The Effect of Blood Loss on the Hemodynamics of Pediatric Patients Undergoing Simultaneous Bilateral Cochlear Implantation.
Child
cochlear implantation
hemodynamics
hemoglobin
ideal body weight
Journal
Turkish archives of otorhinolaryngology
ISSN: 2667-7474
Titre abrégé: Turk Arch Otorhinolaryngol
Pays: Turkey
ID NLM: 101682806
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
received:
17
01
2020
accepted:
02
04
2020
entrez:
13
8
2020
pubmed:
13
8
2020
medline:
13
8
2020
Statut:
ppublish
Résumé
Our objectives were to find the mean blood loss volume and the mean hemoglobin decrease in patients undergoing simultaneous bilateral cochlear implant surgery, to determine whether they had clinical effects, and to calculate a minimum weight for pediatric patients that is independent of any age criteria. A retrospective chart review of the pre- and post-operative hemoglobin concentrations and mean blood loss volumes were calculated for children between 12-24 months of age who underwent cochlear implant surgery. A postoperative decline in hemoglobin concentration was found in 67 cases (92%), with a mean difference between the pre- and post-operative values measuring 1.9 g/dL. Preoperative hemoglobin concentrations decreased from 13.4 g/dL to 11.5 g/dL. Mean blood loss volume was 82.3±12 cc. Although simultaneous bilateral cochlear implant surgery is reimbursed by the state for those who are greater than one year of age and who meet the appropriate audiological criteria, our findings suggest that these patients should weigh ≥10 kg to prevent hemodynamic instability due to blood loss during surgery.
Identifiants
pubmed: 32783039
doi: 10.5152/tao.2020.5138
pii: tao-58-2-118
pmc: PMC7397541
doi:
Types de publication
Journal Article
Langues
eng
Pagination
118-121Informations de copyright
© Copyright 2020 by Official Journal of the Turkish Society of Otorhinolaryngology and Head and Neck Surgery.
Déclaration de conflit d'intérêts
Conflict of Interest: The authors have no conflicts of interest to declare.
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