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Chapter 14 - Assessment of Intraoperative Blood Loss

Published online by Cambridge University Press:  28 April 2020

Andrew B. Leibowitz
Affiliation:
Icahn School of Medicine at Mount Sinai
Suzan Uysal
Affiliation:
Icahn School of Medicine at Mount Sinai
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Summary

To reduce unneeded red blood cell transfusions and to avoid surgery-induced anemia, it is important to have accurate and timely assessment of intraoperative blood loss. This chapter briefly outlines the American Society of Anesthesiologists and the AABB guidelines regarding assessment and management of blood loss. It describes the primary methods for determining blood loss, including visual assessment, photometric analysis, gravimetric blood loss determination, blood loss formulas using hemoglobin and hematocrit monitoring, and imaging analysis. The chapter concludes with a summary comparing the major advantages and disadvantages of each blood loss monitoring methodology.

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Publisher: Cambridge University Press
Print publication year: 2020

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