Evidence map›Paper›PMID 34377380›Full record

ArticleJournal of oral & maxillofacial research

Estimation of Blood Loss in Oral and Maxillofacial Surgery by Measurements of Low Haemoglobin Levels in Mixtures of Blood, Saliva and Saline: a Laboratory Study.

Krister Johansson, Martin Lindström, Manaf Alhabshi, Marianne Ahmad, Peter J Svensson, Jonas P Becktor

Open access · diamondAbstract read
In one paragraph

Article in Journal of oral & maxillofacial research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 68% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Krister JohanssonDepartment of Oral and Maxillofacial Surgery and Oral Medicine, Faculty of Odontology, Malmö University, MalmöSweden.
Martin LindströmDepartment of Oral and Maxillofacial Surgery and Oral Medicine, Faculty of Odontology, Malmö University, MalmöSweden.
Manaf AlhabshiDepartment of Oral and Maxillofacial Surgery and Oral Medicine, Faculty of Odontology, Malmö University, MalmöSweden.
Marianne AhmadDepartment of Oral and Maxillofacial Surgery and Oral Medicine, Faculty of Odontology, Malmö University, MalmöSweden.
Peter J SvenssonDepartment of Translational Medicine, Clinical Coagulation Research Unit, Skåne University Hospital, MalmöSweden.
Jonas P BecktorDepartment of Oral and Maxillofacial Surgery and Oral Medicine, Faculty of Odontology, Malmö University, MalmöSweden.
Malmö University · SESkåne University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesEstimating blood loss is an important factor in several surgical procedures. The accuracy of blood loss measurements in situations where blood is mixed with saliva and saline is however uncertain. The purpose of this laboratory study was to ascertain if blood loss measurements in mixtures of blood, saline, and saliva are reliable and could be applicable in a clinical setting. MATERIAL AND

methodsVenous blood and resting saliva were collected from six volunteers. Saliva, saline, and combinations thereof were mixed with blood to obtain different concentrations. A portable spectrophotometer was first used to measure the haemoglobin concentration in undiluted venous blood followed by measurements of the haemoglobin concentration after each dilution. To examine the strength of linear relationships, linear regression and Pearson correlations were used.

resultsThe measurements of haemoglobin concentrations in mixtures of blood, saline, and saliva were proven to be accurate for haemoglobin measurements > 0.3 g/dl (correlation = 0.986 to 1). For haemoglobin measurements < 0.3 g/dl, a small increase in haemoglobin values were reported, which was directly associated to the saliva concentration in the solution (correlation = 0.983 to 1). This interference of saliva was significantly eliminated by diluting the samples with saline, mimicking the clinical situation.

conclusionsThe results suggest that a portable spectrophotometer can be used clinically to preoperatively measure the haemoglobin value of a venous blood sample and postoperatively measure the haemoglobin value of the collected liquids, including shed blood, thereby achieving a highly accurate method of measuring blood loss during oral and maxillofacial surgery.

Indexed as

oral surgerypostoperative hemorrhagesalivasurgical blood loss

Identifiers

PMID34377380
PMCPMC8326882
OpenAlexW3189233348

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.