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

Abstract

The growing demand upon existing reserves of blood requires a more efficient use of this limited resource. Numerous regional medical centers have shown the current practice of type and crossmatch to be highly inefficient, whereas the proven, safe type and screen method for reserving blood units effectively increases the available blood pool and decreases costs of maintaining a blood bank. Approaches other than the crossmatch to transfusion ratio are proposed to provide objectivity for establishing procedures to be converted to type and screen and the appropriate number of units for patients requiring a type and crossmatch. Cumulative blood ordering recommendations are provided.

Quality Indicators of Blood Utilization in a Tertiary Care Centre in the North-Eastern India

“…The desirable C: T ratio varied from 2 to 3 in different studies. [9,10,11]. The value of 1.02 in our study is within the desirable limits.…”

Blood Transfusion Policies in Elective General Surgery: How to Optimise Cross-Match-to-Transfusion Ratios

“…Frequently, regular audits are required to ensure a balance of supply and demand based on institutional variation secondary to patient and surgeon differences. Policies for a trust’s maximum surgical blood ordering schedule (MSBOS) can be implemented based upon both results of audits and by discussion and agreement between medical teams [5,6]. …”

A study of pre-operative type and screen in breast surgery: improved efficiency and cost saving

“…This allowed calculation of a modified transfusion probability. Transfusion probability refers to the number of actual transfusions performed divided by the total number of cross-match blood requests performed [8]. This was modified by Lin et al [9], due to the low number of cross-matching performed within their institution, to be the number of actual transfusions performed divided by number of procedures.…”