The evaluation of patient blood management in lung resection under thoracotomy

Abstract

Abstract Objective Unnecessary blood preparation by surgeons adversely affects blood bank stocks and the healthcare system in many ways. In this study, it is aimed to evaluate the patient blood management strategy in patients in whom we performed lobectomy and pneumonectomy with thoracotomy. Methods A total of 87 patients have been included in this study. Patient specific data, such as demographic information, laboratory information, preoperative blood ordering, and blood transfusion information have been recorded. Results All patients were cross-matched, but only 32 (36.7%) of the patients received blood transfusions. Although a total of 264 units of blood had been reserved, the amount of blood used for transfusion was 68 (25.7%) units. The cross-match / transfusion rate was 3.88, the transfusion index was 0.78, and the transfusion probability was 36.7%. There is a positive and statistically significant correlation between the amount of blood allocated (r = 0.591, p = 0.00) and the duration of intensive care and hospital stay (r = 0.266, p = 0.013). There was also a positive and statistically significant correlation between the amount of blood used and the duration of intensive care and hospital stay (r = 0.422, p = 0.00) (r = 0.474, p = 0.00). Conclusion In elective lung resection performed by thoracotomy, the amount of blood wasted during the patient’s blood preparation process is high. During the patient blood preparation process, institution-controlled programs should be implemented instead of subjective evaluation at the discretion of the surgeon Planning a patient-specific blood preparation process to alleviate the burden on the healthcare system may prove to be more efficient.

Keywords

• Thoracic surgery
• Thoracotomy
• Lobectomy
• Pneumonectomy
• Blood transfusion