Are we cross-matching too much blood for elective open abdominal aortic aneurysm repair?
| Autor: | John W. Quarmby, Emily Lowe |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Blood transfusion genetic structures medicine.medical_treatment 030204 cardiovascular system & hematology Autologous transfusion 03 medical and health sciences Cross matching 0302 clinical medicine Aneurysm Elective medicine 030212 general & internal medicine lcsh:R5-920 business.industry General Medicine medicine.disease Abdominal aortic aneurysm Surgery autologous transfusion Anesthesia aneurysm cardiovascular system Original Article lcsh:Medicine (General) business |
| Zdroj: | SAGE Open Medicine SAGE Open Medicine, Vol 5 (2017) |
| ISSN: | 2050-3121 |
| Popis: | Objectives: This study aims to identify current blood transfusion requirements in elective open abdominal aortic aneurysm repair and to compare this to an existing maximum surgical blood order schedule. Methods: We retrospectively identified patients who underwent elective open abdominal aortic aneurysm repair over a 40-month period in our institution. Pre-operative number of units cross-matched and the number of units actually transfused were identified. The cross-match to transfusion ratio was then calculated. Results: Blood transfusion at any time post-operatively was required in 23 (48.9%) cases. Patients needing an intra-operative blood transfusion had a median of 2 units. Of the pre-operative cross-matched units (123), only 43 were used, giving a cross-match to transfusion ratio of 2.86. Conclusion: Our current maximum surgical blood order schedule is poorly followed and a cross-match to transfusion ratio of 2.86 indicates we are cross-matching too many units for elective open abdominal aortic aneurysm repair. A carefully considered individualised management of blood products, with the requirement of at least a valid group and save sample, may be more appropriate. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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