The Accuracy of Blood Loss Estimation After Simulated Vaginal Delivery

Visual blood loss estimation often underestimates blood loss. In this study we sought to determine the effect of calibrated drape markings on blood loss estimation in a simulated vaginal delivery. Subjects were randomized to estimate simulated blood loss (300, 500, 1000, and 2000 mL) in calibrated o...

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Published inAnesthesia and analgesia Vol. 105; no. 6; pp. 1736 - 1740
Main Authors Toledo, Paloma, McCarthy, Robert J., Hewlett, Bradley J., Fitzgerald, Paul C., Wong, Cynthia A.
Format Journal Article
LanguageEnglish
Published Hagerstown, MD International Anesthesia Research Society 01.12.2007
Lippincott
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Abstract Visual blood loss estimation often underestimates blood loss. In this study we sought to determine the effect of calibrated drape markings on blood loss estimation in a simulated vaginal delivery. Subjects were randomized to estimate simulated blood loss (300, 500, 1000, and 2000 mL) in calibrated or noncalibrated vaginal delivery drapes and then crossover. Visual blood loss estimation with noncalibrated drapes underestimated blood loss, with worsening accuracy at larger volumes (16% error at 300 mL to 41% at 2000 mL). The calibrated drape error was <15% at all volumes. Calibrated vaginal delivery drapes improve blood loss estimation.
AbstractList Visual blood loss estimation often underestimates blood loss. In this study we sought to determine the effect of calibrated drape markings on blood loss estimation in a simulated vaginal delivery. Subjects were randomized to estimate simulated blood loss (300, 500, 1000, and 2000 mL) in calibrated or noncalibrated vaginal delivery drapes and then crossover. Visual blood loss estimation with noncalibrated drapes underestimated blood loss, with worsening accuracy at larger volumes (16% error at 300 mL to 41% at 2000 mL). The calibrated drape error was <15% at all volumes. Calibrated vaginal delivery drapes improve blood loss estimation.
Visual blood loss estimation often underestimates blood loss. In this study we sought to determine the effect of calibrated drape markings on blood loss estimation in a simulated vaginal delivery.BACKGROUNDVisual blood loss estimation often underestimates blood loss. In this study we sought to determine the effect of calibrated drape markings on blood loss estimation in a simulated vaginal delivery.Subjects were randomized to estimate simulated blood loss (300, 500, 1000, and 2000 mL) in calibrated or noncalibrated vaginal delivery drapes and then crossover.METHODSSubjects were randomized to estimate simulated blood loss (300, 500, 1000, and 2000 mL) in calibrated or noncalibrated vaginal delivery drapes and then crossover.Visual blood loss estimation with noncalibrated drapes underestimated blood loss, with worsening accuracy at larger volumes (16% error at 300 mL to 41% at 2000 mL). The calibrated drape error was <15% at all volumes.RESULTSVisual blood loss estimation with noncalibrated drapes underestimated blood loss, with worsening accuracy at larger volumes (16% error at 300 mL to 41% at 2000 mL). The calibrated drape error was <15% at all volumes.Calibrated vaginal delivery drapes improve blood loss estimation.CONCLUSIONSCalibrated vaginal delivery drapes improve blood loss estimation.
Author Fitzgerald, Paul C.
McCarthy, Robert J.
Toledo, Paloma
Hewlett, Bradley J.
Wong, Cynthia A.
AuthorAffiliation From the Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
AuthorAffiliation_xml – name: From the Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
Author_xml – sequence: 1
  givenname: Paloma
  surname: Toledo
  fullname: Toledo, Paloma
  organization: From the Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
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  givenname: Cynthia
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  middlename: A.
  fullname: Wong, Cynthia A.
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Keywords Human
Anesthesia
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Simulation
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Blood loss
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Snippet Visual blood loss estimation often underestimates blood loss. In this study we sought to determine the effect of calibrated drape markings on blood loss...
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SubjectTerms Biological and medical sciences
Blood Loss, Surgical
Delivery, Obstetric - instrumentation
Delivery, Obstetric - methods
Delivery. Postpartum. Lactation
Female
Gynecology. Andrology. Obstetrics
Humans
Male
Medical sciences
Postpartum Hemorrhage - diagnosis
Surgical Equipment
Title The Accuracy of Blood Loss Estimation After Simulated Vaginal Delivery
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