How to predict Hematocrit before starting Cardiopulmonary bypass (CPB)
You should know patient's blood volume:
VpB = 1000 *f*wt
where f is the proportion of body weight attributable to
blood volume; f = 0.08 for infants and children up to 12
years of age, f = 0.065 for older patients.
For example VpB = 1000 *0.065*80 = 5200 ml.
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Than you shoud calculate the volume of patient's red cells:
VpRBC = VpB * HCTp (patient's hematocrit)
so :
VpRBC = 5200 ml * 0.35 = 1820 ml
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And finally calculation of hematocrit at the beginning of CPB:
HCTpm = VpRBC / (VpB + VmB)
where VmB is priming volume of CPB machine:
HCT pm = 1820 / (5200 + 1300) = 0.28
VpB = 1000 *f*wt
where f is the proportion of body weight attributable to
blood volume; f = 0.08 for infants and children up to 12
years of age, f = 0.065 for older patients.
For example VpB = 1000 *0.065*80 = 5200 ml.
___________________________________________________
Than you shoud calculate the volume of patient's red cells:
VpRBC = VpB * HCTp (patient's hematocrit)
so :
VpRBC = 5200 ml * 0.35 = 1820 ml
___________________________________________________
And finally calculation of hematocrit at the beginning of CPB:
HCTpm = VpRBC / (VpB + VmB)
where VmB is priming volume of CPB machine:
HCT pm = 1820 / (5200 + 1300) = 0.28