ArticleAnesthesia, essays and researches
An Evaluation of the Practice for the Requisition of Blood Products and its Utilization in Neurosurgical Patients Undergoing Elective Surgery at a Tertiary Care Hospital.
Article in Anesthesia, essays and researches. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Reducing blood product wastage: Insights from a retrospective study in a tertiary health facility.PloS one · 2026Article
- Analyzing RBC Transfusion Practices Using Quality Indicators: A Retrospective Transfusion Audit.Cureus · 2024Article
- Perioperative blood transfusion management in surgical resection of intracranial meningiomas: A meta-analysis.Surgical neurology international · 2024Review
- Efficiency in packed red blood management for brain tumor resection: multicenter prospective cohort study (TScoreBTR).Blood transfusion = Trasfusione del sangueObservational
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundNeurosurgical procedures are associated with profound blood loss that necessitates need for intraoperative and postoperative blood transfusion. Excessive ordering of blood based on physicians' habitual practice may lead to unintentional misuse of blood bank services. For the optimal use of blood resources, transfusion practices have to be appropriate.
aimsThe aim of this study is to study the cross match to transfusion ratio and to review the blood utilization practices (transfusion index and maximal surgical blood order schedule) in elective neurosurgical procedures. SETTINGS AND
designA prospective, observational study comprising 740 patients undergoing elective neurosurgical procedures. MATERIALS AND
methodsBlood requisition forms and patient records were analyzed of patients undergoing elective neurosurgical procedures from December 2017 to December 2018. A review and note was made of the patient's age, sex, and diagnosis. The number of units prepared, cross matched, and transfused were noted. STATISTICAL ANALYSIS: Statistical analysis was performed with the IBM SPSS software version 21.0. Blood utilization indices were computed and expressed as percentage.
resultsA total of 740 patients underwent elective surgical procedures. Among these, 346 patients were requested to prepare 614 units of blood. Out of these 740 patients, there were 56 patients who were in the pediatric age group. A total of 178 units were transfused in 102 patients. One hundred and forty-two units were transfused in the intraoperative period, whereas as 36 units were transfused in the postoperative period.
conclusionThere is an efficient usage of blood for patients undergoing surgery for meningiomas, posterior fossa tumors, spinal dysraphism, and craniovertrebral junctional anomalies. However, the blood resources were poorly utilized in patients undergoing surgery for subarachnoid hemorrhage and pituitary tumors. A revision of blood transfusion policy within the hospital is needed.
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