designed to evaluate the relationship between suction blood volume and blood gas values with hemoglobin drop rate after craniotomy surgery and to identify factors affecting it in hospitalized patients. So that the doctor can use the results of this research to predict the amount of blood loss during the operation and avoid unnecessary blood transfusion in the patient.
Methods and Materials/Patients: 97 patients with a history of craniotomy surgery in the first 6 months of 2019 were included in the study. The information of the patients were recorded based on laboratory documentation. To calculate the volume of blood lost during the operation, the volume of blood suctioned from the operation description sheet and the volume of blood absorbed by gauzes were calculated and recorded by weighing them. Data were analyzed with IBM SPSS Statistics software version 22.
Results: The average age of the patients was 55.11 years and 59.8% were male.Hypertension was associated with 93.9% of the most common diseases and 32% of patients received blood during the operation. Based on the results of this study, blood volume, blood gauzes, suctioned blood and total blood volume are significantly related to hemoglobin drop and their ability to predict hemoglobin drop is 6.6%, 14.1% and 11.2% respectively. Be The cut-off point for excessive bleeding was calculated as 110.75 cc for blood gas weight, 275 cc for suctioned blood volume, and 391.8 cc for total bleeding volume.
Conclusion: The effect coefficient of blood weight of blood gauzes is higher than whole blood and suctioned blood respectively in predicting the amount of hemoglobin drop-in craniotomy surgery.
Article number: 27
Type of Study: Research |
Subject:
Basic Neurosurgery
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This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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