Basil Budair1, Usman Ahmed1, James Hodson2, Michael David1, Mujeeb Ashraf2, Tim McBride2. 1. Birmingham Orthopaedic Training Programme, Health Education West Midlands, 213 Hagley Road, Birmingham B16 9RG, UK. 2. University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital, Mindelsohn Way, Edgbaston, Birmingham B15 2WB, UK.
Abstract
AIM: To assess how accurately orthopaedic surgeons and anaesthesiologists estimate intraoperative blood loss during hip fracture surgery as part of the Surgical Safety Checklist (SCC). METHODS: A prospective study of 55 operations over 9 months. Pre- and post-operative estimations of blood loss were documented. Actual blood loss was determined by subtracting total amount of lavage fluid used from overall volumes in the suction bag and by weighing used swabs. RESULTS: Both, surgeons and anaesthesiologists, significantly underestimated intraoperative blood loss (p < 0.001). CONCLUSION: Rather than numerical estimates, a more useful question within the SSC may therefore be: "Is excessive blood loss expected?"
AIM: To assess how accurately orthopaedic surgeons and anaesthesiologists estimate intraoperative blood loss during hip fracture surgery as part of the Surgical Safety Checklist (SCC). METHODS: A prospective study of 55 operations over 9 months. Pre- and post-operative estimations of blood loss were documented. Actual blood loss was determined by subtracting total amount of lavage fluid used from overall volumes in the suction bag and by weighing used swabs. RESULTS: Both, surgeons and anaesthesiologists, significantly underestimated intraoperative blood loss (p < 0.001). CONCLUSION: Rather than numerical estimates, a more useful question within the SSC may therefore be: "Is excessive blood loss expected?"
Entities:
Keywords:
Blood loss; Hip fractures; Orthopaedic; Perception
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