FIELD: medicine; surgery; combustiology.
SUBSTANCE: differentiated determination of BCC, hemoglobin and hematocrit before and after surgery, hemoglobin level and hematocrit of the transfusion medium is carried out and the volume of intraoperative blood loss is determined by the following formula:, V — volume of intraoperative blood loss, ml; m — body weight, kg; k1 — coefficient corresponding to the Gilcher's rule; preHb is the concentration of hemoglobin in the blood 6-12 hours before surgery, g/l; TrHb — hemoglobin of the transfused transfusion medium, calculated by the formula,
postHb is the concentration of hemoglobin in the blood 24 hours after surgery, g/l; Vtr — volume of transfusion, l; k2 — hematocrit of the transfusion medium; preHct — blood hematocrit 6–12 hours before surgery, %; postHct — blood hematocrit 24 hours after surgery, %.
EFFECT: method allows to increase the accuracy of determining the volume of blood loss during necrectomy with free autodermoplasty, which makes it possible to identify the most effective method for minimizing blood loss during surgery and, as a result, to minimize postoperative complications.
1 cl, 1 ex
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Authors
Dates
2023-05-18—Published
2022-08-03—Filed