Successful Management of a Patient with Intraoperative Bleeding of More than 80,000 mL and Usefulness of QTc Monitoring for Calcium Correction
Table 1
Representative laboratory data.
Normal range
Time (hr:min)
Pre
3:30
5:10
6:50
10:00
14:00
16:40
FiO2
0.4
0.4
0.6
0.4
0.4
0.4
0.4
pH
7.35–7.45
7.53
7.32
7.16
7.28
7.35
7.40
7.42
PaCO2 (mmHg)
35.0–45.0
33.8
40.8
39.7
42.7
34.0
36.3
38.5
(mEq/L)
22–28
28.3
20.2
13.6
19.6
18.4
21.8
24.2
PaO2 (mmHg)
171
189
240
186
200
193
197
BE (mEq/L)
−2.4–+2.3
5.7
−5.1
−14.0
−6.1
−6.1
−2.1
0.2
Ca2+ (mg/dL)
4.6–5.3
4.4
4.3
2.1
2.5
3.6
3.7
4.4
Na+ (mEq/L)
135–145
139
138
138
148
148
148
149
K+ (mEq/L)
3.6–4.8
4.0
5.5
6.3
4.6
4.5
4.4
4.4
Glu (mg/dL)
73–140
94
195
232
244
232
201
171
Lac (mg/dL)
4–16
7
24
48
46
43
33
30
Hb (g/dL)
12–16
9.3
8.5
10.4
8.0
7.7
10.8
9.4
Plt (×104/μL)
15–35
23.7
4.8
0.8
10.8
3.9
7.0
10.2
PT-INR
0.85–1.15
1.28
1.17
1.26
1.14
1.09
APTT (second)
23–38
33.0
32.7
43.6
32.2
27.5
FIBG (mg/dL)
180–350
367
163
116
228
233
Blood loss (mL/hr)
6,120
15,500
9,000
6,150
1,000
0
Time indicates time after the start of surgery. Blood loss indicates approximate amount of blood loss per hour. Pre indicates preoperative data. FiO2, fraction of inspiratory oxygen; PaCO2, partial pressure of carbon dioxide; PaO2, partial pressure of arterial oxygen; BE, base excess; Glu, glucose; Hb, hemoglobin, Lac, lactate; Plt, platelet; PT-INR, prothrombin time-international normalized ratio; APTT, activated partial thromboplastin time; FIBG, fibrinogen.
