Bleeding, Hemodynamic Instability, Hemorrhage
Conditions
Keywords
Perioperative Bleeding, Mortality, Hemoglobin, Non-invasive monitoring, Transfusion;, SpHb
Brief summary
Bleeding is one of the most important causes of mortality and morbidity in patients. Hb levels are the most prevalently utilized monitoring parameter in hemorrhagic patients in the hemodynamic sense. Hemoglobin determination is studied at laboratories along with blood gasses or complete blood analysis. Recently, non-invasive techniques where measurement is made from the fingertips have been offered for use. One of these techniques is non-invasive hemoglobin (SpHb) measurement. SpHb is used as a trend monitor. Based on the severity of bleeding, the compensatory mechanisms of patients may be disrupted. This situation may lead to lower levels of toleration of anemia during bleeding. The relationship between blood transfusion and mortality is under debate.
Interventions
hemoglobin measuring device
Sponsors
Study design
Eligibility
Inclusion criteria
* 18-60 years old * General anesthesia undergoing hip surgery * American society of anesthesiology (ASA) scores I-II-III
Exclusion criteria
* Receiving inotropic support * Uncontrolled diabetes * Arrhythmia * Hypothermia * Hyperbilirubinemia * Jaundice * Dark skin pigmentation * Without voluntary consent * Hypovolemia, * hypotension, * sepsis, * blood diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hemodynamic Stability | during the surgery | to compare blood transfusion decisions made with SpHb measurement values and with conventional methods in patient who would receive hip surgery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mortality | until 3 months after surgery | to compare the effects of transfusion results on mortality. |
Countries
Turkey (Türkiye)