| Blood transfusion requirements in elective breast reconstruction surgery. | |
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MedLine Citation:
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PMID: 20627727 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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INTRODUCTION: Excess-ordering of cross-matched blood in preparation for elective surgery is expensive with associated blood shortages and time-expired wastage. Although, the maximum surgical blood order schedule (MSBOS) for breast reconstruction recommends pre-operative cross-match of 2-6 units of red cell concentrate, there is no data confirming whether this guideline is observed in practice or whether compliance results in improved outcome. The aim of this study was to examine the utility of this MSBOS in clinical practice by assessing its performance in a validation set of patients. MATERIALS AND METHODS: Over a three year period, 49 patients undergoing 50 consecutive elective breast reconstruction surgery were assessed for demographic data, surgical information and hematological/transfusion data to compare the number of units of blood cross-matched with those subsequently transfused for elective breast reconstruction surgery. This was in lieu of updating the current maximal surgical blood order schedule of cross-matching 2-6 units pre-operatively. RESULTS: Fifty elective operations were undertaken during the study period with a zero peri-operative blood transfusion requirement and a 8% post-operative blood transfusion requirement. Pre-operative cross-match to transfusion ratio was unacceptably high with a time-expired blood wastage of 8.7%. DISCUSSION: These data thus indicate that adoption of a type and screen policy is satisfactory for haemorrhage risk management of elective breast reconstruction. The MSBOS is not designed to predict post-surgery blood needs and a requirement based blood ordering protocol will optimise blood utilisation efficiency. |
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Authors:
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Sammy Al-Benna; Prachi Rajgarhia |
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Publication Detail:
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Type: Journal Article Date: 2010-06-02 |
Journal Detail:
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Title: Breast (Edinburgh, Scotland) Volume: 19 ISSN: 1532-3080 ISO Abbreviation: Breast Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-11-16 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9213011 Medline TA: Breast Country: Netherlands |
Other Details:
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Languages: eng Pagination: 475-8 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 Elsevier Ltd. All rights reserved. |
Affiliation:
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Department of Plastic Surgery, St John's Hospital at Howden, Livingston, Scotland, United Kingdom. sammyalbenna@googlemail.com |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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