Abstract
BackgroundCross matched blood is frequently ordered based on a subjective anticipation of blood loss for a procedure. Excessive blood arrangement and wastage overburdens the blood bank in terms of work load and storage of blood, increases cost of medical care and results in injudicious use of a limited resource. The aim of this short report is to assess the current practice for arranging cross matched blood in elective thyroid surgeries by comparing cross match to blood transfused ratio.FindingsMedical records for all patients from January 2009 to December 2014 undergoing thyroid surgery were retrieved and reviewed through electronic health information management system (HIMS). A total of 91 patients were included in the study, out of which 18 (19.7%) were male and 73 (80.2%) were female. A total of 107 units of blood were arranged and only 9 were transfused. 47 patients underwent a total thyroidectomy, while 44 underwent a hemithyroidectomy. The cross match to transfusion ratio came out to be 11.88.ConclusionsRoutine arrangement of cross matched blood is not required in elective thyroid surgeries. All institutions should have a maximum blood ordering schedule planned for elective procedures, and blood products should be arranged accordingly to avoid unnecessary cross matching.
Highlights
Cross matched blood is frequently ordered based on a subjective anticipation of blood loss for a procedure
Routine arrangement of cross matched blood is not required in elective thyroid surgeries
All institutions should have a maximum blood ordering schedule planned for elective procedures, and blood products should be arranged to avoid unnecessary cross matching
Summary
Our results indicate that routine arrangement of cross matched blood is not required in elective thyroid surgeries. All institutions should have their own institution-specific maximum blood ordering schedule for elective procedures, and blood products should be arranged to avoid unnecessary cross matching. Authors’ contributions SF, AA and MAB were clinical investigators of this study. FS and MME analyzed the data and wrote the manuscript, and critically revised it. All authors read and approved the final manuscript. Author details 1 Department of General Surgery, Liaquat National Hospital and Medical College, Karachi, Pakistan. 2 Liaquat National Hospital and Medical College, Karachi, Pakistan
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