BLOOD TRANSFUSION

ARRANGEMENTS AND USE OF BLOOD IN ELECTIVE SURGICAL PROCEDURES

Abstract

Objective: To evaluate Blood Ordering and Transfusion ratios for elective surgical procedures. Study Design, Setting & Duration: This was a prospective study carried out at Muhammad Medical College Hospital Mirpurkhas from January 2007 to December 2007. Patients & Methods: A total of 1032 patients were included, both male & female. All patients who underwent elective surgical procedures in Surgical Unit, Muhammad Medical College hospital, Mirpurkhas from January 2007 to December 2007 were included in this study. Blood units cross matched and units transfused intra-operatively and post-operatively were recorded apart from patient demography and hepatitis profile. Results: A total of 1032 patients underwent elective surgical procedures during the study period. Total 1500 blood units arranged, among these only 74 units of blood were transfused. This means only 4.9% of blood was utilized while 95.1% of blood was not utilized. Cross-match to transfusion ratio (C/T) = 20.27, Transfusion probability (Tp) = 7.1 and Transfusion index (Ti) = 0.07. Conclusion: For elective surgical procedures, there is no need for routine cross matching of blood. However, one must confirm the availability of blood for Hepatitis B and Hepatitis C reactive patients, and for cases, where the bleeding is inevitable like transvesical / transurethral removal of prostate.