Retrospective Analysis of Transfusion Practices among Surgical Specialties in a Tertiary Care Institution

Apply

Retrospective Analysis of Transfusion Practices among Surgical Specialties in a Tertiary Care Institution

Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 5

Abstract

Introduction: Many elective surgical procedures requires transfusion due to anticipated blood loss,. The preoperative demand for blood is often an over-assumption as shown by the Blood Bank Records. This results in pre-emptive cross matching which renders a blood bag unavailable to other recipients thereby increasing the expiration of blood products and also causes overburdening of blood bank personnel, wastage of blood bank resources and time. The main aim of this present study is to improve the utilization of blood and to reduce the wastage of blood bank resources by adopting “Type and screen” (T&S) policy in departments with low transfusion probability. Materials and Methods: Case records of all patients who underwent both elective and emergency surgeries in general surgery, gynecology and orthopedics were collected for a period of one year from 01 April 2016 to 31 March 2017 in our tertiary care institution. Transfusion parameters such as the number of units transfused, cross-matched were analysed. The calculated indices included Cross-Match to Transfusion Ratio (C:T ratio),Transfusion Probability (%T) and Transfusion Index (TI). Results: It was observed that the transfusion probability in General surgery cases was high compared to gynecology and orthopedics. Conclusion: Adoption of T&S policy over the Standard Blood Order Schedule (SBOS) for departments with low transfusion probability resulted in reduction of CT ratio, thereby improving the efficiency of the blood bank.

Authors and Affiliations

Niloy Pathak

Keywords

Epidemiological Study of Opportunistic Infections in HIV Sero Positive Patients in South India

Introduction: Human Immunodeficiency Virus leads (HIV) to Acquired Immune Deficiency Syndrome(AIDS) and opportunistic infections (OI’s) and causes increased morbidity and mortality of such patients which considerable aff...

Left lower Limb Gangrene Following Diarrhoeal Disease and Dehydration in a child with Transposition of the Great Arteries

Background: Children with Cyanotic Congenital Heart Diseases are at risk of developing thrombosis and gangrene, especially when they suffer severe fluid loss or experience significant fluid restriction. Aim: To describe...

EP ID EP285392
DOI -
Views 59
Downloads 0