Abstract | BACKGROUND: Significant blood loss continues to plague early tangential excision of the burn wound. Although various techniques to reduce intraoperative blood loss have been described, there is an absence of uniformity and consistency in their application. Furthermore, it is unclear whether these techniques compromise intraoperative tissue assessment and wound outcome. The purpose of this study was to evaluate the effects of a comprehensive intraoperative blood conservation strategy on blood loss, transfusion requirements, and wound outcome in burn surgery. METHODS: RESULTS: Estimated blood loss was reduced from 211 +/- 166 mL per percentage body surface area excised and grafted in the HIST group to 123 +/- 106 mL in the CONSV group (p = 0.02). Similarly, the intraoperative transfusion requirement in the HIST group was reduced from 3.3 +/- 3.1 units per case to 0.1 +/- 0.3 units per case in the CONSV group (p < 0.001). There was no compromise in wound outcome in the CONSV group, which had a mean skin graft take rate of 96 +/- 4.2%. CONCLUSION: The application of a strict and comprehensive intraoperative blood conservation strategy during burn excision and grafting resulted in a profound reduction in blood loss and transfusion requirements, without compromising wound outcome.
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Authors | R Cartotto, M A Musgrave, M Beveridge, J Fish, M Gomez |
Journal | The Journal of trauma
(J Trauma)
Vol. 49
Issue 6
Pg. 1034-9
(Dec 2000)
ISSN: 0022-5282 [Print] United States |
PMID | 11130485
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Blood Loss, Surgical
(prevention & control)
- Burns
(surgery)
- Case-Control Studies
- Female
- Hemostasis, Surgical
(methods)
- Humans
- Male
- Middle Aged
- Skin Transplantation
- Treatment Outcome
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