Blood Ordering Schedule for Urological Procedures at Tertiary Care Hospital
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 5
Abstract
Introduction: Blood transfusion practices are changing with new fears of transmitting diseases. However blood ordering practices continue to follow the older policies with more blood being crossmatched than required. Maximum blood ordering schedule was a term coined for preparing a list of major surgeries and the number of units crossmatched for them. This study was undertaken to determine the blood ordering practice in the urological theatre in a tertiary hospital. Methods: Three hundred cases undergoing major urological procedures where blood was routinely crossmatched were studied with respect to the number of units crossmatched , number of units ordered and the number of units transfused . The procedures were divided into 10 groups. After this three ratios which included crossmatch to transfusion (C/T) ratio , transfusion index and probability of transfusion were calculated. Results: C/T ratio for PCNL was 104.66. Only for radical cystectomy C/T ratio was 1.3 and the probability of transfusion was 100%.. If the transfusion index of greater than 0.5 is considered significant then only radical cystectomy and radical nephrectomy with indices of 2.5 and 0.8 respectively justify crossmatching for the said surgeries. Conclusion: Crossmatch for major urological procedures especially endoscopic procedures is not justified unless there are preexisting comorbid conditions. A grouping and screening policy can be employed for these procedures and the sere can be saved for further crossmatch in case blood is required.
Authors and Affiliations
Dr. Sona Dave, Dr. Shreya Shah, Dr . Deepa Suvarna, Dr. Pinakin Gujjar
Keywords
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- EP ID EP598184
- DOI 10.9790/0853-1605118488.
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