title: The method and accuracy of documentation of intraoperative fluids management in liver transplantation recipients.
abstract: BACKGROUND
  In liver transplantation, blood loss can be massive, requiring timely and rapid fluid resuscitation. Maintaining proper documentation of fluids during such situations can be difficult and may often lead to counting errors. We report our method of documentation of fluid management during liver transplantation.
  
  
  METHODS
  Each unit of red blood cells (125 cc) that comes from the blood bank had a serial number of 10 Arabic numbers which were verified and double-checked. Each unit was then numbered and labeled as encircled absolute numbers (e.g., 1, 2, 3). Both the encircled number and the serial number of the bag were recorded in the anesthesia chart. Each liter of crystalloids and colloids were similarly numbered and labeled in sequence for ease of calculation. At the end of the operation, the nurse anesthetist ascertains that the number of units of blood products used matched with the number of units supplied by the blood bank. The total amounts of crystalloids and colloids given during the operation was also calculated, rechecked and written in a tabulated form.
  
  
  RESULTS
  Since the introduction of this method, we have detected and readily corrected 3 incidences of counting discrepancy in the total units of blood products transfused and the products supplied by the blood bank. Moreover, our records have now become transparent data that are easily retrievable for future scientific research.
  
  
  CONCLUSIONS
  Our method of documentation of fluid management during liver transplantation is easy, accurate and effective.
authors: Department of Anesthesiology, Chang Gung, Memorial Hospital - Kaohsiung Medical Center, and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
authors: Hsiu-Lan
authors: HL
authors: Liao
authors: Chao-Long
authors: CL
authors: Chen
authors: Chih-Hsien
authors: CH
authors: Wang
authors: Chi-Ling
authors: CL
authors: Chen
authors: Chia-Jung
authors: CJ
authors: Huang
authors: Kwok-Wai
authors: KW
authors: Cheng
authors: Chih-Chi
authors: CC
authors: Wang
authors: Allan M
authors: AM
authors: Concejero
authors: Shir-Hor
authors: SH
authors: Wang
authors: Yueh-Wei
authors: YW
authors: Liu
authors: Kailash
authors: K
authors: Jawade
authors: Shao-Chun
authors: SC
authors: Wu
authors: Bruno
authors: B
authors: Jawan
mesh_terms: D000328:Adult; D001771:Blood Banks; D001803:Blood Transfusion / Q000706:statistics & numerical data; D002648:Child; D004282:Documentation / Q000379:methods* / Q000706:statistics & numerical data; D005440:Fluid Therapy / Q000379:methods / Q000706:statistics & numerical data; D006801:Humans; D007430:Intraoperative Care / Q000379:methods* / Q000706:statistics & numerical data; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D012189:Retrospective Studies; D013624:Taiwan