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dc.contributor.authorLowe, Emily
dc.contributor.authorQuarmby, John
dc.date.accessioned2017-03-01T15:13:25Z
dc.date.available2017-03-01T15:13:25Z
dc.date.issued2017-01
dc.identifier.citationSAGE Open Med. 2017 Jan 13;5:2050312116688843. doi: 10.1177/2050312116688843. eCollection 2017.language
dc.identifier.urihttp://hdl.handle.net/20.500.12904/1317
dc.description.abstractOBJECTIVES: This study aims to identify current blood transfusion requirements in elective open abdominal aortic aneurysm repair and to compare this to an existing maximum surgical blood order schedule. METHODS: We retrospectively identified patients who underwent elective open abdominal aortic aneurysm repair over a 40-month period in our institution. Pre-operative number of units cross-matched and the number of units actually transfused were identified. The cross-match to transfusion ratio was then calculated. RESULTS: Blood transfusion at any time post-operatively was required in 23 (48.9%) cases. Patients needing an intra-operative blood transfusion had a median of 2 units. Of the pre-operative cross-matched units (123), only 43 were used, giving a cross-match to transfusion ratio of 2.86. CONCLUSION: Our current maximum surgical blood order schedule is poorly followed and a cross-match to transfusion ratio of 2.86 indicates we are cross-matching too many units for elective open abdominal aortic aneurysm repair. A carefully considered individualised management of blood products, with the requirement of at least a valid group and save sample, may be more appropriate.language
dc.language.isoenlanguage
dc.subjectElectivelanguage
dc.subjectAneurysmlanguage
dc.subjectAutologous Transfusionlanguage
dc.titleAre we cross-matching too much blood for elective open abdominal aortic aneurysm repair?language
dc.typeArticlelanguage
refterms.dateFOA2021-06-03T10:40:11Z


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