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Related Experiment Videos

Establishing transfusion needs in burn patients.

Kara K Criswell1, Richard L Gamelli

  • 1The Burn and Shock Trauma Institute, Loyola University Medical Center, 2160 South First Avenue, Maywood, IL 60153, USA. kkcriswellmd@yahoo.com

American Journal of Surgery
|March 29, 2005
PubMed
Summary

Estimating burn excision area helps predict blood transfusion needs, reducing unnecessary transfusions and improving patient outcomes. This method leads to a lower cross-match-to-transfusion ratio (CMTR) in surgical settings.

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Area of Science:

  • Surgical Oncology
  • Trauma Surgery
  • Burn Care

Background:

  • Hemorrhage during burn excision surgery can be substantial, despite blood conservation methods.
  • Predicting blood loss and transfusion requirements per operation is challenging, often leading to high cross-match-to-transfusion ratios (CMTRs).

Purpose of the Study:

  • To evaluate the relationship between the area of burn excision and the need for blood transfusions.
  • To determine if excision area can predict transfusion requirements and influence CMTR.

Main Methods:

  • Retrospective chart review of adult patients with >20% total body surface area burns from 2001-2003.
  • Analysis of variables including excised area, estimated blood loss, packed red blood cells transfused, hematocrit levels, and CMTR.

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Main Results:

  • A total of 273 operations were reviewed.
  • A transfusion ratio of 1.78 units of packed red blood cells per 1000 cm² excised was determined to maintain hematocrit between 25-31% (P = 0.02).

Conclusions:

  • The area excised during burn surgery is a reliable predictor of transfusion needs.
  • Utilizing excision area estimation can lead to a reduced CMTR at healthcare institutions.