A Study of the Transfusion of Reserved Blood for Elective Surgeries

Abstract

Introduction: Nowadays, over-ordering of blood is a common practice in preparation for elective surgical procedures that due to  the blood products shortage and  and the fact that high amount of blood is not used, this problem can be solved by changing the blood ordering schedule. The aim of this study was the examination of stored blood transfusion rate in elective surgical procedures. Materials and Methods: This present cross-sectional  study was undertaken on 296 patients who were chosen by the use of non-random method underwent elective  surgeries C/ S, thyroidectomy, total hysterectomy, laminectomy, open cholecystectomy, Spilenectomy, total hip and total Knee  between September  2013to march 2014. Information was extracted by check list researcher and  patient’s records and it was analyzed by the means of descriptive statistics and statistical software 21 SPSS. Results: A total of 296 patients underwent chosen elective surgery during the study period. A total of 912 blood units were cross-matched of which only 115 units were transfused. This means only 12.6% of units were transfused  while  87.4%  of  blood units  were  not used. Also, no significant correlation was found between the patient's age, gender and his/her blood utilization. Conclusion: According to the findings, routine bloods reservation in chosen elective surgeries are not necessary.  In order to improve the quality of ordering, the use of "maximum surgical blood ordering schedule" is suggested, by applying this, it could fit the varying demands of bloods of hospital

Keywords

• Blood Transfusion
• Cross-Match
• Blood Reservation
• Elective Surgery