Routine Cross-Matching is not Necessary for a Transurethral Resection of the Prostate.

Autor: Fraser, I., Stott, M., Campbell, I., Wood, J. K., Gordon Smart, J., Osborn, D. E.
Zdroj: British Journal of Urology; 1984, Vol. 56 Issue 2, p198-201, 4p
Abstrakt: - Two hundred and fifty-five consecutive patients undergoing transurethral prostatectomy were studied prospectively to test a policy of not routinely cross-matching blood. Blood was ordered only for patients with anaemia, a major medical risk factor, a prostate gland estimated to be greater than 60 g, or the presence of red cell alloantibodies. Of the 203 patients who were 'grouped and saved' only, 30 (12%) were subsequently cross-matched and 22 (8.5%) transfused. There were no significant problems as a result of the operation of this policy. The value of these pre-operative criteria for cross-matching was confirmed, apart from the clinical estimation of prostatic size. The use of such a policy cauld be of significant value to the hospital blood transfusion services. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index