Title: Retrospective Analysis of Transfusion Practices among Surgical Specialties in a Tertiary Care Institution
Authors: Niloy Pathak, Prosenjit Ganguli, Nithi Doley, Atoshi Basu
DOI: https://dx.doi.org/10.18535/jmscr/v5i5.107
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.
Keywords: Type & Screen, Transfusion probability, Surgery, Standard Blood Ordering Schedule,.
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