Portal de Periódicos da CAPES

Blood Ordering Habits for Elective Surgery: Time for Change

1990; SAGE Publishing; Volume: 83; Issue: 6 Linguagem: Inglês

10.1177/014107689008300610

1758-1095

Talib Juma, Ahmad Baraka, Mustafa Abu-Lisan, Sami Asfar,

Gastric Cancer Management and Outcomes

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.