| Blood loss during extensive escharectomy and auto-microskin grafting in adult male major burn patients. | |
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MedLine Citation:
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PMID: 21354708 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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PURPOSE: To improve the accuracy of blood loss estimation during extensive escharectomy and auto-microskin grafting on extremities in adult male major burn patients. METHOD: All adult male major burn patients admitted to our center who underwent extensive escharectomy and auto-microskin graft on extremities for more than 10%TBSA during the period 1 January 2008 to 31 December 2009 were involved in this study. The blood loss during the operation was estimated by the surgeons or calculated according to the changes in hemoglobin levels. RESULTS: The average burn and escharectomy areas for the 64 burn patients included in the study were 74.16±16.96% and 30.27±15.63%TBSA respectively. The auto-microskin donor area was 3.81%TBSA. The volumes of intra-operative calculated and estimated blood losses and transfused blood during the operation were 0.47ml/cm(2), 0.13ml/cm(2) and 0.20ml/cm(2) surgical area 77.29ml, 20.51ml and 32.83ml per 1%TBSA), respectively. Within two weeks after injury surgical blood loss appeared to be greater the later the operation was carried out. Within the first week after injury the mean proportional blood loss was increased with area excised. CONCLUSION: In this study the average calculated blood loss for the operation of extensive escharectomy and microskin graft in adult male major burn patient was 0.47ml/cm(2) (77.29ml per 1% TBSA). This result will help us to predict expected blood loss more accurately. |
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Authors:
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Gaoxing Luo; Hua Fan; Wei Sun; Yizhi Peng; Lang Chen; Junsheng Tao; Jun Li; Sisi Yang; Xianchang Li; Mark Fitzgerald; Jun Wu |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-2-25 |
Journal Detail:
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Title: Burns : journal of the International Society for Burn Injuries Volume: - ISSN: 1879-1409 ISO Abbreviation: - Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-2-28 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8913178 Medline TA: Burns Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2011 Elsevier Ltd and ISBI. All rights reserved. |
Affiliation:
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Institute of Burn Research, Southwestern Hospital, State Key Lab of Trauma, Burn and Combined Injury, Third Military Medical University, Chongqing 400038, China. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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