Blood crossmatching for burn surgery: potential for reduced wastage using a modified Dye formula

Drew, Peter; Ciampolini, Jacopo; Dickson, W.A.

doi:10.1016/s0305-4179(99)00046-7

Cited by 7 publications

(4 citation statements)

References 4 publications

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“…Along with subjective and variable estimations of intraoperative blood loss, blood product ordering remains inconsistent with documented tendencies to under‐order products, which can compromise patient safety if adequate resuscitation products are not available when needed 3 . Donated blood is a valuable resource, so ordering only what is needed reduces the cost and delay in re‐cross matching unused blood to be available for other patients 6,7 …”

Section: Discussionmentioning

confidence: 99%

“…3 Donated blood is a valuable resource, so ordering only what is needed reduces the cost and delay in re-cross matching unused blood to be available for other patients. 6,7 Many previous studies have examined factors that are associated with blood transfusion in burn patients, both intraoperatively and over their hospital course. This study demonstrated that amount of burn excised in the operating room was strongly associated with the number of blood products given, which correlates well with previous findings.…”

Section: Discussionmentioning

confidence: 99%

“…Extensive operations to excise burned tissue typically requires blood product transfusion; while there is an emerging consensus for blood‐product management in the Burn intensive care unit (ICU), 2 no agreement currently exists on appropriate intraoperative blood product utilization for burn patients 3 . Additionally, operative blood loss from burn surgery can be difficult to estimate with a meaningful degree of accuracy—even for experienced clinicians and a wide range of reported blood loss and methods to measure have been reported 4‐6 . A clinically relevant alternative is to examine the influence of patient and burn characteristics on actual intraoperative blood product utilization and the effect this use has on hematological parameters after operation.…”

Section: Introductionmentioning

confidence: 99%

“…3 Additionally, operative blood loss from burn surgery can be difficult to estimate with a meaningful degree of accuracy-even for experienced clinicians and a wide range of reported blood loss and methods to measure have been reported. [4][5][6] A clinically relevant alternative is to examine the influence of patient and burn characteristics on actual intraoperative blood product utilization and the effect this use has on hematological parameters after operation.…”

Section: Introductionmentioning

confidence: 99%

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Intraoperative blood transfusions in burn patients

et al. 2021

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Background Donated blood is a valuable and limited resource. Excision of burn wounds often leads to significant blood loss requiring transfusion. Accurately estimating blood loss is difficult, so examining the amount of blood products given intraoperatively is a clinically relevant way to measure utilization of this valuable resource. In this study, we examined the factors that influenced the amount of blood given intraoperatively during burn wound excisions. Study Design and Methods A retrospective analysis of patients admitted to a single burn center over 5 years who underwent excision of their burn wounds and received intraoperative blood products was performed. Patient and burn characteristics as well as pertinent surgical data and laboratory values on the day of surgery and postoperatively were gathered. A linear regression analysis examined factors influencing the number of units of products given and a predictive model was generated. Results A total of 563 operations performed on 166 patients were included. The amount of burn excised was the most influential variable on the amount of blood products given. Hemoglobin level, international normalized ratio, and platelet count on the day of surgery were associated with transfusion of different blood products. A predictive model was generated to aid in preoperative ordering of blood products. Conclusion The amount of burn excised and common hematology and coagulation lab values were associated with the amount of different blood products administered during burn surgery. The predictive model generated needs to be validated prospectively to aid in preoperative planning for burn excisions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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