Abstract
This prospective study of operative blood loss during burns surgery in 142 patients demonstrated no significant difference between the loss seen during layered excision and grafting up to 7 days after thermal injury and that observed during formal excision and grafting from 8 days onward. There was no significant difference between the blood loss in infants under 3 years old and that seen in older children and adults. From the data obtained, a graphical ‘tariff’ has been constructed for both children up to 20 kg and older children and adults over 20 kg in weight for the ordering of cross-matched blood for perioperative transfusion. It is suggested that the use of this tariff will help to strike a balance between the wasteful overprovision and dangerous underprovision of cross-matched blood for burns surgery.
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