Blood utilization in elective surgical procedures in Ilorin

Olawumi, HO; Bolaji, BO

doi:10.4314/tjhc.v13i1.36702

Cited by 31 publications

(49 citation statements)

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“…[5] Ideally, this ratio should be 1.0 but a ratio of 2.5 and below was suggested to be indicative of efficient blood usage. [3]…”

Section: Methodsmentioning

confidence: 99%

“…Once cross-matched the blood bag is held in reserve, ensuing inventory problems for blood banks, loss of shelf life and wastage of blood unit. [1–3] Consequently if unnecessary blood orders can be reasonably waived, it will reduce both workload and financial expenditure. A review of the surgical blood ordering practice is, therefore, mandatory.…”

Section: Introductionmentioning

confidence: 99%

“…[3] A maximum surgical blood ordering schedule (MSBOS) is a list of common elective surgical procedures performed, along with the maximum number of blood units being cross-matched preoperatively for each procedure. [56] The principle of which is to decrease the quantity of blood being cross-matched, by assigning each elective surgical procedure a tariff of transfusion.…”

Section: Introductionmentioning

confidence: 99%

“…[78] It also enables the identification of procedures that can be accommodated by the group and save policy, reducing superfluous compatibility testing and wastage due to outdating. [3] Such an SBOS allows the surgical teams, to develop unique local transfusion system, and to set its own minimum transfusion levels for fit and unfit patients.…”

Section: Introductionmentioning

confidence: 99%

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Maximum surgical blood ordering schedule in a tertiary trauma center in northern India: A proposal

Subramanian

Sagar²,

Kumar³

et al. 2012

J Emerg Trauma Shock

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Context:Over ordering of blood is a common practice in elective surgical practice. Considerable time and effort is spent on cross-matching for each patient undergoing a surgical procedure.Aims:The aim of this study was to compile and review the blood utilization for two key departments (Neurosurgery and Surgery) in a level 1 trauma center. A secondary objective was to formulate a rational blood ordering practice for elective procedures for these departments.Materials and Methods:Analysis of prospectively compiled blood bank records of the patients undergoing elective surgical, neurosurgical procedures was carried out between April 2007 and March 2009. Indices such as the cross-matched/transfused ratio (C/T ratio), transfusion index and transfusion probability were calculated. The number of red cell units required for each procedure was calculated using the equation proposed by Nuttall et al, using preoperative hemoglobin and postoperative hemoglobin for each elective surgical procedure.Results:There were 252 surgery patients (age range: 2-80 years) in the study. One thousand and eighty-eight units of blood were cross-matched, 432 were transfused (CT ratio 2.5). 44.0% patients did not require transfusion during entire hospital stay. Three (50%) elective procedures had CT ratio >2.5and 4 (66.6%) elective procedures had TI <0.5. There were 200 neurosurgery patients (age range: 2-62 years) in the study. Total 717 units of blood were cross-matched and 161 transfused (CT ratio 4.5). Nine elective procedures had CT ratio >2.5, with five of them exceeding 4. In procedures like spinal instrumentation the CT ratio was <2.5 and 10 (90.9%) of elective procedures had TI <0.5.Conclusions:In this study 40% and 22% of cross-matched blood was being utilized for elective general surgery and neurosurgical procedures, respectively. The calculated required blood units for all elective Trauma surgery procedures were more than 2 units. The calculated required blood units were less than 0.5 units in four of the 11 neurosurgical procedures, and hence only one unit should be arranged for them. It is crucial for every institutional blood bank to formulate a blood ordering schedule. Regular auditing and periodic feedbacks are also vital to improve the blood utilization practices.

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“…[5] Ideally, this ratio should be 1.0 but a ratio of 2.5 and below was suggested to be indicative of efficient blood usage. [3]…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Maximum surgical blood ordering schedule in a tertiary trauma center in northern India: A proposal

Subramanian

Sagar²,

Kumar³

et al. 2012

J Emerg Trauma Shock

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show abstract

“…Ideally, cross-match: transfusion ratio should be 1.0. However, a ratio of 2.5 has been suggested to be indicative of efficient blood usage for most elective procedures (Olamumi and Bolaji, 2006). Although hysterectomy due to uncontrolled haemorrhage has been reported by Exacoustoset al and Hassan et al, there was no indication for hysterectomy in this study, and same was reported by Ehigiegba et al and Hsieh et al Post-operative anaemia (PCV less than 30%) was however up to 69.4% whereas Ehigiegbaet al 6 reported an incidence of 60%.…”

Section: Discussionmentioning

confidence: 99%

Blood loss during Caesarean Myomectomy: A retrospective analysis of 36 cases carried out at a Cottage Hospital in the Niger Delta Region of Nigeria

U¹

2016

J. Med. Med. Sci

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Myomectomy during Caesarean delivery is thought to be associated with increased risk of haemorrhage but some studies have demonstrated that myomectomy during Caesarean section is a safe procedure. Anaesthetic records of all parturient who had Caesarean myomectomy between September, 2011 and August, 2012 were analysed for the following parameters: packed cell volume (PCV) change, length of operation, intra-operative blood loss, need for blood transfusion and postpartum hospital stay. The data collected were subjected to descriptive analysis of average, mean, percentages, and compared to previous studies. Thirty six patients had caesarean myomectomy during the study period. Twenty three of the patients were undergoing emergency surgery while 13 had elective caesarean section and myomectomy. The mean age of the subjects in the study was 28.83years, and the average duration of surgery was 59.66 minutes. The numbers of fibroids removed ranged between 1 and 23 with an average of 4.13. The average change in packed cell volume was 7.03% and average estimated blood loss was 690.27ml ml. Four of the 36 patients who had Caesarean myomectomy were transfused with a total of 11 units of blood and Cross-match: Transfusion ratio was 6.54. The average length of stay after surgery was 4.16 days. Twenty five patients had postoperative anaemia (PCV less than 30%) and 1 of the patients had wound dehiscence. No mortality was recorded and none of the patients had hysterectomy as a result of uncontrolled haemorrhage. Caesarean myomectomy does not significantly increase the risk of intra-operative blood loss if appropriate measures are taken to maintain the tonicity of the uterus during the procedure. Selected cases of Caesarean myomectomy could therefore reduce the incidence of repeat laparotomy, and its attendant complications especially in a resource -poor economy like ours.

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Stochastic integer programming models for reducing wastages and shortages of blood products at hospitals

Gunpinar

Centeno

2015

Computers & Operations Research

136

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Blood utilization in elective surgical procedures in Ilorin

Cited by 31 publications

References 0 publications

Maximum surgical blood ordering schedule in a tertiary trauma center in northern India: A proposal

Maximum surgical blood ordering schedule in a tertiary trauma center in northern India: A proposal

Blood loss during Caesarean Myomectomy: A retrospective analysis of 36 cases carried out at a Cottage Hospital in the Niger Delta Region of Nigeria

Stochastic integer programming models for reducing wastages and shortages of blood products at hospitals

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