Are we all guilty of under-estimating intra-operative blood loss during hip fracture surgery?

Aim: To assess how accurately orthopaedic surgeons and anaesthesiologists estimate intraoperative blood loss during hip fracture surgery as part of the Surgical Safety Checklist (SCC). Methods: A prospective study of 55 operations over 9 months. Pre- and post-operative estimations of blood loss were...

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Publicado en:Journal of Orthopaedics Vol. 14; no. 1; pp. 81 - 85
Autores principales: Budair, Basil, Ahmed, Usman, David, Michael, Hodson, James, Ashraf, Mujeeb, McBride, Tim
Formato: research tables/charts Journal Article
Publicado: Professor PK Surendran Memorial Education Foundation Mar2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2017
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      pub: Professor PK Surendran Memorial Education Foundation
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        10.1016/j.jor.2016.10.019
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        atl: Are we all guilty of under-estimating intra-operative blood loss during hip fracture surgery?
      aug:
        au:
          Budair, Basil
          Ahmed, Usman
          David, Michael
          Hodson, James
          Ashraf, Mujeeb
          McBride, Tim
        affil: Birmingham Orthopaedic Training Programme, Health Education West Midlands, 213 Hagley Road, Birmingham B16 9RG, UK
      sug:
        subj:
          Checklists Utilization
          Hip Fractures Surgery
          Prospective Studies Methods
          Blood
          Blood Loss Estimation
          Therapeutic Irrigation
          Pearson's Correlation Coefficient
          Prospective Studies
          Data Collection
          Study Design
          Paired T-Tests
          Checklists
          Data Analysis
          Correlation Coefficient
          Confidence Intervals
          Linear Regression
          Kruskal-Wallis Test
          Literature Review
          Regression
      ab: Aim: To assess how accurately orthopaedic surgeons and anaesthesiologists estimate intraoperative blood loss during hip fracture surgery as part of the Surgical Safety Checklist (SCC). Methods: A prospective study of 55 operations over 9 months. Pre- and post-operative estimations of blood loss were documented. Actual blood loss was determined by subtracting total amount of lavage fluid used from overall volumes in the suction bag and by weighing used swabs. Results: Both, surgeons and anaesthesiologists, significantly underestimated intraoperative blood loss (p< 0.001). Conclusion: Rather than numerical estimates, a more useful question within the SSC may therefore be: "Is excessive blood loss expected?"
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
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      ougenre: Article
    language: English
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