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Inicio Revista Colombiana de Anestesiología Pérdidas sanguíneas permisibles, modelo exponencial
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Vol. 37. Issue 3.
Pages 255-262 (August - October 2009)
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Vol. 37. Issue 3.
Pages 255-262 (August - October 2009)
ARTÍCULO DE REFLEXIÓN
Open Access
Pérdidas sanguíneas permisibles, modelo exponencial
Allowable blood loss an exponential model
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Mario Javier García
* MD. Anestesiólogo. Universidad Industrial de Santander.
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RESUMEN

Se propone una fórmula sencilla, derivada matemáticamente, con el objeto de calcular las pérdidas sanguíneas permisibles. En muchos modelos encontrados en la literatura médica dichas aproximaciones son lineales, lo cual induce un error importante en la predicción. En este modelo se propone, se deduce y se explica una aproximación exponencial considerada mucho más cercana a la realidad. Se valora el proceso de hemodilución observado cuando un paciente pierde sangre, mientras se le infunden líquidos intravenosos, manteniendo la volemia aproximadamente constante.

Palabras clave:
pérdidas de sangre quirúrgica
modelos matemáticos
anestesia (fuente: DeCs, Bireme)
SUMMARY

This article proposes a simple, mathematically-derived formula which could be used for calculating allowable blood loss. Authors have used lineal approaches in many models found in the medical literature; this introduces an important inaccuracy into such prediction. An exponential approach is deduced and explained in the model proposed here which is considered to be much closer to reality than that obtained with the lineal model. More emphasis is placed on the fact that while a patient is losing blood, he/she is simultaneously receiving fluids to keep total blood volume almost constant.

Key words:
surgical blood losses
mathematical model
anesthesia (source: MeSH, NLM)
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REFERENCES
[1.]
S.N. Hay, T.G. Monk, M.E. Brecher.
Intraoperative blood salvage: a mathematical perspective.
Transfusion., 42 (2002), pp. 451-455
[2.]
R.G. Hahn.
Estimating allowable blood loss with correction for variations in blood volume.
Acta Anaesthesiol Scand., 33 (1989), pp. 508-512
[3.]
A. Lorente, P. Gasteiger, P.M. Osswald.
Calculation of the allowable blood loss before transfusion with a programmable pocket calculator.
Anaesthesist., 36 (1987), pp. 306-312
[4.]
E. Naveen, P. Manickam.
Perioperative blood loss assessment.
How accurate? Indian J Anaesth, 50 (2006), pp. 35-38
[5.]
D.G. Zill.
Ecuaciones diferenciales con aplicaciones de modelado.
Thompson, (2002),
[6.]
W.E. Óbice, R.C. DiPrima.
Ecuaciones diferenciales y problemas con valores en la frontera.
Limusa Wiley, (2006),
[7.]
C.K. Park.
The comparison between the postoperative predicted and actual hematocrite.
Korean J Anesthesiol., 35 (1998), pp. 732-737
[8.]
R.B. Weiskopf.
Efficacy of acute normovolemic hemodilution assessed as a function of fraction of blood volume lost.
Anesthesiology., 94 (2001), pp. 439-446
[9.]
R.B. Weiskopf.
Mathematical analysis of isovolemic hemodilution indicates that it can decrease the need for allogeneic blood transfusion.
Transfusión., 35 (1995), pp. 712-713
[10.]
R.M. Kliegman.
El feto y el recién nacido.
Tratado de pediatría,
Copyright © 2009. Revista Colombiana de Anestesiología
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