A study of blood utilization in association with hysterectomy
| Autor: | S. K. Samra, P. J. Beitler, Friedman Ba |
|---|---|
| Rok vydání: | 1983 |
| Předmět: |
Adult
medicine.medical_specialty Time Factors medicine.medical_treatment Immunology Hematocrit Hysterectomy Teaching hospital Blood loss Uterine Prolapse Hysterectomy Vaginal Immunology and Allergy Medicine Humans Blood Transfusion Intraoperative Complications Retrospective Studies medicine.diagnostic_test business.industry Obstetrics and Gynecology Retrospective cohort study Hematology General Medicine Middle Aged Surgery Hysterectomy vaginal Uterine Neoplasms Female Uterine Hemorrhage business Pelvic floor repair |
| Zdroj: | Transfusion. 23(6) |
| ISSN: | 0041-1132 |
| Popis: | We performed a retrospective study of 167 women undergoing hysterectomy in a large tertiary-care teaching hospital in order to assess intraoperative blood requirements and to study the decision-making process that occurs when blood is transfused intraoperatively. Recommended preoperative blood orders for hysterectomy patients based on data from the study are provided. Although "type and screen" is commonly considered to be an adequate preoperative order for patients undergoing vaginal hysterectomy, our data indicate that 2 units may be a more appropriate order when the procedure is combined with pelvic floor repair. The preoperative hematocrit, the estimated intraoperative blood loss, and the duration of the hysterectomy were integral to the decision-making process. If women undergoing hysterectomy were transfused intraoperatively only when their hematocrit actually fell to 30 percent, and not in anticipation of such an event, unnecessary transfusions would be reduced. |
| Databáze: | OpenAIRE |
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