[Prognostication of acute intraoperative bleeding in children with burn wounds undergoing tangential necrectomy and auto-dermatoplasty].
The aim of this study was to estimate the blood loss of children undergoing tangential necrectomies and skin grafting by using gravimetric methods. Also we had to estimate the influence of age upon the quantity of blood loss. We examined 50 cases. The body surface from which the intraoperative bleeding took place included the areas of tangential necrectomy and skin harvesting. The bleeding was controlled by electrocoagulation and wound dressing, soaked with epinephrine solution 1:50,000. The blood loss was estimated by weighing the material before and after the operation, excluding from the amount the quantity of the epinephrine solution. We divided the children into 3 groups according to their age: first--up to 1 year, second--1-3 year old, third--3-15 year old. By using the gravimetric method we found out that the mean blood loss from the areas of necrectomy and harvesting is 0.47 +/- 0.1 ml/cm2. The age of children does not influence the intensiveness of bleeding per square measure site of the necrectomy and harvesting area. The blood loss is a constant quantity and is equal to 0.47 +/- 0.1 ml/cm2. The blood loss that takes place from one percent of the necrectomy and harvesting areas is approximately equal to 2.05% of the circulating blood volume.
Brazauskiene
Elena
E
Kauno medicinos universiteto Anesteziologijos klinika, Eiveniu 2, 3007, Kaunas.
Klebanovas
Jurijus
J
D000293:Adolescent; D000367:Age Factors; D016063:Blood Loss, Surgical; D002056:Burns / Q000473:pathology / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D003646:Debridement; D017707:Erythrocyte Transfusion; D006801:Humans; D007223:Infant; D009336:Necrosis; D011379:Prognosis; D016038:Skin Transplantation