| Autor: |
McKenna M; 97644Royal Gwent Hospital, Newport, UK., Abdelaal A; 97644Royal Gwent Hospital, Newport, UK. |
| Jazyk: |
angličtina |
| Zdroj: |
Journal of perioperative practice [J Perioper Pract] 2021 Jan-Feb; Vol. 31 (1-2), pp. 15-17. Date of Electronic Publication: 2020 Nov 22. |
| DOI: |
10.1177/1750458920950664 |
| Abstrakt: |
The risks, benefits and technical aspects of surgery require careful consideration. One element of this is the requirement of postoperative blood transfusion. Patients who undergo elective lumbar decompression are at a low risk of requiring a postoperative transfusion yet undergo multiple preoperative group & save tests. For those who are at a low risk of bleeding, a single group & save sample may be adequate. This review analysed the postoperative blood loss and transfusion rate associated with lumbar decompression surgery without fusion in one institution. A subsequent cost analysis and review of the literature was performed. The aim was to assess whether single group & save sampling, within the context of lumbar decompression, was cost effective and amenable to the patient without impacting patient care. Average blood loss was estimated as a drop in Hb of 12.3g/dl. Six patients (14%) had Hb loss of over 20g/dl. No patients underwent a blood transfusion. Through examination of medical records, we found that 65% of patients (35) were suitable for single group & save sampling, estimating a saving of £2415.95 (53%). Selective group & save testing holds economic potential and safeguards patients from undergoing unnecessary testing. The next step after this review would be a prospective multi-centre study. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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