Blood Ordering Habits for Elective Surgery: Time for Change-Reference-Cited by-同舟云学术

Blood Ordering Habits for Elective Surgery: Time for Change

Published:1990-06 Issue:6 Volume:83 Page:368-370
ISSN:0141-0768
Container-title:Journal of the Royal Society of Medicine
language:en
Short-container-title:J R Soc Med

Author:

Juma T¹,Baraka A¹,Abu-Lisan M²,Asfar S K¹

Affiliation:

1. Departments of Surgery and Amiri Teaching Hospitals, Kuwait

2. Departments of Clinical Laboratories, Amiri Teaching Hospitals, Kuwait

Abstract

A prospective study was carried out for 6 months to determine the efficacy of blood ordering routines for elective surgery. It was found that only 23% of procedures needed preoperative crossmatching of blood (transfusion index ‘IT’ >0.5). There was an excessive over-ordering of blood for 77% of the operations (crossmatch/transfusion ratio >2.5). In addition, the transfusion index for the latter group showed that there was no need to prepare blood preoperatively (TI <0.5). A transfusion tariff is worked out which abandons crossmatching for the majority of procedures (cholecystectomy, thyroidectomy and surgery for duodenal ulcer excluding gastrectomy). Instead a ‘group and screen’ policy is suggested.

Publisher

SAGE Publications

Subject

General Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/014107689008300610

Reference11 articles.

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2. Expected Hemotherapy in Elective Surgery

3. Hemotherapy in Elective Surgery: An Incidence Report, Review of the Literature, and Alternatives for Guideline Appraisal

4. Apparent disapperance of hypernatraemic dehydration from infant deaths in Sheffield.

5. Is routine crossmatching for two units of blood necessary in elective surgery?

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