2016, Number 5
Pérdida sanguínea por el peso de los textiles y su correlación con la hemoglobina posquirúrgica
Montes-Casillas YE, Zazueta-Medina MF
Language: Spanish
References: 8
Page: 674-678
PDF size: 90.22 Kb.
ABSTRACT
Objective: To determine postsurgical hemoglobin levels and the correlation with trans-surgical textile weight. Materials and methods: A cross-sectional study, including 120 patients who underwent gynecological surgery, was performed in the HGR 1 in Cd. Obregon Sonora, from June to July 2015; the account of textile weight blood loss estimation was carried out and subsequently became an association of hemoglobin levels in the postoperative period, performing the conversion of a gram to one milliliter. There was expected to be an association between blood loss with low levels of hemoglobin; for each lost 500 ml, the hemoglobin decreased by 1 g. Results: 120 patients were evaluated; the average age was 48.65 years. The surgical events were divided in abdominal in 76.67%, breast surgery 19.17%, and vaginal 9.17%. There was a decrease in hemoglobin of 0.74 mg/dl and hematocrit of 1.93%. We found significant association between blood loss and the decrease in hemoglobin with relative risk of 3.01 (95% CI: 1.69-5.36). Conclusions: The main conclusion of this study is to establish that a loss › 500 ml has a direct association with › 1.1 g postoperative hemoglobin decrease and hematocrit reduction › 6%.REFERENCES
De La Peña-Martinez A, Perez-Delgado R, Yepes-Barreto I, De La Peña-Martinez M. Is visual estimation useful in determining the extent por perioperative haemorrhage? A study of correlation among anesthetists of intermediate and high complexity hospitals in Cartagena, Colombia. Rev Colomb Anestesiol. 2014;42(4):247-54. [Internet] Consultado el 3 marzo de 2015. Disponible en: www.revcolanest.com