Abstract
Objective: To explore the consistency between intraoperative blood loss recorded by surgeons, anesthesiologists and standard blood loss. Methods: The clinical data of 200 patients who underwent posterior lumbar interbody fusion (PLIF) from January 2019 to December 2020 in the Department of Spine Surgery of a Grade III Level A hospital were selected, including 109 males, aged 34-84 years, with an average of 56.40 ± 11.21 years, and 91 females, aged 27-78 years, with an average of 57.48 ± 11.40 years. The preoperative Hb, HCT, APTT, Pt, INR, intraoperative blood, and fluid infusion of patients were recorded. The standard blood loss of the patients was calculated by the formula and compared with the intraoperative blood loss recorded by the surgeons and the anesthesiologists separately for analysis. Results: 1. When the standard blood loss was less than 400ml, there was no statistical difference between the intraoperative blood loss recorded by surgeons and the standard blood loss (P > 0.05), which is considered to be consistent. 2. When the standard blood loss was between 400ml-800ml, the intraoperative blood loss recorded by surgeons and anesthesiologists was less than the standard blood loss,there was statistical difference between the intraoperative blood loss and the standard blood loss (P < 0.05), but the intraoperative blood loss recorded by surgeons was more accurate than that recorded by anesthesiologists; 3. When the standard blood loss was more than 800ml, the intraoperative blood loss recorded by surgeons and anesthesiologists was less than the standard blood loss,There was no consistency between the intraoperative blood loss recorded by anesthesiologists and the standard blood loss (P < 0.05), but the intraoperative blood loss recorded by anesthesiologists was more accurate than that recorded by surgeons. Conclusion: 1. There are differences between surgeons and anesthesiologists in recording intraoperative blood loss. 2. The accurate recording of intraoperative blood loss needs to be done jointly by surgeons and anesthesiologists, especially when the blood loss is more than 400ml, which is conducive to perioperative fluid management.