Hemoglobin loss method calculates blood loss during pancreaticoduodenectomy and predicts bleeding-related risk factors

BACKGROUND The common clinical method to evaluate blood loss during pancreaticoduoden-ectomy(PD)is visual inspection,but most scholars believe that this method is extremely subjective and inaccurate.Currently,there is no accurate,objective me-thod to evaluate the amount of blood loss in PD patients.We retrospectively analyzed the clinical data of 341 patients who underwent PD in Shandong Provincial Hospital from March 2017 to February 2019.According to different surgical methods,they were divided into an open PD(OPD)group and a laparoscopic PD(LPD)group.The differences and correlations between the in-traoperative estimation of blood loss(IEBL)obtained by visual inspection and the intraoperative calculation of blood loss(ICBL)obtained using the Hb loss method were analyzed.ICBL,IEBL and perioperative calculation of blood loss(PCBL)were compared between the two groups,and single-factor regression analysis was performed.RESULTS There was no statistically significant difference in the preoperative general patient information between the two groups(P>0.05).PD had an ICBL of 743.2(393.0,1173.1)mL and an IEBL of 100.0(50.0,300.0)mL(P<0.001).There was also a certain correlation between the two(r=0.312,P<0.001).Single-factor analysis of ICBL showed that a history of diabetes[95%confidence interval(CI):53.82-549.62;P=0.017]was an independent risk factor for ICBL.In addition,the single-factor analysis of PCBL showed that body mass index(BMI)(95%CI:0.62-76.75;P=0.046)and preoperative total bilirubin>200μmol/L(95%CI:7.09-644.26;P=0.045)were independent risk factors for PCBL.The ICBLs of the LPD group and OPD group were 767.7(435.4,1249.0)mL and 663.8(347.7,1138.2)mL,respectively(P>0.05).The IEBL of the LPD group 200.0(50.0,200.0)mL was slightly greater than that of the OPD group 100.0(50.0,300.0)mL(P>0.05).PCBL was greater in the LPD group than the OPD group[1061.6(612.3,1632.3)mL vs 806.1(375.9,1347.6)mL](P<0.05).CONCLUSION The ICBL in patients who underwent PD was greater than the IEBL,but there is a certain correlation between the two.The Hb loss method can be used to evaluate intraoperative blood loss.A history of diabetes,preoperative bilirubin>200μmol/L and high BMI increase the patient's risk of bleeding.

Calculation of Skin Depths and Eddy-Current Power Losses for Magnetic Position Sensors

We present a theoretic model to calculate skin depths and eddy-current power losses for a magnetic position sensor. Eddy-current, arised from the operation of an alternating-current excitation, induces secondary currents and fields between magnetic material and magnetic position sensor. In this paper, a magnetic position sensor system is simplified to be an outer-winding coil along the axial direction of a low carbon steel bar. The analytical model is derived from basic field and circuit theory considering a linear approximation for a nonlinear permeability. Thus the skin depths and eddy-current power losses from the model in eddy-current modeling techniques at various frequencies of an excited current source can be calculated. The proposed configuration is capable of predicting the skin depths and eddy-current power losses for a magnetic position sensor and has a consistence with experiments.

A New Topology for a Single Phase Multilevel Voltage Source Inverter with Reduced Number of Components

Multilevel inverters have gained much attention for its operation involving applications ranging values of high power rating. This paper proposes a switching topology for asymmetric multilevel inverter utilizing less number of power electronics components. When the number of the output level increases, it requires more switching states and eventually the number of switching components. The increased number of switches results in higher switching losses which may lead to power loss, and reduction of efficiency of the overall conversion system. The salient feature of this proposed topology is that the module can be used as a sub multiple level structure and can be extended for any number of level with minimal increase in the switching components.