Survey of Maximum Blood Ordering for Surgery (MSBOS) in elective general surgery, neurosurgery and orthopedic surgery at the Poursina Hospital in Rasht, Iran, 2017

Abstract

Introduction Blood is a valuable life resource that depends on the donation of blood by the community. As a result, it is crucial that the manner in which this expensive resource is used be correct and reasonable. Objective The purpose of this study was to investigate the Maximum Blood Ordering for Surgery (MSBOS) in general, orthopedic and neurosurgical elective surgeries at the Poursina Hospital in Rasht in 2017. Methods According to the patient file number information, such as gender, age, type of surgery, number of blood units requested, number of cross-matched blood units, number of blood units transfusion, number of patients undergoing transfusion, number of patients who were cross-matched, initial hemoglobin and the underlying disease, was extracted from the HIS (Hospital Information System). Based on the collected data, a descriptive report of the cross-match to transfusion ratio (C/T), transfusion index (TI) and transfusion probability (%T) was performed, using average and standard deviation, by using the SPSS 16. Results In the present study, 914 patients from the neurosurgery, orthopedic and general surgery wards of the Poursina Hospital were studied. Of these, 544 were male (59.5%) and 370 were female (40.5%), aged 1–99 years, with a mean age of 43 years. The frequency distribution of C/T in this study was 1.29 in neurosurgery, 1.95 in orthopedic surgery and 1.96 in general surgery. This study indicated that the C/T index was above the normal standard level in four different kinds of surgery, including leg fracture (2.71), cholecystectomy(2.71), forearm fracture (2.70), and skin graft (2.62).The C/T index was at the maximum normal level in thyroidectomy surgery (2.5). The other surgeries had the normal C/T index. Conclusion Overall, all of the MSBOS indices were at the standard level in this study, although C/T indices were higher than the standard level in the surgeries for cholecystectomy, leg fracture, forearm fracture, hand fracture and skin graft.

A medical ethics review of elective orthopaedic surgery management during the pandemic COVID-19 Era

“…The inclusion criteria of the documents that we deem fit for reviewing articles are research journals and newspaper articles from good sources, reported in English, relevant and reliable, and discussing the ethics of elective orthopaedic surgery during the pandemic [ 14 , 15 ]. Studies are excluded if they lack reliable, inaccessible, and expensive references.…”

Análise das reservas cirúrgicas de concentrados de hemácias em um hospital oncológico

“…Tabela 5-Análise do índice de pacientes transfundidos nos procedimentos cirúrgicos realizados no Hospital Ophir Loyola. Estudos sugerem a realização de compatibilização de pelo menos dois concentrados de hemácias (Ural et al, 2016;Moghaddamahmadi et al, 2021), de fato, notou-se, que a maioria dos procedimentos realizados no hospital necessita de cerca de dois concentrados de hemácias (Figura 5). Acredita-se, ainda, que a perda média estimada de sangue na maioria dos procedimentos cirúrgicos seja de 100-600 mL (Sharingcarinkul & Chuasuwan, 2018), o que corresponde em média a um volume comportado normalmente por um a dois concentrados de hemácias.…”