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Continuous hemoglobin measurement during frontal advancement operations can improve patient outcomes

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dc.contributor.authorSARAÇOĞLU, AYTEN
dc.contributor.authorABDULLAYEV, RUSLAN
dc.contributor.authorSAÇAK, BÜLENT
dc.contributor.authorAYKAÇ, ZEYNEP ZUHAL
dc.contributor.authorSAKAR, MUSTAFA
dc.contributor.authorsSaraçoğlu A., Abdullayev R., Sakar M., Saçak B., Incekoy F. G., Aykac Z.
dc.date.accessioned2023-03-20T07:42:38Z
dc.date.available2023-03-20T07:42:38Z
dc.date.issued2022-12-01
dc.description.abstractMassive hemorrhage in pediatric cranioplasty operations may necessitate blood transfusion, which may cause many complications. Radical-7 Pulse CO-Oximeter (Massimo Corporation, Irvine, CA) can provide continuous hemoglobin concentration (SpHb) measurements noninvasively. In this study, we aimed to evaluate the effects of SpHb measurement on perioperative transfusion management and postoperative patient outcomes. For this retrospective case-control study, we collected the data of pediatric patients undergoing fronto-orbital advancement surgery for plagiocephaly and trigonocephaly between 2018 and 2021. Perioperative SpHb monitoring was performed for patients in the SpHb Group. Other patients that were managed conventionally were considered as the control group (C Group). The data on patients\" demographic and clinical characteristics, intraoperative hemodynamic and laboratory variables such as blood gases, intraoperative blood losses, the amount of the transfused blood products, the length of postoperative intensive care unit (ICU) stay, and the duration of hospital stay were collected. The data of 42 patients were collected, and 29 of these patients were males (69%). In 16 of the patients, SpHb monitoring was performed. The demographic, clinical, and perioperative hemodynamic characteristics of the patients were comparable between the groups. Compared to the C Group, the SpHb Group had significantly lower perioperative packed red blood cell (PRBC) transfusion (136.3 +/- 40.1 vs. 181.5 +/- 74.8 mL, P = 0.015), less postoperative drainage (125.3 +/- 47.7 vs. 185.8 +/- 97.6 mL, P = 0.013), and shorter ICU stay (37.1 +/- 12.0 vs. 64.8 +/- 24.9 h, P < 0.001). There was a positive correlation between the amount of PRBC transfusion and the length of ICU stay (r = 0.459, P = 0.003). Patients with perioperative continuous SpHb measurement have lower intraoperative PRBC transfusion, less postoperative bleeding, and shorter ICU stay. When necessary, SpHb, together with clinical judgment and laboratory confirmation, can be used in decision-making for perioperative PRBC transfusion.
dc.identifier.citationSaraçoğlu A., Abdullayev R., Sakar M., Saçak B., Incekoy F. G., Aykac Z., "Continuous hemoglobin measurement during frontal advancement operations can improve patient outcomes", JOURNAL OF CLINICAL MONITORING AND COMPUTING, cilt.36, sa.6, ss.1689-1695, 2022
dc.identifier.doi10.1007/s10877-022-00813-5
dc.identifier.endpage1695
dc.identifier.issn1387-1307
dc.identifier.issue6
dc.identifier.startpage1689
dc.identifier.urihttps://avesis.marmara.edu.tr/api/publication/87b2023b-2327-4c90-816a-4bf445a6b33c/file
dc.identifier.urihttps://hdl.handle.net/11424/287648
dc.identifier.volume36
dc.language.isoeng
dc.relation.ispartofJOURNAL OF CLINICAL MONITORING AND COMPUTING
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectSağlık Bilimleri
dc.subjectCerrahi Tıp Bilimleri
dc.subjectAnesteziyoloji
dc.subjectMedicine
dc.subjectHealth Sciences
dc.subjectSurgery Medicine Sciences
dc.subjectAnesthesiology
dc.subjectANESTEZİYOLOJİ
dc.subjectKlinik Tıp
dc.subjectKlinik Tıp (MED)
dc.subjectANESTHESIOLOGY
dc.subjectCLINICAL MEDICINE
dc.subjectClinical Medicine (MED)
dc.subjectAnesthesiology and Pain Medicine
dc.subjectHemorrhage
dc.subjectNoninvasive hemoglobin
dc.subjectPediatric
dc.subjectTransfusion
dc.subjectPULSE CO-OXIMETRY
dc.subjectACCURACY
dc.subjectHemorrhage
dc.subjectNoninvasive hemoglobin
dc.subjectPediatric
dc.subjectTransfusion
dc.titleContinuous hemoglobin measurement during frontal advancement operations can improve patient outcomes
dc.typearticle
dspace.entity.typePublication
local.avesis.id87b2023b-2327-4c90-816a-4bf445a6b33c
local.indexed.atWOS
local.indexed.atPUBMED
local.indexed.atSCOPUS
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