Authors : Mohammed Idris Azeez, Dhanush C V , Suresh Menon, Etiah Sham, M Karthik Vishwas, Veerendra Kumar
DOI : 10.18231/j.jooo.2022.031
Volume : 8
Issue : 3
Year : 2022
Page No : 144-149
Introduction: The maintenance of the fluid balance of surgical patients is one of the most important responsibilities of the modern surgical team and the proper replacement of blood is perhaps one of the most important phases of this maintenance Although most surgeons and anaesthesiologists well appreciate this fact, they are often faced with the problem of accurately estimating blood loss in order to avoid under-replacement or over-replacement, both of which can have adverse effects in compromised patients.
Materials and Methods: A total number of 50 subjects, both males and females in the age group of 15-50 years who reported to our centre for major surgical procedures under maxillofacial surgery were included in the study. The study was conducted between September 2012 to November 2014.
Results: The intraoperative blood loss in various oral and maxillofacial surgeries ranged from 63.6 – 1343 ml. 15 had 101-200 ml, 5 patients had 301-500 ml and 12 had >500 ml of blood loss. The average intraoperative blood loss in various oral and maxillofacial surgeries was 343.3 ± 256.3 ml.
Discussion: The necessity of replacement of blood depends on the amount of blood loss peri-operatively. In order to have optimal effects, the blood must be administered as it is being lost and in proper amounts. In this study Gravimetric method was used for estimation of blood loss. The gravimetric method offers the surgical team a simple and practical means of estimating the amount of blood loss during the surgery. It will also help in having an analytical idea about the average blood loss and mean reduction in haemoglobin percentage in the various oral and maxillofacial surgeries which will be helpful in evaluating the postoperative necessity of blood transfusion.
Conclusion: Therefore there are very few instances where blood replacement is warranted in majority of the cases of that were operated.
Keywords: Blood loss, Maxillofacial surgery, Fluid replacement.