Continuous hemoglobin measurement during frontal advancement operations can improve patient outcomes

Massive hemorrhage in pediatric cranioplasty operations may necessitate blood transfusion, which may cause many complications. Radical-7 Pulse CO-Oximeter (Massimo Corporation, Irvine, CA) can provide continuous hemoglobin concentration (SpHb) measurements noninvasively. In this study, we aimed to e...

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Bibliographic Details
Published in:Journal of clinical monitoring and computing 2022-12, Vol.36 (6), p.1689-1695
Main Authors: Saracoglu, Ayten, Abdullayev, Ruslan, Sakar, Mustafa, Sacak, Bulent, Girgin Incekoy, Feyza, Aykac, Zuhal
Format: Article
Language:English
Subjects:
Anesthesiology
Blood
Blood Loss, Surgical
Blood transfusion
Case-Control Studies
Child
Clinical outcomes
Critical Care Medicine
Decision making
Demographic variables
Demographics
Erythrocytes
Female
Health Sciences
Hemodynamics
Hemoglobin
Hemoglobins - analysis
Hemorrhage
Humans
Intensive
Laboratories
Male
Medicine
Medicine & Public Health
Monitoring
Monitoring, Intraoperative
Original Research
Oximetry
Patients
Pediatrics
Retrospective Studies
Statistics for Life Sciences
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Summary:Massive hemorrhage in pediatric cranioplasty operations may necessitate blood transfusion, which may cause many complications. Radical-7 Pulse CO-Oximeter (Massimo Corporation, Irvine, CA) can provide continuous hemoglobin concentration (SpHb) measurements noninvasively. In this study, we aimed to evaluate the effects of SpHb measurement on perioperative transfusion management and postoperative patient outcomes. For this retrospective case–control study, we collected the data of pediatric patients undergoing fronto-orbital advancement surgery for plagiocephaly and trigonocephaly between 2018 and 2021. Perioperative SpHb monitoring was performed for patients in the SpHb Group. Other patients that were managed conventionally were considered as the control group (C Group). The data on patients' demographic and clinical characteristics, intraoperative hemodynamic and laboratory variables such as blood gases, intraoperative blood losses, the amount of the transfused blood products, the length of postoperative intensive care unit (ICU) stay, and the duration of hospital stay were collected. The data of 42 patients were collected, and 29 of these patients were males (69%). In 16 of the patients, SpHb monitoring was performed. The demographic, clinical, and perioperative hemodynamic characteristics of the patients were comparable between the groups. Compared to the C Group, the SpHb Group had significantly lower perioperative packed red blood cell (PRBC) transfusion (136.3 ± 40.1 vs. 181.5 ± 74.8 mL, P = 0.015), less postoperative drainage (125.3 ± 47.7 vs. 185.8 ± 97.6 mL, P = 0.013), and shorter ICU stay (37.1 ± 12.0 vs. 64.8 ± 24.9 h, P 
ISSN:1387-1307
1573-2614
DOI:10.1007/s10877-022-00813-5